"Rituals or rivalry?" The phenomenology and treatment of sibling specific obsessions in paediatric obsessive-compulsive disorder

Faye Barrow*, Isobel Heyman, Stephen Scott, Georgina Krebs

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Obsessive-compulsive disorder (OCD) is highly heterogeneous, and can be difficult to assess and diagnose particularly when unusual symptoms are present. This case study (n=9) describes an under-reported presentation of OCD in youth, whereby the patient experiences an obsessional fear of a sibling. Clinical characteristics of this presentation are discussed and comparisons with sibling rivalry disorder are examined. Seven of the participants engaged in a standard treatment protocol for OCD (comprising cognitive-behaviour therapy with or without an SSRI medication); five achieved remission. This presentation of sibling obsessions should be recognised as OCD, and be treated with evidence-based interventions for OCD.

Original languageEnglish
Pages (from-to)209-214
Number of pages6
JournalJournal of Obsessive Compulsive and Related Disorders
Volume3
Issue number3
DOIs
Publication statusPublished - Jul 2014

Keywords

  • Sibling
  • Rivalry
  • Obsession
  • Child
  • Obsessive-compulsive disorder
  • GLOBAL ASSESSMENT SCALE
  • PSYCHOMETRIC PROPERTIES
  • FAMILY ACCOMMODATION
  • OCD
  • ADOLESCENTS
  • CHILDREN

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