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Two cases of transvestophilia arising following behavioural psychotherapy treatment of obsessive compulsive disorder

Published online by Cambridge University Press:  13 June 2014

S Rani
Affiliation:
Springfield Hospital, London SW17, England
Lynne Drummond
Affiliation:
Department of General Psychiatry, St George's Hospital Medical School, Cranmer Terrace, London SW17 ORE, England

Abstract

Early psychodynamic formulations of obsessive compulsive disorder (OCD)suggest that its aetiology lies in repressed sexual impulses. Despite this, sexual aberration has rarely been reported in conjunction with OCD or arising following treatment. This paper describes two case histories of patients with severe, chronic OCD whose sexually deviant behaviour increased following successful behavioural psychotherapy. Classical Freudian, behavioural cognitive and neuropsychological models for this finding are discussed.

Type
Case Reports
Copyright
Copyright © Cambridge University Press 1996

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References

1.Foa, EB, Goldstein, A. Continuous exposure and strict response prevention in the treatment of obsessive compulsive neurosis. Behav Therapy 1978; 9: 821–9.CrossRefGoogle Scholar
2.Marks, IM, Hodgson, R, Rachman, S. Treatment of chronic obsessive compulsive disorder two years after in vivo exposure. Br J Psychiatry 1985; 12; 349–64.Google Scholar
3.Freud, S. Obsessions and religion. In: Strachey, J, ed. The complete psychological works of Sigmund Freud. London: Hogarth Press, 1907: 115–27.Google Scholar
4.Freud, S. Character and anal exoticism. In: Strachey, J, ed. The complete psychological works of Sigmund Freud. London: Hogarth Press, 1908: 167–75.Google Scholar
5.Freud, S. Inhibitions, symptoms and anxieties. In: Strachey, J, ed. The complete psychological works of Sigmund Freud. London: Hogarth Press, 1926: 75115.Google Scholar
6.Bion, WR. Second thoughts. London: Karnac, 1977.Google Scholar
7.Marks, IM. Cure and care of neurosis: theory and practice of behavioural psychotherapy. New York: Wiley, 1981.Google Scholar
8.Money, J. Gay, straight and in between. New York: Oxford University Press, 1988.Google Scholar
9.Gray, JA. The neuropsychology of anxiety: an enquiry into the functioning of the Septohippocampal system. New York: Oxford University Press, 1982.Google Scholar
10.Gray, J. The psychology of fear and stress. London: Weidenfeld and Nicholson, 1971.Google Scholar