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Mental Play in Gilles de la Tourette's Syndrome and Obsessive-Compulsive Disorder

Published online by Cambridge University Press:  02 January 2018

D. C. Cath ,
B. J. M. van de Wetering ,
T. C. A. M. van Woerkom ,
C. A. L. Hoogduin ,
R. A. C. Roos  and
H. G. M. Rooijmans
D. C. Cath*
Affiliation:
Psychiatric Hospital Endegeest, Oegstgeest, The Netherlands
B. J. M. van de Wetering
Affiliation:
Department of Psychiatry, University Hospital Rotterdam-Dijkzigt, Rotterdam
T. C. A. M. van Woerkom
Affiliation:
Department of Neurology, Municipal Hospitals, The Hague
C. A. L. Hoogduin
Affiliation:
Department of Psychiatry, Reinier de Graaf Gasthuis, Delft, also Catholic University, Nijmegen
R. A. C. Roos
Affiliation:
Department of Neurology, University Hospital, Leiden
H. G. M. Rooijmans
Affiliation:
Department of Psychiatry, University Hospital, Leiden, The Netherlands
*
∗Correspondence
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Abstract

A new phenomenon, found only in Gilles de la Tourette (GTS) patients, and which we have called ‘mental play’, is described. It was compared with the phenomenon of counting, which occurred in both GTS and obsessive-compulsive patients. In the GTS patients both mental play and counting were best characterised as playful impulsions. In contrast to the GTS patients, the counting of the obsessive-compulsive patients was in line with their obsessive-compulsive behaviour. These findings suggest that repetitive symptoms in GTS patients, even when they share superficial similarities with obsessive-compulsive symptoms, should not be diagnosed automatically as obsessive-compulsive.

Type
Brief Reports
Information
The British Journal of Psychiatry , Volume 161 , Issue 4 , October 1992 , pp. 542 - 545
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Bullen, J. G. & Hemsley, R. (1983) Sensory experience as a trigger in Gilles de la Tourette's syndrome. Journal of Behaviour Therapy and Experimental Psychiatry, 14, 197–201.CrossRefGoogle ScholarPubMed
Comings, D. E. & Comings, B. G. (1987) A controlled study of Tourette syndrome, I–VII. American Journal of Human Genetics, 41, 701–866.Google Scholar
Frankel, M., Cummings, J. L., Robertson, M. M., et al (1986) Obsessions and compulsions in Gilles de la Tourette's syndrome. Neurology, 36, 378–382.Google Scholar
Haan, E. D. (1988) A man with counting rituals: a diagnostic problem. Directive Therapie, 8, 127–134.Google Scholar
Hoogduin, C. A. L. (1986) On the diagnosis of obsessive-compulsive disorder. American Journal of Psychotherapy, 15, 36–51.Google Scholar
Kurlan, R., Lichter, D. & Hewitt, D. (1989) Sensory tics in Tourette's syndrome. Neurology, 39, 731–734.Google Scholar
Pauls, D. L. & Leckman, J. F. (1986) The inheritance of Gilles de la Tourette's syndrome and associated behaviors. New England Journal of Medicine, 315, 993–997.CrossRefGoogle ScholarPubMed
Pauls, D. L., Raymond, C. L., Stevenson, J. M., et al (1991) A family study of Gilles de la Tourette syndrome. American Journal of Human Genetics, 48, 154–163.Google Scholar
Robertson, M. M. (1989) The Gilles de la Tourette syndrome: the current status. British Journal of Psychiatry, 154, 147–169.Google Scholar
Pauls, D. L., Trimble, M. M. & Lees, A. J. (1989) Self-injurious behaviour and the Gilles de la Tourette syndrome: a clinical study and review of the literature. Psychological Medicine, 19, 611–625.Google Scholar
Pauls, D. L. & Gourdie, A. (1990) Familial Tourette's syndrome in a large British pedigree. British Journal of Psychiatry, 156, 515–521.Google Scholar
Shapiro, A. K., Shapiro, E. S., Young, J. G., et al (1988) Gilles de la Tourette Syndrome (2nd edn). New York: Raven Press.Google Scholar
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