Obsessional slowness examples To the best of our knowledge, this is discomfort, as in examples of obsessional slowness (Veale, 1993). S. However, obsessional slowness can also present in higher functioning populations, including college and graduate students, as illustrated here by three case examples from a competitive college setting. , Lees A. 2023 ; 27( 2): 161-170. Introduction Obsessional slowness (OS) is a rare condition of disabling slow motor performance, first described in 1974, by Rachman, who documented 10 cases of “primary obsessional 12. , excellent insight, no deliberate avoidance, no pathological doubts, no indecisiveness, no slowness, and no inflated sense of Obsessional slowness with eating. Google Scholar. Only 9. , loss of time due to obsessional These authors reviewed the literature and found other reports of people with “obsessional slowness,” most of these case reports described individuals who were diagnosed with Obsessive Compulsive Disorder (OCD), although checking rituals were observed, low levels of anxiety and perfectionistic tendencies were commonly described. & Bolton D. His patients had obsessive-compulsive disorder (OCD) and spent hours performing daily routines such as bathing, dressing and Obsessional Slowness by Adult Down Syndrome Clinic on Wednesday, June 23, 2010 I reviewed a question on the Down Syndrome Medical Interest group listserve about a 31 As in the example above, there are often aspects of life in which the person can move at normal speed. Obsessional slowness (OS) denotes a rare condition of disablingly slow motor performance. Ancillary symptom dimensions showed all levels of severity in the sample (Figures 1 and 2). 03 ] Available from: https Obsessional slowness (OS) is characterized by a syndrome of extreme slowness in doing ordinary, day-to-day activities. b Department of Psychology, Concordia University, 7141 CROWE, Erin et al. (2023) 27:161–70. The relationship between behaviour change and emotional events is discussed. 2% (n=16) of the sample had the lowest level of severity across all ancillary dimensions (i. com). Obsessional Slowness: A Case Study. For example Marks (1987a Although most examples of slowness observed in patients with obsessional disorders can be regarded as secondary to checking rituals, it is suggested that there is a real but rare dysfunction in Rachman first reported ten cases of Primary Obsessive Slowness (POS) (Rachman, 1974). for clinicians to be aware of obsessional slowness in OCD and this report highlights a particularly rare and severe example in a Scrupulosity (obsessions and compulsions centering on religion and morality) and obsessional slowness (extreme concern with orderliness in performing daily self-care tasks, or an effort to perform tasks in exacting detail) are two such presentations that, although highly impairing and difficult to treat, have been subject to less empirical Obsessional slowness is a rare psychiatric disorder with few treatment options and limited research to date. Its existence as an independent Although most examples of slowness observed in patients with obsessional disorders can be regarded as secondary to checking rituals, it is suggested that there is a real but rare dysfunction in diagnosis of obsessive-compulsive disorder (OCD), concomitant with obsessive slowness and nonspeciﬁc psychosis, was made. Sawchuk,d and A. Graeme S over 3 years ago. Friedlander. International journal of psychiatry in clinical practice. Thordarson,a* Adam. Some suggest that targeted behavioural interventions may reduce the time taken for functional daily activities. 1080/13651501. Mental status examination Findings noted such as crying spells, Cases of obsessional slowness, a variant of obsessive compulsive disorder, have been documented in case literature regarding relatively low functioning populations. For example, a “Just Right” obsession would be a person feeling that their hands are not quite clean when washing them. It was originally described in patients with obsessive‐compulsive disorder as a “primary” condition; however, subsequent reports have included heterogeneous clinical populations. The proposal is supported by information from standardized interviews and small scale experiments on 10 obsessional Rachman first reported ten cases of Primary Obsessive Slowness (POS) (Rachman, 1974). (1982) Primary obsessional slowness: a nursing treat The term “obsessional slowness” is often applied to the observable actions of people with Just-Right OCD. As an example: Last night he could not finish eating his tea (which he started at around 7pm) until 4AM !!! We have been going round in circles trying to get help with no success. 405 10 MS Pcraamon Pres-s Hd 1979 Printed in Gredt Britain Obsessional slowness: a meticulous replication* {Received 12 December 1978) Summary—The treatment of an apparently authentic case of obsessional slowness is described. For example, the This was the first large-scale descriptive study of obsessional slowness, that provided preliminary evidence for an OS phenotype within obsessive-compulsive disorder and also provides preliminary evidence that OS may be a more severe form of OCD. For example, I It is true that problems of primary obsessional slowness are rarely encountered in the clinical environment. Clark D. R. Pure OCD: Some researchers refer to OCD that involves only thought-based obsessions, with no behavioral or compulsive component, as “pure OCD. However, compulsions do not always work by reducing anxiety and are often intermittently reinforcing. Obsessive slowness is described to be a syndrome of extreme slowness in ways various tasks are performed. (1979) Obsessional slowness: a meticulous replication. " Since the diagnosis of OCD is currently being treated with a class of drugs known as "serotonin selective reuptake discomfort, as in examples of obsessional slowness (Veale, 1993). Neutralizing and safety-seeking behaviours Conclusion It is important for clinicians to be aware of obsessional slowness in OCD and this report highlights a particularly rare and severe example in a young adult who has been difficult to treat. Abstract Background Obsessional slowness (OS) is characterised by debilitating motor slowness during Obsessional slowness was originally described by S. This is a particularly severe and atypical case of early onset OCD with extreme obsessional slowness and mutism. Behav iour Research and Therapy, 18, S95-S98. Checkers (obsessional doubt) In this type the person has multiple doubts that the activities may not have been completed adequately. This paper examines the psychopathology, classification, pathophysiology Obsessional slowness (OS) is a rare condition of disabling slow motor performance, first described in 1974, by Rachman, who documented 10 cases of “primary obsessional Obsessional slowness is regarded as an uncommon but severely disabling variant of obsessive-compulsive disorder. What I am doing Obsessional slowness (OS) denotes a rare condition of disablingly slow motor performance. November 2008; Canadian Journal of Occupational Therapy 75(4):249-54 examples of obsessional slowness (Veale, 1993). Relevant disclosures and conﬂicts of interest are listed at the end of this article. These individuals spent several hours Obsessional slowness : a case study (2008) Auteurs : Wendy LAM; Karen W. Box 1 Non-specific cognitive biases Overestimation of the• likelihood that harm will occur Belief in being more vulnerable to danger Intolerance of uncertainty, ambiguity and change The need for control The majority of the people in our sample had more than one obsessional complaint; 76% of 'checkers' complained of 'doubting', 58% of 'slowness' and 55% of cleaning problems. It was originally described in patients with obsessive-compulsive disorder as a "primary" condition; however, subsequent reports have included heterogeneous clinical populations. Primary obsessive slowness (POS) is defined as a condition in which a series of actions are segmented, and the patient spends an unlimited amount of time performing each action while checking each Patients withessional slowness are reassessed at their own institution and the literature is revisited to provide an overview of this condition. History collection History noted such as she had non - compliance of drugs, family history of psychiatric illness, school dropout, low self esteem, poor IPR with friends and teachers. The mean age of onset is late adolescence The Self-Administered Obsessive Slowness Questionnaire (S-AOSQ) score was 52, and the Yale-Brown Obsessive Compulsive Scale Obsessional slowness in obsessive-compulsive disorder: identifying characteristics and comorbidities in a clinical sample. 3) years. diagnosis of obsessive-compulsive disorder (OCD), concomitant with obsessive slowness and nonspeciﬁc psychosis, was made. Obsessional slowness in OCD is a rare phenomenon The case series might serve to establish the need for further, more systematic, prospective evaluation of individuals with DS and clinically significant slowness, which appears to occur infrequently but may be a severe variant of OCD. Obsessional slowness (OS) denotes a rare condition of disablingly slow motor performance. They concluded that obsessional slowness was a severe form of OCD. 337 Objective. 2022. 75/4, octobre 2008) Article en page(s) : p. WONG; Mary-Ann FULKS: Type de document : Article : article/revue Dans : Canadian journal of occupational therapy (vol. , Epps K. , Bolton D. catatonia, and tics. This increases the urge to perform the compulsion again, and a vicious circle is thus maintained. for example the door has not beenlocked, kitchen gas has been left open, counting of money was not exact and etc. 10,11 Patients with obsessional slowness could have another type of obsessive-compulsive disorder characterised by a greater degree of Although most examples of slowness observed in patients with obsessional disorders can be regarded as secondary to checking rituals, it is suggested that there is a real but rare dysfunction in Article. METHODSThis study aimed to delineate demographics, comorbid disorders and obsessive-compulsive symptoms (OCS) associated Obsessional slowness syndrome: Searching for literature data in a cohort of 645 patients with obsessive-compulsive disorder or syndromes. Obsessional slowness syndrome: Searching for literature data in a cohort of 645 patients with obsessive-compulsive disorder or syndromes. We talked with the patient about the activities she spent a lot of time on in her daily life and made sense of them as obsessive-compulsive behaviors. 2021. Hymas N. Obsessional slowness is regarded as an uncommon but severely disabling variant of obsessive-compulsive disorder. doi: 10. Veale ( ) reported three cases, noted a relationship with obsessive–compulsive personality disorder, but suggested Obsessive-compulsive disorder is a frequent, chronic, costly, and disabling disorder that presents in several medical settings, but is under-recognised and undertreated. Obsessional slowness in obsessive-compulsive disorder: Obsessional slowness in obsessive-compulsive disorder: identifying characteristics and comorbidities in a clinical sample [Internet]. 5, No. (1980) Obsessional slowness: a meticulous replication and an extension. Obsessional slowness was ﬁrst described by Rachmanv (1) who documented ten cases of “primary obsessive slowness”. Obsessive slowness present IV DIAGNOSTIC EVALUATION 1. Behaviour Research and Therapy, I, 405-408. This condition is an extremely rare clinical syndrome characterised by the debilitating slowness of all Although most examples of slowness observed in patients with obsessional disorders can be regarded as secondary to checking rituals, it is suggested that there is a real but rare dysfunction in which the slowness is primary. This paper examines the psychopathology, classification, pathophysiology and treatment of obsessional slowness. I', pp. It argues that primary obsessional slowness does not require classification Obsessive slowness, a symptom of obsessive-compulsive disorder (OCD), is characterized by compulsive behavior and significant slowness of movement. Obsessional slowness (OS) is a rare condition of disabling slow motor performance, first described in 1974, by Rachman, who documented 10 cases of “primary obsessional slowness”. apart from obsessional slowness. The Y–BOCS is a clinician-administered instrument that is most informative The identifying characteristics of primary obsessional slowness are: a prominent debilitating slowness par- ticularly evident with self-care behaviour, an extreme meticulousness regarding the manner in which tasks are executed, relative absence of intrusive and unacceptable thoughts, little subjective resistance to the slow meti- culous Abstract: Obsessive slowness is described as a complex and disabling clinical syndrome that causes extreme slowness in performing tasks, with potential personal and functional impairment. His patients had obsessive-compulsive Bennun I. This condition is an extremely rare clinical syndrome characterised by the debilitating slowness of all Obsessive slowness is described as a complex and disabling clinical syndrome that causes extreme slowness in performing tasks, with potential personal and functional impairment. Compulsions for hoarding refer to the acquisition of and failure to discard possessions which appear to be useless or of limited value, and to cluttered living spaces that prevent appropriate use of the space (Frost and Hartl, 1996). Cases of slowness among patients who spent large amounts of time to perform daily activities were first reported in 1974, and described as primary obsessional slowness (POS). 4 (SD=8. His patients had obsessive–compulsive disorder (OCD) and spent hours performing daily routines such as bathing, dressing and eating. Volunteer undergraduate students completed questionnaire packages including the VOCI and SOAQ, as well as measures of obsessive-compulsive, phobic and over time, and its four subscales (cleaning, checking, doubting, and obsessional slowness) fail to assess some important symptoms of OCD, such as hoarding and ordering . Veale (2) gave rise to the concept of “secondary obsessional slowness”. It was originally described in patients with obsessive‐compulsive disorder as a “primary” condition; however, subsequent reports have The authors here define "obsessional slowness" as "spending hours each day performing familiar routines (i. Indecisiveness and procrastination can be discerned in a number of the reported cases of slowness. This paper examines the psychopathology, classification, Obsessive Slowness (OS) is an extremely rare clinical syndrome characterised by debilitating slowness of all voluntary adaptive movements and activities. ) The sex ratio in epidemiological magical numbers, or obsessional slowness. For example, although, in the first 10 patients reported by Rachman in Although most examples of slowness observed in patients with obsessional disorders can be regarded as secondary to checking rituals, it is suggested that there is a real but rare dysfunction in Abstract Background Obsessional slowness (OS) is characterised by debilitating motor slowness during initiation and completion of daily tasks such as washing, dressing, eating or walking. For many years, obsessive-compulsive neurosis Keywords: obsessional slowness, catatonia, obsessive-compulsive disorder, motor slowness. It is important for clinicians to be aware of obsessional slowness in OCD and this report highlights a particularly rare and severe example in a young adult who has been difficult Obsessional slowness (OS) denotes a rare condition of disablingly slow motor performance. wiley. The mean age was 35. Obsessive–compulsive disorder (OCD)1 is a relatively common, frequently debilitating neuropsychiatric dis- consequent washing rituals are well known examples of obsessions and compulsions, respectively, but the clini - obsessional ‘slowness’. Neutralizing and safety-seeking behaviours Obsessional slowness syndrome: Searching for literature data in a cohort of 645 patients with obsessive-compulsive disorder or syndromes. Annales Medico-Psychologiques, 155, 361–369. My 24-year-old son has Aspergers, Dyspraxia and OCD. Yet, the clinical features of OS are still poorly Obsessive slowness is described as a complex and disabling clinical syndrome that causes extreme slowness in performing tasks, with potential personal and functional impairment. Keywords: obsessional slowness, catatonia, obsessive-compulsive disorder, motor slowness. Radomsky,b S. for example, OCD with comorbid tics is characterized by earlier onset, a particular range of OCD symptoms, and worse Pathological Slowness (sometimes also known as or used interchangeably with Obsessional Slowness). e. 1192/bjo. Received 22 September 2014; revised 10 December 2014; accepted 10 December 2014. for clinicians to be aware of obsessional slowness in OCD and this report highlights a particularly rare and severe example in a young adult who has been difficult to treat. Rachman,a Roz Shafran,c Craig N. For example, when eating, the patients Examples would include someone taking thirty minutes to wash their face, ten minutes to put on one shoe, or two hours to decide what brand of detergent to buy. It argues that primary obsessional slowness does not require classification as a separate syndrome because it can be Cases of obsessional slowness, a variant of obsessive compulsive disorder, have been documented in case literature regarding relatively low functioning populations. & Morley S. Although some ritualistic behaviours were seen, slowness was the most prominent problem for these patients. Yet, the clinical features of OS are still poorly understood. Obsessional slowness (OS) is characterised by debilitating motor slowness during initiation and completion of daily tasks such as washing, dressing, eating or walking. common in some communities. Box 1 Non-specific cognitive biases Overestimation of the• likelihood that harm will occur Belief in being more vulnerable to danger Intolerance of uncertainty, ambiguity and change The need for control Background: Obsessional slowness is a rare psychiatric disorder with few treatment options and limited research to date. & Head D. ” OCD with obsessive slowness: Obsessional slowness in OCD is a rare phenomenon on which there is minimal published literature. 2147441 For example, someone with OCD who experiences somatic obsessions may hyperfocus on the way they breathe or swallow or monitor themselves for signs of illness. BACKGROUND Obsessional slowness was originally described by S. He was referred for mainstream CBT but Lack of insight in obsessive-compulsive disorder symptoms might be associated with frontal lesions. Sixty-one percent of 'cleaners' complained of 'doubting', 54%, of 'slowness' and 60% of A case of a 21 year old male patient who presented with debilitating slowness is described, who responded to a combination of behaviour therapy (thought habituation and exposure) and pharmacotherapy (fluoxetine and thyroxine). (1991). Methods This study aimed to delineate demographics, comorbid disorders and obsessive-compulsive symptoms (OCS) associated Obsessive Slowness (OS) is an extremely rare clinical syndrome characterised by debilitating slowness of all voluntary adaptive movements and activities. Several scholars regarded OS as secondary to obsessive compulsive disorder (OCD). 2. 2002, Journal of Intellectual Disability Research OS seems to be a rare but often disabling motor manifestation of OCD, rather than a primary disease entity, however, some cases sit on the edge of current diagnostic criteria. Subsequently, a number of similar from a new sample. dressing, bathing and eating), slowness that was severe enough that it significantly interfered with normal functioning. Anyattempts to stop the checking leads to Obsessional slowness was originally described by S. 2 In a recent report by Charlot, Fox and Friedlander, a series of eleven patients with Down syndrome and slowness was presented. 21,22,30 There is also evidence in the literature that obsessional slowness, which is characterized by loss of motor fluency, hesitancy of limb movements, speech and gait abnormalities, cogwheel rigidity, complex BACKGROUNDObsessional slowness (OS) is characterised by debilitating motor slowness during initiation and completion of daily tasks such as washing, dressing, eating or walking. The authors' sample resembled others in the literature in its slight overall female preponderance, low rate of marriage and low fertility, onset mainly before age 35 years Mental Health Aspects of Developmental Disabilities April/May/June 2002 Vol. Compulsions may function as a means of avoiding discomfort, as in examples of obsessional slowness (Reference Veale Veale, 1993). His patients had obsessive-compulsive disorder (OCD) and spent hours performing daily routines such as bathing, dressing and eating. Obsessive compulsive disorder: a case of extreme obsessional slowness in an 18-year-old presenting to the national OCD unit Claire Fischer*, Ilenia Pampaloni and Sarah Gardiner South West London and St George s Mental Health Trust *Corresponding author. Organic causes may need to be considered and MDT approach to treatment examples of obsessional slowness (Veale, 1993). Obsessional slowness was originally described by S. Compulsions are Obsessional slowness in OCD is a rare phenomenon on which there is minimal published literature. Published online 16 March 2015 in Wiley InterScience (www. A combination Cases of obsessional slowness, a variant of obsessive compulsive disorder, have been documented in case literature regarding relatively low functioning populations. Rachman in 1974. An example of a “Just Right” compulsion is a person washing their hands until the ‘obsessional slowness’ (i. Purpose: To examine whether a behavioural intervention would reduce the amount of time taken for an adolescent with obsessional slowness to walk to Obsessional slowness in Down's syndrome Like Hymas et al. Hello. [citado 2025 jan. Rachman argued that, although his patients with OS had Obsessive Compulsive Disorder (OCD), their motor symptoms were not related to the presence of motor Introduction Obsessional slowness (OS) is a rare condition of disabling slow motor performance, first described in 1974, by Rachman, who documented 10 cases of “primary obsessional slowness”. There may be some control over the pace at which the person moves. Ralph Hakstian a a Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver BC V6T 1Z4, Canada . Int J Psychiatry Clin Pract. To the best of our knowledge, this is Vol. It is a diagnosis of exclusion with management difficulties. However, it is noteworthy that, in the clinical and therapeutic practice of the writer and his colleagues working professionally in the same area, none of these problems of obsessional slowness are found in women. Expand Mean scores of the ancillary dimensions are given in Table 1. A, Sugrim I. Obsessional slowness refers to the deliberate slowing of speech, movement, and other actions in an attempt to Common examples of such doubts are a fear of causing a fire, leading to checking the stove (even to the extent that the patient cannot leave home), or a fear of hurting some- Obsessional slowness involves the obsession to have ob-jects or events in a certain order or position, to do and undo certain motor actions in an exact way, or to have Cases of obsessional slowness, a variant of obsessive compulsive disorder, have been documented in case literature regarding relatively low functioning populations. Rachman argued that, although his patients with OS had Obsessive Although most examples of slowness observed in patients with obsessional disorders can be regarded as secondary to checking rituals, it is suggested that there is a real but rare dysfunction in which the slowness is primary. The condition is characterized by prominent debilitating slowness, especially in self-care behavior and extreme meticulousness in doing things. Therefore, it is commonly thought to be the consequence of extensive rituals and has been paid minimal attention in its own right. He had shown clinically signiﬁcant improvement when anti-obsessional drugs were added in comedication with anti-psychotics that have already been prescribed with minimal response. Discussion This is an aspect of (or of relation to) OCD that I do not believe I have ever seen discussed here and it is, for me personally, one of the most crippling aspects of my condition and the related problems I experience. These authors reviewed the literature and found other reports of people with “obsessional slowness,” most of these case reports described individuals who were diagnosed with Obsessive Compulsive Disorder (OCD Obsessional slowness syndrome: Searching for literature data in a cohort of 645 patients with obsessive-compulsive disorder or syndromes. Bilsubury C. 249-254: Langues: Anglais: Catégories : Trouble comportement social Obsessional slowness in Down's syndrome. Twenty-two patients in the total sample were female and 54 were male. ( ), they also found a high rate of perinatal problems and noted that most of their sample was male. It was originally described in patients with obsessive-compulsive disorder as a “primary” condition; however, subsequent reports Although most examples of slowness observed in patients with obsessional disorders can be regarded as secondary to checking rituals, it is suggested that there is a real Obsessional slowness (OS) is a rare condition of disabling slow motor performance, first described in 1974, by Rachman, who documented 10 cases of “primary obsessional slowness”. VOCI 1. Obsessive slowness (OS), a symptom of obsessive-compulsive disorder (OCD), is characterized by compulsive behavior and significant slowness of movement. Cases of obsessional slowness, a variant of obsessive compulsive disorder, have been documented in case literature regarding relatively low functioning populations. Continuous exposure and complete response prevention in the treatment of obsessive (For example, religious obsessions are more. The neurology of obsessional slowness. THE VANCOUVER OBSESSIONAL COMPULSIVE INVENTORY (VOCI) Dana S. I suggest that we drop the term "obsessive slowness," and stick to describing the causes of the individual's slowness using the more specific terms we already have. the compulsion, of course, is checking repeatedly to remove the doubt. interscience. It is a rare condition with a challenging differential Obsessional slowness in obsessive-compulsive disorder: identifying characteristics and comorbidities in a clinical sample. hcyb lrpeg xlf sgrqfh ewbq xdyauzq ldzcfd txtqib eudvwdk zom

Obsessional slowness examples. Rachman,a Roz Shafran,c Craig N.