AIDS-related obsessive compulsive disorder: A treatment dilemma

Barbara K. Bruce, Vivian Mancini Stevens

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    Fears about the transmission of the human immunodeficiency virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) have emerged in health-care professionals who come into frequent contact with blood and bodily fluids. The present case describes an orthopedic surgeon with a one-year history of severe obsessive compulsive disorder involving a fear of AIDS. Despite a behavioral program of exposure and response prevention, no appreciable treatment gains were made. Several factors are examined that may have contributed to his treatment failure. In particular, adherence to the Centers for Disease Control guidelines regarding the prevention of HIV transmission may have compromised the implementation of an efficacious behavioral program. Also, the patient's overvalued ideation about his personal risk for HIV infection and potential for infecting others no doubt presented an obstacle to treatment. Although excessive, his concerns were nonetheless valid given his medical training and in many respects parallel fears expressed by other health-care professionals. Implications for treatment are discussed.

    Original languageEnglish
    Pages (from-to)79-88
    Number of pages10
    JournalJournal of Anxiety Disorders
    Volume6
    Issue number1
    StatePublished - 1 Dec 1992

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    Obsessive-Compulsive Disorder
    Fear
    Acquired Immunodeficiency Syndrome
    HIV
    Delivery of Health Care
    Virus Diseases
    Centers for Disease Control and Prevention (U.S.)
    Treatment Failure
    Therapeutics
    Guidelines

    Cite this

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    AIDS-related obsessive compulsive disorder : A treatment dilemma. / Bruce, Barbara K.; Stevens, Vivian Mancini.

    In: Journal of Anxiety Disorders, Vol. 6, No. 1, 01.12.1992, p. 79-88.

    Research output: Contribution to journalArticle

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