Abstract
As many as 25 % of youth diagnosed with obsessive-compulsive disorder (OCD) experience sexual obsessions. These youth have repetitive intrusive unwanted thoughts that can include sexual, possibly aggressive, acts with children, family members, the opposite sex, and strangers. Recurrent fears of being homosexual and/or a pedophile are also considered to be sexual obsessions. These thoughts are distressing to the youth who experience them and often lead to reassurance-seeking behaviors, avoidant behaviors, and anxiety or depressive symptoms. This chapter describes the nature and phenomenology of sexual obsessions, the impact of having sexual obsessions, and effective treatments for these obsessions. A case study of treating sexual obsession with exposure and response prevention (ERP) is presented to demonstrate individualized assessment and treatment. The chapter concludes with key points for clinicians working with youth with sexual obsessions.
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References
Fernández de la Cruz, L., Barrow, F., Bolhuis, K., Krebs, G., Volz, C., Nakatani, E., et al. (2013). Sexual obsessions in pediatric obsessive-compulsive disorder: Clinical characteristics and treatment outcomes. Depression and Anxiety, 30, 732–740.
Franklin, M. E., & Foa, E. B. (2002). Cognitive behavioral treatments for obsessive compulsive disorder. A guide to treatments that work, 2, 367–386.
Friedrich, W. N., Fisher, J., Boughton, D., Houston, M., & Shafren, C. R. (1998). Normative sexual behavior in children: A contemporary sample. Pediatrics, 4, e9.
Geller, D. A., & March, J. (2012). Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51, 98–113.
Geller, D. A, Biederman, J., Faraone, S., Agranat, A., Cradock, K., Hagermoser, L., et al. (2001a). Developmental aspects of obsessive compulsive disorder: Findings in children, adolescents, and adults. The Journal of Nervous and Mental Disease, 189, 471–477.
Geller, D. A, Biederman, J., Stewart, S. E., Mullin, B., Martin, A., Spencer, T., & Faraone, S. V. (2003). Which SSRI? A meta-analysis of pharmacotherapy trials in pediatric obsessive-compulsive disorder. American Journal of Psychiatry, 160, 1919–1928.
Gordon, W. M. (2002). Sexual obsessions and OCD. Sexual and Relationship Therapy, 17, 343–354.
Healy, N., Fitzpatrick, C., & Fitzgerald, E. (1991). Clinical note: Childhood neurotic disorders with a sexual content need not imply child sexual abuse. Journal of Child Psychology and Psychiatry, 32, 857–863.
Ladouceur, R., Freeston, M. H., Rhéaume, J., Dugas, M. J., Gagnon, F., Thibodeau, N., & Fournier, S. (2000). Strategies used with intrusive thoughts: A comparison of OCD patients with anxious and community controls. Journal of Abnormal Psychology, 109, 179–187.
Lewin, A. B., Storch, E. A., Merlo, L. J., Adkins, J. W., Murphy, T., & Geffken, G. A. (2005). Intensive cognitive behavioral therapy for pediatric obsessive compulsive disorder: A treatment protocol for mental health providers. Psychological Services, 2, 91–104.
Mataix-Cols, D., Marks, I. M, Greist, J. H., Kobak, K. A., & Baer, L. (2002). Obsessive-compulsive symptom dimensions as predictors of compliance with and response to behaviour therapy: Results from a controlled trial. Psychotherapy and Psychosomatics, 71, 255–262.
Mataix-Cols, D., Nakatani, E., Micali, N., & Heyman, I. (2008). Structure of obsessive-compulsive symptoms in pediatric OCD. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 773–778.
McKay, D., Piacentini, J., Greisberg, S., Graae, F., Jaffer, M., & Miller, J. (2006). The structure of childhood obsessions and compulsions: Dimensions in an outpatient sample. Behaviour Research and Therapy, 44, 137–146.
Montgomery, J. H., Waller, D. A., & Robinson, R. (2003). Persistent, unwanted erections in an 8-year-old boy. Psychopathology, 36, 52–54.
Rachman, S. (2007). Treating religious, sexual, and aggressive obsessions. In M. M. Anthony (Ed.), Psychological treatment of obsessive-compulsive disorder: Fundamentals and beyond (pp. 209–229). Washington, DC: American Psychological Association.
Rufer, M., Fricke, S., Moritz, S., Kloss, M., & Hand, I. (2006). Symptom dimensions in obsessive–compulsive disorder: Prediction of cognitive‐behavior therapy outcome. Acta Psychiatrica Scandinavica, 113, 440–446.
Selles, R. R., Storch, E. A, & Lewin, A. B. (2014). Variations in symptom prevalence and clinical correlates in younger versus older youth with obsessive–compulsive disorder. Child Psychiatry & Human Development, 1–9.
Siev, J., Steketee, G., Fama, J. M., & Wilhelm, S. (2011). Cognitive and clinical characteristics of sexual and religious obsessions. Journal of Cognitive Psychotherapy, 25, 167–176.
Singh, G., & Coffey, B. J. (2012). Sexual obsessions, compulsions, suicidality and homicidality in an adolescent diagnosed with bipolar disorder not otherwise specified, obsessive-compulsive disorder, pervasive developmental disorder not otherwise specified, and mild mental retardation. Journal of Child and Adolescent Psychopharmacology, 22, 250–253.
Veale, D., Freeston, M., Krebs, G., Heyman, I., & Salkovskis, P. (2009). Risk assessment and management in obsessive–compulsive disorder. Advances in Psychiatric Treatment, 15, 332–343.
Williams, M. T. (2008). Homosexuality anxiety: A misunderstood form of OCD. In L. V. Sebeki (Ed.), Leading-edge health education issues (pp. 195–205). New York: Nova Science.
Williams, M. T., Crozier, M., & Powers, M. (2011). Treatment of sexual-orientation obsessions in obsessive-compulsive disorder using exposure and ritual prevention. Clinical Case Studies, 10, 53–66.
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Ung, D., Ale, C., Whiteside, S. (2016). Treatment of Sexual Obsessions in Childhood Obsessive-Compulsive Disorder. In: Storch, E., Lewin, A. (eds) Clinical Handbook of Obsessive-Compulsive and Related Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-17139-5_9
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DOI: https://doi.org/10.1007/978-3-319-17139-5_9
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