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Obsessive Compulsive Neurosis in Identical Twins

Published online by Cambridge University Press:  29 January 2018

I. M. Marks
Affiliation:
Institute of Psychiatry and The Maudsley Hospital, Denmark Hill, London, S.E.5
M. Crowe
Affiliation:
Institute of Psychiatry and The Maudsley Hospital, Denmark Hill, London, S.E.5
E. Drewe
Affiliation:
Institute of Psychiatry and The Maudsley Hospital, Denmark Hill, London, S.E.5
J. Young
Affiliation:
Institute of Psychiatry and The Maudsley Hospital, Denmark Hill, London, S.E.5
W. G. Dewhurst
Affiliation:
Institute of Psychiatry and The Maudsley Hospital, Denmark Hill, London, S.E.5

Extract

This paper reports a case which is noteworthy for two unrelated reasons, one genetic and the other therapeutic. The genetic interest lies in the rare instance of an identical twin with obsessive compulsive neurosis whose twin brother had a similar illness. The therapeutic interest focuses on clinical changes which occurred during unsuccessful treatment by desensitization and by aversion relief. These changes aid our understanding of compulsive behaviour and the difficulties in its treatment. At one stage in treatment independence was noted between anxiety and compulsions which suggested that compulsive behaviour need not always be maintained by its anxiety-reducing properties. The case history will first be described and discussed from the genetic point of view. The second part of this paper will focus on the unrelated aspect of treatment.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1969 

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References

Cooper, J. E., Gelder, M. G., and Marks, I. M. (1965). “Results of behaviour therapy in 77 psychiatric patients.” Brit. med. J., i, 12221225.CrossRefGoogle Scholar
Dewhurst, W. G., and Eilenberg, M. D. (1961). “Folie à trois.” J. ment. Sci., 107, 486490.CrossRefGoogle ScholarPubMed
Haslam, M. T. (1965). “The treatment of an obsessional patient by reciprocal inhibition.” Behav. Res. Ther., 2, 213216.CrossRefGoogle Scholar
Ihda, S. (1965). “Psychiatrische Zwillingsforschung in Japan.” Arch. Psychiat. Nervenkr., 207, 209220.CrossRefGoogle Scholar
Ingram, I. M. (1961). “Obsessional illness in mental hospital patients.” J. ment. Sci., 107, 382.CrossRefGoogle Scholar
Inouye, E. (1965). “Similar and dissimilar manifestations of obsessive compulsive neurosis in monozygotic twins.” Amer. J. Psychiat., 121, 11711175.CrossRefGoogle Scholar
Lader, M. A., and Wing, L. (1966). Physiological Measures, Sedative Drugs and Morbid Anxiety. O.U.P. Google Scholar
Lewis, A. (1936). “Problems of obsessional illness.” Proc. Roy. Soc. Med., 29, 325.CrossRefGoogle Scholar
Marks, I. M. (1965). Patterns of Meaning in Psychiatric Patients. O.U.P. Google Scholar
Marks, I. M., Birley, J. L. T., and Gelder, M. G. (1966). “Modified leucotomy in severe agoraphobics: a controlled serial inquiry.” Brit. J. Psychiat., 112, 757769.CrossRefGoogle Scholar
Meyer, V. (1966). “Modification of expectations in cases with obsessional rituals.” Behav. Res. and Ther., 4, 273280.CrossRefGoogle Scholar
Parker, N. (1964). “Close identification in twins discordant for obsessional neurosis.” Brit. J. Psychiat., 110, 496504.CrossRefGoogle Scholar
Rüdin, E. (1953). “Ein Beitrag zur frage der Zwangskrankheit, insbesondere ihrer hereditaren Beziehungen.” Archiv Psychiat. Nervenkr., 191, 14.CrossRefGoogle Scholar
Shields, J. (1962). Monozygotic Twins Brought up Apart and Brought up Together. Oxford University Press.Google Scholar
Slater, E. (1964). “Genetical factors in neurosis.” Brit. J. Psychol., 55, 265.CrossRefGoogle Scholar
Thorpe, J. E., Schmidt, E., Brown, P. T., and Castell, D. (1964). “Aversion relief therapy: a new method for general application.” Behav. Res. Ther., 2, 7182.CrossRefGoogle Scholar
Tienari, P. (1963). “Psychiatric illnesses in identical twins.” Acta psychiat. Scand., 39, Suppl. 171.Google Scholar
Walton, D. (1960). “The relevance of learning theory to the treatment of an obsessive–compulsive state.” In: Behaviour therapy and the Neuroses (ed. Eysenck, H. J.). Pergamon Press. Oxford.Google Scholar
Walton, D. and Mather, M. D. (1963). “The application of learning principles to the treatment of obsessive–compulsive states in the acute and chronic phases of illness.” Behav. Res. Ther., 1, 163174.CrossRefGoogle Scholar
Wolpe, J. (1958). Psychotherapy by Reciprocal Inhibition. Stanford: Stanford University Press.Google Scholar
Wolpe, J. (1964). “Behaviour therapy in complex neurotic states.” Brit. J. Psychiat., 110, 2834.CrossRefGoogle Scholar
Woodruff, R., and Pitts, F. N. (1964). “Monozygotic twins with obsessional illness.” Amer. J. Psychiat., 120, 1075.CrossRefGoogle Scholar
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