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Samenvatting Psychopathologie Hoofdstuk 5.2 Obsessieve-compulsieve stoornissen
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Psychopathologie Hoofdstuk 5.2 Obsessieve-compulsieve stoornissen
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Obsessieve-compulsievestoornissen
Algemeen
Eigenschappen - Herhalende obsessies/compulsies
- Meer dan 1u per dag, ten koste van normale bezigheden, sterke klachten
veroorzaakt
- Besef van onrealistische ideeën of extreme van de ideeën
- Twijfels (ramen gesloten), impulsen (willen pijn doen), mentale beelden
(kind zien aanrijden), wanen (niet uit hoofd te praten)
Theoretische Biologisch - Genetisch verband tss tics en OCD
perspectieven - Werking van bepaalde genen beïnvloeden chemisch
evenwicht in hersenen
bij OCD onterecht impulsen naar worry circuit
- Prefrontale cortex niet in staat overmatige activiteit van
amygdala in toom houden
piekergedrag
- Basale ganglia: betrokken bij controle van beweging
disfunctioneel bij OCD rituelen
Cognitief - Negatieve gedachten niet kunnen doorbreken (mentale loop)
- Compulsies geven illusie van zaken onder controle te hebben
- Perfectionisme – overtuiging foutloos te moeten presteren
Leertheorie - Obsessie geeft aanleiding tot stress – compulsie beperken
stress
- Compulsie operante respons
Begrippen Obsessie Opdringerige terugkerende gedachte/idee
Compulsie Steeds herhalende gedraging of mentale handeling
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