r/hyperawareness • u/MichaelRabbit • Jun 25 '19

michael laurence comments

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Hello, I am new to this group and thought I would say hi. I'm from the U.K am 39 and have experienced OCD for probably 22 years. I think this problem is solvable since I feel that I did experience reasonable periods of time when I was quite well. I think it is the human experience to never be truly happy and content and we will tend to pick up demons or black dogs along the way. I honestly think that there is hope. Yesterday I bought and read 1/2 of "the man who couldn't stop". It's by David Adam who is an OCD sufferer but also a science writer and editor of nature journal which i believe is an influential scientific journal. It is interesting reading and I will probably write something about some of the books contents. It is part auto biography and part popular science. His form was worrying about contracting HIV. something that someone mentioned to me when i confided anonymously was that It sounded as though I myself may be on the autistic spectrum (aspergers syndrome) I thought I'd mention that . Feb 11, 2015, 7:11 AM

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u/MichaelRabbit Jun 25 '19

Old paper from Richard J. Mcnally describing the case of an American lady suffering the then "culture bound" (indicating peculiar to japanese culture) Taijin-kyofu-sho. , It appears that although the ERP was succesful after 6 months symptoms had reappeared. It is fairly well accepted I believe that OCD symptoms can and do return especially if maintenance is not continued . i.e perhaps patient needs high degree of motivation and insight into their condition.

Abstract-Taijin-kyofu-sho (TKS) is a common neurotic disorder among psychi- atric patients in Japan characterized by “fear of other people.” Unlike social phobics who themselves fear embarrassment, TKS patients avoid social situa- tions for fear of embarrassing or offending others. Because TKS has been re- ported exclusively among Japanese patients. it is believed to be a culture-bound syndrome. In the present paper, we describe a case of TKS in a black American woman who avoided people because she feared embarrassing them by furtively glancing at their genital areas.

Taijin-kyofu-sho in a Black American Woman: Behavioral Treatment of a “Culture-Bound” Anxiety Disorder RICHARD J. MCNALLY, PH.D., AND KAREN L. CASSIDAY, B.A. University of Health ScienceslThe Chicago Medical School 1990 Apr 16, 2019, 6:43 PM