After going through 2 chapters (Anxiety and Stress chapters) preparing for my psychopathology on Monday, I started to get mentally sick already. Although, I came across this very interesting yet very twisted case study. Can you figure out the disorder this guy had?
Gary was a 26-year-old Caucasian carpenter who sought treatment for “terrible thoughts” about “perverse” sexual images that he “could not shake off.” These thoughts, which occurred nearly constantly throughout the day, were tormenting images of incest with his family members, particularly his mother. Gary realized that these intrusive thoughts were senseless and excessive, and he suffered extremes feelings of shame because of them. He tried to suppress his thoughts with numerous rituals, such as tensing all his muscles or walking in a certain way. His greatest fear was that he would become aroused by his sexual thoughts about his mother, and he developed extensive avoidance behavior. At first, he only avoided his mother, but in time he avoided all women and any activity that might be enjoyable to him and therefore arousing. Gary reported that he avoided all activities that elect the feeling of pleasure…even if they weren’t sexual. Gary also described contamination fears and cleaning rituals, reporting that he avoided public restrooms, and spent over 90 minutes a day washing his hands; but these contamination fears were not nearly as troubling to him as the sexual obsessions and related compulsions. He was convinced that his intrusive thoughts meant he was a bad person, and he would never have peace of mind as long as he had these intrusive thoughts.
So what kind of disorder does Gary had? It should be self-explanatory with all the keywords that were presented in the case study.