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JOURNAL OF PSICOPATHOLOGY

Abstract

It is unclear whether people with “late-stage” obsessive-compulsive disorder (OCD) can display negative symptoms (such as apathy and avolition) typically seen in schizophrenia. This report provides a detailed account of three cases presenting "processual" forms of OCD, also known as "Genuine Obsessive Psychosis" (GOP). Our cases demonstrated varying degrees of avolition, asociality, and anhedonia, only partly attributed to underlying OCD avoidance or depressive symptoms. Additionally, they exhibited expressive deficits unlikely to be secondary, including restricted affect, diminished range of emotional expression, and alogia. There was no evidence that increased delusionality or the use of therapeutic doses of antipsychotics played a role in the negative symptoms observed in our OCD patients. some individuals with OCD may exhibit negative symptoms that can be understood in light of other typical OCD symptoms, there is also evidence suggesting that these individuals may display clinically identifiable expressive deficits.

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Authors

Leonardo Fontenelle - Institute of Psychiatry of the Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; Department of Psychiatry and Mental Health, Fluminense Federal University Medical School, Niterói-RJ, Brazil; D’Or Institute for Research and Education, Rio de Janeiro-RJ, Brazil

Aline C da-Felicidade - Institute of Psychiatry of the Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; Department of Psychiatry and Mental Health, Fluminense Federal University Medical School, Niterói-RJ, Brazi

Marcos VS de-Oliveira - Institute of Psychiatry of the Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

Bianca TM de-Melo-Fadel - Institute of Psychiatry of the Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

Gabriela B de Menezes - D’Or Institute for Research and Education, Rio de Janeiro-RJ, Brazil

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Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright

Copyright (c) 2024 Journal of Psychopathology

How to Cite
[1]
Fontenelle, L., C da-Felicidade, A., VS de-Oliveira, M., TM de-Melo-Fadel, B. and B de Menezes, G. 2024. Negative Symptoms in Severe OCD? Three Cases of "Genuine Obsessive Psychoses". Journal of Psychopathology. 30, 3 (Oct. 2024). DOI:https://doi.org/10.36148/2284-0249-N514.
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