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78 results

Page 1 of 4

  • Obsessive-Compulsive Disorder, Body Dysmorphic Disorder, and Hypochondriasis: Three Variations on a Theme

  • Stephen C. Josephson, Eric Hollander, Brian Fallon, Dan J. Stein
  • Journal: CNS Spectrums / Volume 1 / Issue 2 / November 1996
  • Published online by Cambridge University Press: 07 November 2014, pp. 24-31
  • Background:

    Exaggerated illness and appearance concerns and related compulsive behaviors are seen in the psychiatric disorders of hypochondriasis (HYP), body dysmorphic disorder (BDD), and obsessive-compulsive disorder (OCD). It has been argued that these conditions may cluster in clinical samples and that our current categorical diagnostic policies, which assume independence of these disorders, are arbitrary and fail to capture the dimensional nature of these disorders.

    Methods:

    We present retrospective clinical data on 21 randomly selected patients who presented with symptoms that involved anxiety about illness and appearance and who were evaluated for cognitive-behavioral treatment or pharmacotherapy. We also review the symptoms, associated features, and response to treatment of three patients from the sample who were each diagnosed with all three of these disorders (HYP, BDD, and OCD).

    Results:

    Three patients met criteria for HYP, BDD, and OCD, and the other 18 patients met criteria for at least two of the above conditions. The most frequently reported source of anxiety had to do with one's hair. Nine out of the 12 patients treated with behavioral therapy were considered to be responders, and the one treated solely with medication was “very much improved.” Of the eight treated with a combination of behavioral therapy and medication, five were judged to be responders.

    Conclusions:

    Overlap in phenomenology, associated features, and treatment response suggests that these three disorders may be difficult to distinguish from each other and that a “cluster analysis” model may prove helpful in evaluating clinical samples.

The Cambridge History of Religions in America

  • Introduction

  • Stephen J. Stein, Indiana University, Bloomington
  • Book: The Cambridge Companion to Jonathan Edwards
  • Published online: 28 November 2007
  • Print publication: 20 November 2006, pp 1-16

  • Summary

    Jonathan Edwards (1703-58) is, indisputably, a significant figure in American history. He emerged on the religious landscape of New England in the opening half of the eighteenth century, but soon achieved an international reputation. Edwards's description of religious revivals and his defense of evangelical Protestantism vaulted him into the public arena at home and abroad. Though his life was cut short prematurely a few months after becoming the president of the College of New Jersey (later Princeton University), his publications and his personal influence on a subsequent generation of religious leaders assured that his theological legacy would continue after his death.

    The impact of Edwards's ideas expanded with the passage of time. In the eighteenth century, disciples and members of his extended family, including Samuel Hopkins, Jonathan Edwards, Jr., and Timothy Dwight, were instrumental in the articulation of an Edwardsean theology. The nineteenth century saw the consolidation and expansion of that tradition within evangelical Protestantism. The image of Edwards as a powerful preacher and a sophisticated apologist for traditional Christianity also attracted literary and cultural reflection by authors as diverse as Harriet Beecher Stowe and Oliver Wendell Holmes. Those same years witnessed the publication of collected editions of Edwards's Works as well as the frequent republication of his individual titles, including, most notably, The Life of David Brainerd.

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