When I speak with James Charney, a psychiatrist at the Yale School of Medicine, he says that people suffering from depersonalisation are egodystonic
, meaning their thoughts and behaviours are in conflict with the needs and goals of the ego.
However, a postpartum woman with OCD may be reluctant to share her egodystonic
thoughts of infant harm.
Obsessive compulsive disorder (OCD) is characterized by obsessions, which are egodystonic
and unwanted thoughts or impulses, and compulsions, which are repetitive behaviors or mental acts (1).
There is also a case report describing egodystonic
suicidal obsessions occurring as a dose-dependent side-effect of clozapine .
One can be a selfprofessed gay religiousrid of egodystonic
homosexualityand stay faithful to the vows, too.
It first was included, then, pursuant to gay protests in the early 1970s, was limited to egodystonic
homosexuality (regretted by the "sufferer"), and then excluded from the DSM altogether for the same reason: politics.
In 1974, the APA membership voted to remove homosexuality from the DSM-II; however, they retained a "sexual orientation disturbance" and "egodystonic
homosexuality" for individuals uncomfortable with their homosexuality (Corcoran & Walsh, 2010).
That is, individuals engaging in compulsive behavior can be said to use their compulsive behavior to avoid/reduce anxiety experienced with the presence of frightening or egodystonic
obsessions (Twohig et al., 2010).
In contrast to the egodystonic
behaviors related to OCD, gambling in PG is often initially egosyntonic or hedonic in nature, although over time the pleasure derived from gambling may diminish.
Metacognitive awareness facilitates the appraisal of thought-mediated experiences as egodystonic
and is therefore essential in the process of therapeutic change.
But maybe this egodystonic
arousal is partly God's responsibility.
Negative cognitions were defined as "any sexual cognition that is experienced as unacceptable, unpleasant and egodystonic
(i.e., uncharacteristic of one's personality)" (p.