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Compulsive prayer and its management.

Avigdor Bonchek1, David Greenberg

  • 1Private practice, Jerusalem, Israel.

Journal of Clinical Psychology
|February 14, 2009
PubMed
Summary
This summary is machine-generated.

Religious obsessive-compulsive disorder (OCD) can manifest during prayer, posing unique treatment challenges. A modified exposure and response prevention (ERP) technique, guided-prayer repetition, effectively treated three Jewish men with prayer-focused OCD.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Religious Studies

Background:

  • Religious symptoms are a recognized manifestation of obsessive-compulsive disorder (OCD).
  • Cognitive behavior therapy (exposure and response prevention [ERP]) and SSRIs are established treatments for OCD.
  • Religious OCD presents unique challenges, particularly within formal prayer contexts in Judaism and Islam, due to issues of accessibility, sanctity, and therapist role.

Purpose of the Study:

  • To describe a novel therapeutic approach for religious OCD involving prayer.
  • To report the successful application of this method in a specific patient population.

Main Methods:

  • A variant of exposure and response prevention (ERP) called guided-prayer repetition was developed.
  • This method was applied to three ultra-orthodox Jewish men whose primary OCD symptom was prayer.

Main Results:

  • Guided-prayer repetition was successfully applied in all three cases.
  • The intervention demonstrated efficacy in treating religious OCD with prayer as the main symptom.

Conclusions:

  • Guided-prayer repetition is a viable and effective treatment for religious OCD, especially when prayer is the central symptom.
  • This ERP variant addresses the specific challenges of treating OCD within religious contexts like formal prayer.