compulsive behavior
{{Short description|Habit and impulse disorder}}
{{Redirect|Compulsive|other uses|Compulsion (disambiguation){{!}}Compulsion}}
{{More citations needed|date=May 2022}}File:Dermatophagia.jpg – extreme nail biting / biting of skin to point of an obsessive–compulsive disorder (OCD){{cite journal |last1= Grzesiak |first1= Magdelena |last2= Pacan |first2= Przemysław |last3= Reich |first3= Adam |last4= Szepietowski |first4= Jacek C. |date= 2009 |title= Onychophagia as a Spectrum of Obsessive-compulsive Disorder |url=https://www.academia.edu/20361884 |journal= Acta Dermato-Venereologica |volume= 89 |issue= 3 |pages= 278–280 |doi= 10.2340/00015555-0646 |pmid= 19479125 |access-date= 2023-01-10|doi-access= free }} or other condition leading to self mutilating behaviour such as autistic spectrum disorders{{Cite web |last=Brown |first=Jeremy |date=January 20, 2025 |title=Skin Picking in Autism: Causes and Management |url=https://www.autismparentingmagazine.com/skin-picking-in-autism/#:~:text=Q%3A%20Is%20dermatophagia%20common%20in,including%20Alzheimer's%20and%20intellectual%20disorders. |access-date=May 11, 2025 |website=Autism Parenting Magazine}} (as is the case in this example) or Lesch-Nyhan Syndrome.{{cite book |last1= Nanagiri |first1= Apoorva |last2= Shabbir |first2= Nadeem |date= 2022 |title= Lesch Nyhan Syndrome |url= https://www.ncbi.nlm.nih.gov/books/NBK556079/ |location= Treasure Island, Florida |publisher= StatPearls [Internet]|pmid= 32310539 }}]]
Compulsive behavior (or compulsion) is defined as performing an action persistently and repetitively. Compulsive behaviors could be an attempt to make obsessions go away.{{cite web |url=http://www.helpguide.org/mental/obsessive_compulsive_disorder_ocd.htm |title=Obsessive-Compulsive Disorder (OCD): Symptoms, Behavior, and Treatment |publisher=Helpguide.org |access-date=2013-11-29 |archive-url=https://web.archive.org/web/20131202155047/http://www.helpguide.org/mental/obsessive_compulsive_disorder_ocd.htm |archive-date=2013-12-02 |url-status=dead }} Compulsive behaviors are a need to reduce apprehension caused by internal feelings a person wants to abstain from or control.{{cite web |url=http://www.umass.edu/fsap/articles/addictive.html |title=Addictive Behaviors, Compulsions and Habits |publisher=Umass.edu |access-date=2013-11-29 |archive-url=https://web.archive.org/web/20120106082500/http://www.umass.edu/fsap/articles/addictive.html |archive-date=2012-01-06 |url-status=dead }} A major cause of compulsive behavior is obsessive–compulsive disorder (OCD).(1996). Obsessive Compulsive Disorder: Decade of the Brain. National Institutes of Health. "Compulsive behavior is when someone keeps doing the same action because they feel like they have to, even though they know these actions do not align with their goals."{{Cite journal |last=Luigjes |first=Judy |last2=Lorenzetti |first2=Valentina |last3=de Haan |first3=Sanneke |last4=Youssef |first4=George J. |last5=Murawski |first5=Carsten |last6=Sjoerds |first6=Zsuzsika |last7=van den Brink |first7=Wim |last8=Denys |first8=Damiaan |last9=Fontenelle |first9=Leonardo F. |last10=Yücel |first10=Murat |date=2019-03-01 |title=Defining Compulsive Behavior |url=https://link.springer.com/article/10.1007/s11065-019-09404-9 |journal=Neuropsychology Review |language=en |volume=29 |issue=1 |pages=4–13 |doi=10.1007/s11065-019-09404-9 |issn=1573-6660 |pmc=6499743 |pmid=31016439}} There are many different types of compulsive behaviors including shopping, hoarding, eating, gambling, trichotillomania and picking skin, itching, checking, counting, washing, sex, and more. Also, there are cultural examples of compulsive behavior.
Disorders in which it is seen
Addiction and obsessive–compulsive disorder (OCD) feature compulsive behavior as core features. Addiction is simply a compulsion toward a rewarding stimulus, whereas in OCD, a compulsion is a facet of the disorder.{{cite web|url=http://www.ocfoundation.org/whatisocd.aspx |title=International OCD (Obsessive Compulsive Disorder) Foundation - What Is OCD? |publisher=Ocfoundation.org |access-date=2013-11-29}} The most common compulsions for people with OCD are washing and checking.
While not all compulsive behaviors are addictions, some such as compulsive sexual behavior have been identified as behavioral addictions.
Occurrence
About 50 million people in the world today appear to have some type of obsessive–compulsive disorder. Affected people are often more secretive than other people with psychological problems, so the more serious psychological disorders are diagnosed more often. Many who exhibit compulsive behavior will claim it is not a problem and may endure the condition for years before seeking help.{{Cite book|title = Obsessive Compulsive Disorder|url = https://archive.org/details/obsessivecompuls00toat_249|url-access = limited|last = Toates|first = Frederick|publisher = Class Publishing|year = 2002|isbn = 9781859591413|pages = [https://archive.org/details/obsessivecompuls00toat_249/page/n97 88]–89}}
Types
=Shopping=
Compulsive shopping is characterized by excessive shopping that causes impairment in a person's life such as financial issues or not being able to commit to a family. The prevalence rate for this compulsive behavior is 5.8% worldwide, and a majority of the people who are affected by this type of behavior are women (approximately 80%). There is no proven treatment for this type of compulsive behavior.{{cite journal|title=A review of compulsive buying disorder |date=2013-08-12 |pmc=1805733 |pmid=17342214 |volume=6 |author=Black DW |journal=World Psychiatry |issue=1 |pages=14–8}}
=Hoarding=
{{Main|Compulsive hoarding}}
File:Compulsive hoarding Apartment.jpg]]
Hoarding is characterized by excessive saving of possessions and having problems when throwing these belongings away. Major features of hoarding include not being able to use the capacity of one's living quarters efficiently, having difficulty moving throughout the home due to the massive amount of possessions, as well as having blocked exits that can pose a danger to the hoarder and their family and guests. Items that are typically saved by hoarders include clothes, newspapers, containers, junk mail, books, craft items, bills and receipts, and household supplies.{{Cite web |date=2021-02-10 |title=Hoarding disorder |url=https://www.nhs.uk/mental-health/conditions/hoarding-disorder/#:~:text=A%20hoarding%20disorder%20is%20where,clutter%20and%20their%20relationship%20suffers |access-date=2025-03-06 |website=nhs.uk |language=en}} Hoarders believe these items will be useful in the future or they are too sentimental to throw them away. Other reasons include fear of losing important documents and information and object characteristics.{{cite web |url=http://www.ocfoundation.org/hoarding/about.aspx |title=International OCD Foundation (IOCDF) - Hoarding Center |publisher=Ocfoundation.org |access-date=2013-11-29 |archive-url=https://web.archive.org/web/20131205020149/http://www.ocfoundation.org/hoarding/about.aspx |archive-date=2013-12-05 |url-status=dead }} Hoarding can be harmful if it poses a health risk to the person and/or others in their house. Examples of health risks include clutter creating unhygienic conditions encouraging potential rodent or insect infestations, fire risks, or trip and fall risks.
=Eating=
Compulsive overeating is the inability to control one's amount of nutritional intake, resulting in excessive weight gain. This overeating is usually a coping mechanism to deal with issues in the individual's life such as stress. Most compulsive over-eaters know that what they are doing is not good for them. The compulsive behavior usually develops in early childhood. People who struggle with compulsive eating usually do not have proper coping skills to deal with the emotional issues that cause their overindulgence in food. They indulge in binges, periods of varying duration in which they eat and/or drink without pause until the compulsion passes or they are unable to consume any more. These binges are usually accompanied by feelings of guilt and shame about using food to avoid emotional stress. This compulsive behavior can have severe side effects including, but not limited to, binge eating, depression, withdrawal from activities due to weight, and spontaneous dieting. Though this is a very serious compulsive behavior, getting treatment and a proper diet plan can help individuals overcome these behaviors.{{cite web |url=http://www.mirror-mirror.org/compulsive.htm |title=Compulsive Eating |publisher=Mirror-mirror.org |date=2013-01-24 |access-date=2013-11-29 |archive-date=2013-12-03 |archive-url=https://web.archive.org/web/20131203020829/http://www.mirror-mirror.org/compulsive.htm |url-status=dead }}
In eating disorders (like anorexia nervosa and bulimia nervosa) a person is preoccupied with weight, body and caloric intake. In this, there are certain behaviors, which are maladaptive and persistent and could be viewed as compulsive behaviors. For instance, restricting what the person eats, vomiting, abusing laxatives, and over-exercising.
=Gambling=
{{Main|Problem gambling}}
Compulsive gambling is characterized by having the desire to gamble and not being able to resist said desires. The gambling leads to serious personal and social issues in the individual's life. This compulsive behavior usually begins in early adolescence for men and between the ages of 20-40 for women. People who have issues controlling compulsions to gamble usually have an even harder time resisting when they are having a stressful time in life. People who gamble compulsively tend to run into issues with family members, the law, and the places and people they gamble with. The majority of the issues with this compulsive behavior are due to lack of money to continue gambling or pay off debt from previous gambling. Compulsive gambling can be helped with various forms of treatment such as cognitive behavioral therapy, self-help or twelve-step programs, and potentially medication.{{cite web|url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002488/ |title=Pathological gambling - National Library of Medicine - PubMed Health |publisher=Ncbi.nlm.nih.gov |access-date=2013-11-29}}
= Body-focused repetitive behaviours =
{{Main|Body-focused repetitive behavior}}
Trichotillomania is classified as a compulsive picking of hair of the body. It can be from any place on the body that has hair. This picking results in bald spots. Most people who have mild trichotillomania can overcome it via concentration and more self-awareness.{{cite web |url=http://www.trich.org/about/hair-pulling.html |title=What Is Hair Pulling? | About Hair Pulling & Skin Picking | Trichotillomania Learning Center |publisher=Trich.org |access-date=2013-11-29 |archive-url=https://web.archive.org/web/20131205030041/http://www.trich.org/about/hair-pulling.html |archive-date=2013-12-05 |url-status=usurped }}
Those with compulsive skin picking have issues with picking, rubbing, digging, or scratching the skin. These activities are usually to get rid of unwanted blemishes or marks on the skin. These compulsions also tend to leave abrasions and irritation on the skin. This can lead to infection or other issues in healing. These acts tend to be prevalent in times of anxiety, boredom, or stress.{{cite web |url=http://www.trich.org/about/skin-picking.html |title=What Is Skin Picking? | About Hair Pulling & Skin Picking | Trichotillomania Learning Center |publisher=Trich.org |access-date=2013-11-29 |archive-url=https://web.archive.org/web/20131203004810/http://www.trich.org/about/skin-picking.html |archive-date=2013-12-03 |url-status=usurped }} Reviews recommend behavioral interventions such as habit reversal training{{Cite journal|last1=Himle|first1=Michael B.|last2=Flessner|first2=Christopher A.|last3=Woods|first3=Douglas W.|date=2004|title=Advances in the behavior analytic treatment of trichotillomania and Tourette's Syndrome.|url=http://dx.doi.org/10.1037/h0100282|journal=Journal of Early and Intensive Behavior Intervention|volume=1|issue=1|pages=57–64|doi=10.1037/h0100282|issn=1554-4893|url-access=subscription}} and decoupling.{{Cite journal|last1=Sarris|first1=Jerome|last2=Camfield|first2=David|last3=Berk|first3=Michael|date=2012|title=Complementary medicine, self-help, and lifestyle interventions for Obsessive Compulsive Disorder (OCD) and the OCD spectrum: A systematic review|journal=Journal of Affective Disorders|language=en|volume=138|issue=3|pages=213–221|doi=10.1016/j.jad.2011.04.051| pmid=21620478 }}
=Checking, counting, washing, and repeating=
Compulsive checking can include compulsively checking items such as locks, switches, and appliances. This type of compulsion usually deals with checking whether harm to oneself or others is possible. Usually, most checking behaviors occur due to wanting to keep others and the individual safe;{{cite web|url=http://www.ocdtypes.com/checking-ocd.php |title=Compulsive Checking in OCD |publisher=OCD Types |access-date=2013-11-29}} this condition is also known as obsessive-compulsive behavior.
People with compulsive counting tend to have a specific number that is of importance in the situation they are in. When a number is considered significant, the individual has a desire to do the behavior such as wiping one's face off the number of times that is significant. Compulsive counting can include instances of counting things such as steps, items, behaviors, and mental counting.{{cite web|url=http://www.ocdtypes.com/counting-ocd.php |title=Counting Compulsions |publisher=OCD Types |access-date=2013-11-29}}
Compulsive washing is usually found in individuals that have a fear of contamination. People that have compulsive hand washing behaviors wash their hands repeatedly throughout the day. These hand washings can be ritualized and follow a pattern. People that have problems with compulsive hand washing tend to have problems with chapped or red hands due to the excessive amount of washing done each day.{{cite web|url=http://www.ocdtypes.com/washing-ocd.php |title=Washing and Cleaning Compulsions |publisher=OCD Types |access-date=2013-11-29}}
Compulsive repeating is characterized by doing the same activity multiple times over. These activities can include re-reading a part of a book multiple times, re-writing something multiple times, repeating routine activities, or saying the same phrase over and over.{{cite web|url=http://www.ocdtypes.com/repeating-ocd.php |title=Repeating |publisher=OCD Types |access-date=2013-11-29}}
=Sexual behavior=
This type of compulsive behavior is characterized by feelings, thoughts, and behaviors about anything related to sex. These thoughts have to be pervasive and cause problems in health, occupation, socialization, or other parts of life. These feelings, thoughts, and behaviors can include normal sexual behaviors or behaviors that are considered illegal and/or morally and culturally unacceptable. This disorder is also known as hypersexuality, hypersexual disorder, nymphomania or sexual addiction.{{cite web|url=http://www.mayoclinic.com/health/compulsive-sexual-behavior/DS00144 |title=Compulsive sexual behavior |publisher=MayoClinic.com |date=2011-09-15 |access-date=2013-11-29}} Controversially, some scientists have characterized compulsive sexual behavior as sexual addiction, although no such condition is recognized by mainstream medical diagnostic manuals.{{Citation needed|date=June 2020}}
=Talking=
{{Main|Compulsive talking}}
Compulsive talking goes beyond the bounds of what is considered to be a socially acceptable amount of talking.{{cite journal|last1=Bostrom|first1=Robert N.|last2=Grant Harrington|first2=Nancy|title=An Exploratory Investigation Of Characteristics Of Compulsive Talkers|journal=Communication Education|volume=48|year=1999| issue=1 |pages=73–80|doi=10.1080/03634529909379154}} The two main factors in determining if someone is a compulsive talker are talking in a continuous manner, only stopping when the other person starts talking, and others perceiving their talking as a problem. Personality traits that have been positively linked to this compulsion include assertiveness, willingness to communicate, self-perceived communication competence, and neuroticism.{{cite journal|last1=McCroskey|first1=James C.|last2=Richmond|first2=Virginia P.|title= Identifying Compulsive Communicators: The Talkaholic Scale |journal=Communication Research Reports|volume=10|year=1993| issue=2 |pages=107–114|doi=10.1080/08824099309359924}} Studies have shown that most people who are talkaholics are aware of the amount of talking they do, are unable to stop, and do not see it as a problem.{{cite web | last = Walther | first = Joseph B. | title = Communication Addiction Disorder: Concern over Media, Behavior and Effects | publisher = Psych Central | date = Aug 1999 | url = http://psychcentral.com/lib/2006/communication-addiction-disorder-concern-over-media-behavior-and-effects | access-date = 21 Oct 2012 | archive-date = 22 August 2012 | archive-url = https://web.archive.org/web/20120822165810/http://psychcentral.com/lib/2006/communication-addiction-disorder-concern-over-media-behavior-and-effects/ | url-status = dead }}
= Social media use =
Compulsive social media use is characterized by placing excessive value on the importance of social media, or social media addiction. Individuals with OCD have been found to place greater importance on social media and are at greater risk of developing social media addiction. Social media sites can also serve as mediums through which OCD patients exhibit other common symptoms of the disorder, such as hoarding online images.
See also
References
{{Reflist|30em}}
Further reading
- Sándor Ferenczi, 'The Compulsion to Symmetrical Touching', Further Contributions to the Theory and Technique of Psychoanalysis (1926)
- A. J. Lewis, 'Obsessional Illness', in Inquiries in Psychiatry (1967)
- Rob Long, Obsessive Compulsive Disorder (2005)
- Lennard J. Davis, Obsession; A History (2008)
{{Obsessive–compulsive disorder}}
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