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In this compelling book, we meet a man who can't let anyone get within a certain distance of his nose, two kleptomaniacs from very different walks of life, an Internet addict who chooses virtual life over real life, a professor with a dangerous gambling habit, and others with equally debilitating compulsive conditions. Writing with compassion, humor, and a deft literary touch, Elias Aboujaoude, an expert on obsessive compulsive disorder and behavioral addictions, tells stories inspired by memorable patients he has treated, taking us from initial contact through the stages of the doctor-patient relationship. Into these interconnected vignettes Aboujaoude weaves his own personal experiences while presenting up-to-date, accessible medical information. Rich in both meaning and symbolism, Compulsive Acts is a journey of personal growth and hope that illuminates a fascinating yet troubling dimension of human experience as it explores a group of potentially disabling conditions that are too often suffered in silence and isolation.
- Sales Rank: #2396098 in Books
- Published on: 2008-04-01
- Original language: English
- Number of items: 1
- Dimensions: .93" h x 6.08" w x 8.44" l, .79 pounds
- Binding: Hardcover
- 191 pages
From Publishers Weekly
Obsessive-compulsive disorder (OCD) affects 1%–2% of Americans, according to Aboujaoude, director of the Impulse Control Disorders Center at Stanford's School of Medicine. In this short, highly readable book reminiscent of Irvin Yalom's Love's Executioner, Aboujaoude focuses on five case studies involving fear of contamination and invasion of personal space, trichotillomania (compulsive pulling out of one's hair), kleptomania, pathological gambling and what is called problematic Internet use. As he looks at both patients' behavior and his treatment of them, Aboujaoude demonstrates his combination of empathy and habit reversal, a cognitive behavioral therapy involving increasing awareness of the compulsive behavior and enhancing motivation to reduce [it].Most of Aboujaoude's interventions seem successful, though the compulsive Internet user, whose social anxiety led him to retreat into a virtual world, in effect drops out of treatment, his work and his relationship with his fiancée to devote himself to his online virtual alter ego, and another meets a tragic end. But whatever the success of his treatment, Aboujaoude consistently provides the reader with a refreshingly jargon-free and intimate look at what OCD looks and feels like. (Apr.)
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Review
“Obscuring personal details, an expert on impulse control disorders writes of patients. . . . Hard to beat the first essay.” (Vancouver Sun / New Brunswick Reader 2008-04-12)
“Tells stories inspired by memorable patients . . . . Taking the reader from initial contact through the stages of the doctor-patient relationship.” (Times Higher Ed Sup (Thes) 2008-03-20)
From the Inside Flap
"A wonderful read. These stories, written in a breezy, accessible style, illuminate several of the more mysterious and perplexing psychiatric ailments. Highly informative for both professional and lay readers."—Irvin Yalom MD, author of Love's Executioner
"Dr. Aboujaoude is to be congratulated for writing such an important book. He writes lyrically about bizarre, yet entirely credible, cases of common, though poorly understood, compulsions. This book will go a long way in educating the general public, as well as professionals, with its state-of-the-art information about assessment, risk factors, and treatment of these conditions."—Donald W. Black, MD, Professor of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa
Most helpful customer reviews
5 of 5 people found the following review helpful.
Compulsive Acts, hung up on oddity
By Bart Garvey, Jr.
Dr. Aboujaoude's set of stories about five of the many OCD (obsessive-compulsive disorder) patients he has treated are very interesting. The prose is simple, direct, and illuminating; his observations & interpretations insightful and edifying. I bought the book because a member of my family has OCD and I wanted to learn more about it -- and to some extent I did. The problem, though, is that Aboujaoude has chosen to write about the more unusual and extreme, not to say 'colorful,' forms this disorder can take, rather than telling stories about the most common forms. But while this choice might produce a more compelling read, it tends toward the sensational rather than the every-day helpful. I'd have preferred more treatment of what most OCD patients & families have to deal with and need to understand -- though he does make plenty of good comments of a general nature concerning this constellation of disorders. Still, this is a brief & easy-to-read book one can give to friends & family in order to begin a dialogue about what their friend or relative who has OCD might be going through, and it suggests ways of interacting that are helpful or at least innocuous rather than hurtful. Perhaps the doctor will write a follow-up containing stories that more comprehensively deal with these disorders and focus more on the most common manifestations. There isn't much non-technical literature on OCD out there, especially in story or case-history form.
1 of 2 people found the following review helpful.
Compassionate and Knowledgeable
By Kotton Kandee
As someone who has been touched by OCD personally, I was very moved by this book and by the author/doctor and his staff. The book presents in a very clear and understandable way the facts and people behind the abnormalities he treats.
The people in it were far from cold clinical cases and the doctor is clearly a man of conscience who would be a very good doctor to treat people suffering these problems.
OCD sufferers, as the doctor points out, are oddly very aware of how unrealistic their fears are even at the same time as they are unable to do anything about them without help either chemically or behaviorally. Yet they are also able to see the humor at times in their situation and that is well exhibited here. I laughed, as I laugh at myself, reading parts of this book, not in callous disregard of the circumstances but because I could identify with the absurdity while still realizing the cruel twist of fate that places the sufferer in the position he/she is in. I have to say there were times when I almost could not stop laughing. Perhaps because of my personal involvement in it I saw the humor more than most, I don't know but for myself several times I laughed harder than I have in a long time. And I wish to stress, my laughter was not because I didn't sympathize with what was going on but perhaps because I did understand very well the circumstances. Again, sufferers of OCD as the doctor/author points out are well aware of the absurdity of their fears yet unable to change it. That may not make sense to someone untouched by ocd but its very true.
I found the humanity and the optimism I felt on reading this were far and away more helpful than the cold clinical details (although some clinical details are given).
I highly recommend this book to anyone suffering OCD or who is trying to live with or help someone with OCD. The insight is remarkable and the presentation unique and human.
1 of 2 people found the following review helpful.
Touching tales from the good doctor
By mj
At his book signing, Dr Elias Aboujaoude looked far too young to be writing about his Impulse Control Disorders Clinic. How much could he have learned in such a short practice? Not much, I thought, as I thumbed through his slim volume.
But as he answered questions from the audience, I could sense his interest in helping others, his kindness and selflessness in being both Dr A to his patients and a storyteller to his readers.
In "Compulsive Acts", Dr A gently recounts five stories of patients afflicted with somatic obsession, hoarding, trichotillomania (hair-pulling), kleptomania, compulsive gambling, and withdrawing into a Second Life type of existence. He doesn't overanalyze these patients, because doctors often can't answer "why me", and it is better to treat the disease. He explains the disorders and his use of medications and cognitive behavioral therapy (CBT) in a simplistic way that is easily accessible to the reader. Some of his patients recover spectacularly, but others do not. Each story is touching.
Dr A's writing style is a little professorial, and because he had to fictionalize much of the facts in order to maintain patient anonymity, all the dialogue is in his own voice. The book is only 161 pages, plus references and index. I finished it in a plane ride, and my biggest complaint was that I wanted more, much more stories. I will have to hope the good doctor writes Compulsive Acts 2.
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