{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T20:24:21Z","timestamp":1773087861677,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,9,18]],"date-time":"2016-09-18T00:00:00Z","timestamp":1474156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:p>Harm\u2010related, or \u201caggressive,\u201d obsessions are a symptom subtype in obsessive\u2010compulsive disorder (OCD). Given the violent nature of these thoughts, the stark contrast between the child's character and the content of these obsessions often results in high levels of distress for not only the patient but also the family. This case report illustrates the application of family\u2010based exposure and response prevention (ERP) for a 15\u2010year\u2010old male presenting with harm\u2010related obsessions and mild depressive symptoms secondary to the OCD. The obsessions primarily revolved around the fear of acting on unwanted impulses (e.g., stabbing a family member, pushing a friend onto oncoming traffic), and the compulsions entailed avoidance (both mental and physical), excessive reassurance seeking, and ritualistic confessions. The client underwent a 14\u2010week course of ERP involving repeated imaginal and in vivo exposures and behavioral activation to alleviate depressive symptoms. Significant improvements in obsessive\u2010compulsive symptom severity and depressive symptoms were observed posttreatment, elucidating the efficacy of treating harm\u2010related obsessions with a course of ERP.<\/jats:p>","DOI":"10.1002\/jclp.22392","type":"journal-article","created":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T00:36:42Z","timestamp":1474245402000},"page":"1120-1128","source":"Crossref","is-referenced-by-count":6,"title":["A Case Report of Harm\u2010Related Obsessions in Pediatric Obsessive\u2010Compulsive Disorder"],"prefix":"10.1002","volume":"72","author":[{"given":"Monica S.","family":"Wu","sequence":"first","affiliation":[{"name":"University of South Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric A.","family":"Storch","sequence":"additional","affiliation":[{"name":"University of South Florida"},{"name":"Rogers Behavioral Health"},{"name":"All Children's Hospital\u2013Johns Hopkins Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9,18]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2013.06.004"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2011.09.019"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.10.003"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.04.006"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.08071006"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2006.02.012"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2011.10.010"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(01)00101-2"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.02.001"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22389"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2013.11.006"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(97)00017-X"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374410701662790"},{"key":"e_1_2_4_15_1","first-page":"979","article-title":"Children's Depression Rating Scale Revised","volume":"21","author":"Poznanski E. 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