{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T08:27:26Z","timestamp":1749112046029},"reference-count":6,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T00:00:00Z","timestamp":1517184000000},"content-version":"unspecified","delay-in-days":14852,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1977,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>A young man was followed-up over three years who had severe obsessive-compulsive rituals and ruminations, interpersonal deficits, complicating depression and a history of childhood autism. Intensive behavioural treatment was given in an operant framework, with exposure <jats:italic>in vivo<\/jats:italic>, modelling, response prevention and social skills training. Compulsive rituals improved markedly and lastingly, but ruminations and social defects persisted. When intercurrent depression occurred dothiepin facilitated behavioural treatment. Adjustment remained fragile. Minimum maintenance treatment in the community could not be adequately arranged, so that gains made in hospital were partly lost at follow-up, despite continuing improvement in rituals.<\/jats:p>","DOI":"10.1192\/bjp.130.6.592","type":"journal-article","created":{"date-parts":[[2008,8,12]],"date-time":"2008-08-12T18:35:43Z","timestamp":1218566143000},"page":"592-597","source":"Crossref","is-referenced-by-count":11,"title":["Treatment of Obsessive-Compulsive Neurosis with History of Childhood Autism"],"prefix":"10.1192","volume":"130","author":[{"given":"Peter","family":"Lindley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac","family":"Marks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Philpott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Snowden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,29]]},"reference":[{"key":"S0007125000013076_ref5","volume-title":"Patterns of Meaning in Psychiatric Patients.","author":"Marks","year":"1965"},{"key":"S0007125000013076_ref4","volume-title":"Childhood Psychosis: Initial Studies and New Insights.","author":"Kanner","year":"1973"},{"key":"S0007125000013076_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700040010"},{"key":"S0007125000013076_ref1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.109.458.84"},{"key":"S0007125000013076_ref3","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.120.558.590-b"},{"key":"S0007125000013076_ref6","article-title":"Autistic children\u2014infancy to childhood","volume":"2","author":"Rutter","year":"1970","journal-title":"Seminars in Psychiatry"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000013076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T17:31:30Z","timestamp":1558978290000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000013076\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1977,6]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1977,6]]}},"alternative-id":["S0007125000013076"],"URL":"https:\/\/doi.org\/10.1192\/bjp.130.6.592","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1977,6]]}}}