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國小教甄|英語英語114 年第 47 題單選題
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(iii) Obsessive compulsive disorder (hereafter OCD) is like a cousin to anxiety disorders, and oftentimes, people have both OCD and anxiety. It’s also one of the most misunderstood psychiatric conditions that exist. Its characteristic features are a combination of obsessions, which are repeated intrusive or unwanted thoughts or images or urgers; and repetitive behaviors that people have to do over and over again, such as the need to constantly reorganize, recheck or redo things. Child clinical psychologists see OCD emerge as young as 4. The average age of onset is preteen or early teenage years. It younger kids, we often see a lot of reassurance seeking or needing to ask parents the same question over and over again or needing them to say certain things in certain ways. Parents often get drawn into their rituals. Parents find themselves walking on eggshells and feeling like they need to do the same thing in the same way over and over again for reasons that don’t seem to make sense. Parenting a child with OCD has a lot of stressors and challenges. Connecting with others who have gone through it or are going through it is a really important part of that journey. Child clinical psychologists try to make kids feel better in the moment because we’re parents and we want our kids to feel better. But when it’s coming from a place of unhelpful anxiety or intrusive thoughts or obsessions, we are actually not helping our child, we’re helping the OCD. The sooner you can try to break up some of those rituals, generally, the better the course for the child.

Which of the children described below is most likely to exhibit characteristics of obsessive-compulsive disorder?

AKeven struggles with understanding nonverbal communication, such as body language, facial expressions, and tone of voice
BMary has simple vocal tics including throat clearing, grunting, sniffing, or coughing
CDavid has difficulty with sustained attention and engages in constant movement, such as fidgeting, tapping their feet, or squirming in their seats
DLucy engages in excessive handwashing, cleaning, or sanitizing behaviors due to a fear of contamination正確答案
答案與詳解
D
正確答案
OCD 的核心特徵是反覆出現的強迫思維,以及為降低焦慮而進行的重複儀式行為;害怕污染並過度洗手、清潔最符合此表現。

為什麼答案是 D

因害怕污染而過度洗手、清潔或消毒,屬於典型的強迫思維引發重複行為,最符合強迫症特徵。

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