Treating Visual Somatic Sensory Obsessional Doubt with Inference-Based Cognitive Behavioral Therapy: A Case Study
Bibliographic record
Abstract
Visual Tourettic OCD (VTO), also referred to as “Staring OCD”, is a symptom presentation that is characterized by a fear of staring at other people’s genitals or private body parts. Those with VTO also often experience somatic sensations similar to premonitory sensations in tic disorders (e.g., tingling around the eyes) leading some to suggest that this symptom presentation should be viewed as a distinct form of “Tourettic OCD” (TOCD) in which symptoms of OCD and chronic tic disorders are closely intertwined. Consequently, it has also been argued that existing cognitive-behavioral interventions for OCD need to be adapted to address the unique features of TOCD. The current case study describes the application of inference-based cognitive behavioral therapy (I-CBT) for a 52-year-old with a symptom presentation of VTO, including symptoms resembling those commonly ascribed to TOCD (tics, compulsions, and premonitory urges). Over the course of 16 weekly sessions with I-CBT, the client reached the complete remission of OC symptoms, together with a significant reduction in related symptoms (e.g., depression, social anxiety). Implications for the conceptualization and treatment of forms of OCD that appear to be intertwined with tic disorders will be discussed.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".