Obsessive-Compulsive Disorder with Poor Insight/Icgorusu Az Olan Obsesif- Kompulsif Bozukluk

Obsessive-compulsive disorder is a mental disorder that may cause severe disability. Insight in obsessive- compulsive disorder has been an issue of debate since the disorder was described for the first time. Formerly, obsessive-compulsive disorder was regarded as one of the neurotic disorders and patients were supposed to find their symptoms as totally senseless and exaggerated. However, the idea that obsessions have to be regarded egodystonic has changed recently. Firstly in the Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV), the term "with poor insight" was used as a specifier for obsessive-compulsive disorder. Obsessive-compulsive disorder with low or no insight may differ from obsessive-compulsive disorder with good insight in terms of sociodemographic, clinical and treatment features. Along with types of obsessions, the levels of insight are subject to change. Obsessive-compulsive disorder with poor insight can either be a subtype with different features or a severe form of Obsessive-compulsive disorder. Along with DSM-5 insight in obsessive-compulsive disorder is no longer classified as absent or present. Insight in obsessive-compulsive disorder needs to be conceptualized as a spectrum or continuity. Key words: Obsessive compulsive disorder, insight, classification. Obsesif kompulsif bozukluk ileri derecede yeti yitimine neden olabilen ruhsal bir bozukluktur. OKB hastalarinda icgoru hastaligin ilk tanimlanmasindan bu yana tartisma konusudur. Onceleri, norotik bozukluklardan biri olarak kabul edilen obsesif kompulsif bozuklukta hastalarin belirtilerini tamamen sacma ve abartili bulmalari gerektigi dusunulmustur. Ancak, obsesyonlarin ve kompulsiyonlarin her zaman egodistonik bulunacagi fikri giderek degismistir. Ilk olarak Ruhsal Bozukluklarin Tanisal ve Sayimsal El Kitabinin 4. Baskisinda (DSM-IV)'te obsesif kompulsif bozuklukta "icgorusu az olan" ifadesine yer verilmistir. Icgorusu az olan ya da olmayan obsesif kompulsif bozuklugun icgorunun korundugu obsesif kompulsif bozukluktan sosyodemografik, klinik ve tedavi ozellikleri bakimindan farkliliklari olabilir. Obsesif kompulsif bozuklukta belirti tiplerine gore icgoru duzeyleri degisebilmektedir. Icgorusu az obsesif kompulsif bozukluk, obsesif kompulsif bozuklugun siddetli bir formu ya da farkli ozellikler gosteren bir alt tip olabilir. DSM-5 ile birlikte icgoru belirteci siniflandirmadan cikarilmistir. Obsesif kompulsif bozukluk hastalarinin icgorulerinin bir yelpaze ya d