Pops, How did you feel afterwards, though? Did the fear remain?
My GP’s expression told me exactly how he regarded ‘toilet dipping’!
Something very amusing (at least to me!) occurred at one of the exposure sessions being held during an American conference. The behaviourist had found a small group of very reluctant volunteers to wipe their hands on toilet seats and then eat a piece of chocolate with the same (unwashed) hands. He had persuaded a few people on previous occasions (during the annual conferences) but this time one of the group was a doctor and, before the wiping began, she proceeded to detail the likelihood of certain bacteria being present and in what numbers. The behaviorist was not best pleased by this interference and his reluctant volunteers became even less willing to participate at that point! Probably my twisted sense of humour, again, but it also amused me to hear there were the ‘regulars’ who would face this kind of therapy once a year at each conference. They would receive a pat on the back for their bravery and then revert to their old ways until the next year‘s exposure. I’m not convinced their annual act of toilet seat wiping was of much help!
Prof. Salkovskis does appreciate that few people without OCD would be prepared to face this extreme therapy. However, his reasoning is that we need to face that extra amount of contamination, beyond what would be classed as acceptable or normal. He has said that people would not be prepared to have plaster casts put on their limbs, but if they sustained a fracture naturally they would. He uses that as an analogy to explain why he asks people with OCD to do things those without the condition wouldn’t. If that kind of therapy worked in every case I would be all for it. Sadly it hasn’t helped me and I have friends who also responded negatively to such treatment.
I have been a critic of Prof. Salkovskis’ documentaries, because of the things he and a narrator said, which made a ‘cure’ seem very easy and implied that those who don’t respond are not brave enough to try therapy. However, I do defend him over his exposure therapy, because, extreme as it is, it can work well for many. My own contamination fears were overcome in the past by going ‘over the top’ with exposure. No-one told me to do this, the useless child psychiatrist I was seeing didn’t even know what was wrong with me and the only therapy was the psychoanalytical kind. I somehow knew how to overcome my fears. Sadly this technique no longer works and I wish all psychologists could understand that not only do we respond differently as individuals, but at different times in our lives. I also become quite angry when fellow sufferers tell me that if I do x, y and z I will be well. If not it’s because I didn’t try hard enough….
There was a therapist at the Bethlem who claimed we could be treated successfully 100% of the time if we put in the work. This is an outrageous and erroneous remark which can cause untold harm, making those who don’t respond feel utterly despondent. Most therapists have a more balanced and realistic view.
Trudy. The vets I worked for would assure owners that no cat would starve itself, when faced with food not to its choosing. However, many cats held out longer than their owners were prepared to. I hope she will eat more of the special diet soon.
Tricia x