Cheryl Spends Four Hours Every Day in the Shower, Scrubbing

question 80

Multiple Choice

Cheryl spends four hours every day in the shower, scrubbing her skin raw with a loofa brush, fearing that she is contaminated with urine or feces.She sees a cognitive-behavioral therapist for treatment.The cognitive-behavioral therapist is most likely to write which of the following notes about Cheryl's case?

• A)"Guarding against own unacceptable urges; uses reaction formation as a general defense."
• B)"Engages in superstitious behavior; probably associating handwashing with some previous situation where it led to reinforcement."
• C)"Neurotransmitters not functioning properly; needs medication."
• D)"Consciously uses distracting thoughts to reduce anxiety over cleanliness."

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