International Journal of Social Psychiatry

 

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International Journal of Social Psychiatry, Vol. 54, No. 3, 219-224 (2008)
DOI: 10.1177/0020764008083872

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Psychiatric Disorders Related to Menstrual Bleeding Among an Ultra-Orthodox Population: Case Series and Literature Review

Tali Vishne

Beer-Yaacov Ness-Ziona Mental Health Center, Ness-Ziona, Brill Center for Mental Health, Tel-Aviv, Chiba Psychiatric Clinic, Maayney Hayeshua Hospital, Bney-Brak, Israel, tali{at}vishne.com

Sagit Misgav

Brill Center for Mental Health, Tel-Aviv, Israel

Michael E. Bunzel

Chiba Psychiatric Clinic, Maayney Hayeshua Hospital, Bney-Brak, Israel

The relationship between menstrual cycle and obsessive-compulsive disorder (OCD) has been documented in the past and is related to sexual hormone changes. In the ultra-orthodox Jewish population menstrual bleeding is associated both with meticulous rituals of cleanliness and with stressful meanings related to sin, impurity and punishment. Those aspects of the menstrual cycle can be related to specific OCD symptoms among ultra-orthodox women. The current study presents three cases related to the development of obsessive-compulsive symptoms in relation to the menstrual cycle among ultra-orthodox women, and discusses the biological and social-cultural basis of the disorder.


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