Wednesday, May 26, 2010

Psychiatric disorder of the day

People who are certain they stink, and the psychiatrists who sense this may be a disorder

We've all known of people who have bad body odour but don't know it. It turns out there are people with the opposite problem; they only think they smell:

Patients with the proposed diagnosis of "olfactory reference disorder" (sometimes referred to as a "syndrome") are certain beyond doubt that they stink, when in fact they smell no worse than is average for a 21st century American. According to Dr. Katharine Phillips, director of Rhode Island Hospital's Body Image Program, four in 10 people who likely have the disorder have sought out medical treatments for what they believe to be bad breath, foul body odor, stinky feet or residual fecal or urine smell. Their worry preoccupies them for between three and eight hours a day, on average, and impels patients to shower for hours, consume bars of soap or gallons of mouthwash in a single day -- even to drink perfume in an effort to eradicate the imagined smell.

A slight majority -- 60% -- of sufferers appear to be women, Phillips told her colleagues, and most began to suspect that they emitted foul odors at around 15 to 16 years of age.

Clearly, this is not something author Lionel Shriver suffers from. (See her mention of how her dislike of clothes washing leads her to wear the same clothes for a week, despite her cycling everywhere.) Call me weird, but my description of her as "quite the oddball" at another blog yesterday, when she says in the same interview that she is "eccentric" and thought of as "peculiar," seems entirely apt.

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