The nurse would consider the following principle for a client who is using ritualistic behavior : Clients are reluctant to repeat their rituals yet feel obligated to do so.
Ritualistic behavior, which is instinctively recognisable by its stereotypy, rigidity, repetition, stress and apparent lack of rational motivation, is present in a variety of life circumstances, customs, and everyday practices: in religious or nonreligious cultural rituals; in the complex daily schedules of many children; in the pathology of obsessive-compulsive disorders (OCD); and in healthy adults during specific lifecycle stages, particularly childbirth.
In the end, you get compelled to engage in obsessive behaviors in an effort to reduce your stress. Despite attempts to suppress or dismiss unwanted thoughts or desires, they persist. This feeds the OCD's vicious cycle, which results in more ritualistic behavior.
Other typical actions that might become ritualized for certain people with touching and movement compulsions include the way they walk or move, pick things up, or put them down. These ritualistic behavior might make it difficult to shave, shower, make a meal, get dressed, or do other everyday tasks.
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