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Home > Medicine & Health Science textbooks > Medical specialties, branches of medicine > Neurology and clinical neurophysiology > Obsessive-Compulsive Disorder: (Advances in Psychotherapy: Evidence Based Practice)
Obsessive-Compulsive Disorder: (Advances in Psychotherapy: Evidence Based Practice)

Obsessive-Compulsive Disorder: (Advances in Psychotherapy: Evidence Based Practice)


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About the Book

Based on decades of scientific research and clinical refinement, cognitive-behavioral therapy using the techniques of exposure and response prevention has helped countless individuals with OCD overcome debilitating symptoms and live fuller, more satisfying lives. From leading expert Jonathan S. Abramowitz, this volume opens with an overview of the diagnosis and assessment of OCD and delineates a research-based conceptual framework for understanding the development, maintenance, and treatment of obsessions and compulsions. The core of the book is a highly practical treatment manual packed with helpful clinical pearls, therapist-patient dialogs, illustrative case vignettes, and sample forms and handouts. Readers are equipped with skills for tailoring exposure and response prevention techniques for patients with different types of OCD symptoms, including washing, checking, ordering, obsessions, and mental rituals. The book, which also addresses common obstacles in treating individuals with OCD, represents an essential resource for anyone providing services for individuals with anxiety disorders.

Table of Contents:
Preface ... v Acknowledgments ... vi Dedication ... vi 1 Description ... 1 1.1 Terminology... 1 1.2 Definition... 1 1.2.1 Insight ... 3 1.3 Epidemiology ... 3 1.4 Course and Prognosis ... 4 1.5 Differential Diagnoses... 4 1.5.1 Generalized Anxiety Disorder (GAD)... 4 1.5.2 Depression ... 4 1.5.3 Tics and Tourette's Syndrome (TS)... 5 1.5.4 Delusional Disorders (e.g., Schizophrenia)... 5 1.5.5 Impulse Control Disorders ... 5 1.5.6 Obsessive Compulsive Personality Disorder (OCPD) ... 5 1.5.7 Hypochondriasis ... 6 1.5.8 Body Dysmorphic Disorder (BDD) ... 6 1.6 Comorbidities ... 6 1.7 Diagnostic Procedures and Documentation ... 6 1.7.1 Structured Diagnostic Interviews ... 7 1.7.2 Semi-Structured Symptom Interviews ... 7 1.7.3 Self-Report Inventories ... 8 1.7.4 Documenting Changes in Symptom Levels ... 9 2 Theories and Models ... 10 2.1 Neuropsychiatric Theories... 10 2.1.1 Neurochemical Theories ... 10 2.1.2 Neuroanatomical Theories... 10 2.2 Psychological Theories ... 11 2.2.1 Learning Theory ... 11 2.2.2 Cognitive Deficit Models ... 11 2.2.3 Contemporary Cognitive-Behavioral Models ... 12 3 Diagnosis and Treatment Indications ... 16 3.1 Form Versus Function ... 16 3.2 The Diagnostic Assessment... 17 3.3 Identifying the Appropriate Treatment ... 18 3.3.1 Empirically Supported Treatments for OCD... 18 3.4 Factors that Influence Treatment Decisions ... 20 3.4.1 Age ... 20 3.4.2 Gender ... 20 3.4.3 Race ... 20 viii Advances in Psychotherapy: Obsessive-Compulsive Disorder 3.4.4 Educational Level ... 20 3.4.5 Patient Preference ... 21 3.4.6 Social Support ... 21 3.4.7 Clinical Presentation ... 21 3.4.8 OCD Symptom Theme ... 21 3.4.9 Insight ... 22 3.4.10 Comorbidity... 22 3.4.11 Treatment History ... 22 3.5 Presenting the Recommendation for CBT ... 23 4 Treatment ... 24 4.1 Methods of Treatment ... 24 4.1.1 Functional Assessment ... 25 4.1.2 Self-Monitoring ... 28 4.1.3 Psychoeducation ... 28 4.1.4 Using Cognitive Therapy Techniques ... 36 4.1.5 Planning for Exposure and Response Prevention ... 41 4.1.6 Implementing Exposure and Response Prevention... 46 4.1.7 Ending Treatment ... 57 4.2 Mechanisms of Action... 58 4.3 Efficacy and Prognosis ... 58 4.4 Variations and Combinations of Methods... 60 4.4.1 Variants of CBT Treatment Procedures... 60 4.4.2 Combining Medication and CBT ... 60 4.5 Problems in Carrying out the Treatment ... 60 4.5.1 Negative Reactions to the CBT Model ... 60 4.5.2 Nonadherence ... 61 4.5.3 Arguments ... 62 4.5.4 Therapist's Inclination to Challenge the Obsession ... 64 4.5.5 When Cognitive Interventions Become Rituals ... 65 4.5.6 Unbearable Anxiety Levels During Exposure... 65 4.5.7 Absence of Anxiety During Exposure... 65 4.5.8 Therapist Discomfort with Conducting Exposure Exercises ... 66 5 Case Vignettes ... 67 6 Further Reading ... 74 7 References ... 75 8 Appendix: Tools and Resources ... 77

About the Author :
Jonathan S. Abramowitz, PhD, is Associate Professor and director of the OCD/Anxiety Disorders Program at the Mayo Clinic. He has written or edited four books and over 75 research articles and book chapters on OCD and other anxiety disorders. For his contributions to the field, Dr. Abramowitz has received awards from the American Psychological Association and the Mayo Clinic.

Review :
"Dr. Abramowitz has done a remarkable job in taking difficult to understand concepts and making them easy to grasp. This is the most practical, user-friendly guide to date. It is a quick, but informative read by one of the premier thought leaders in the field of OCD. This is a must read for clinicians and students alike, and will be required reading for our staff and trainees." Bradley C. Riemann, PhD "...concise and practical while covering immense territory - highly organized in outline form - This book's clear organization and concise, but meaningful descriptions of complex issues (e.g., neurochemical vs. neuroanatomical vs. learning theories) make it an exceptionally good choice for residents and medical students. The primary strength of this book is the thorough, yet specific and very practical, description of CBT tailored to various presentations of OCD from beginning to end in a time-limited model. Amid a crowded field of OCD books, Abramowitz's book can be recommended without hesitation for clinicians seeking to improve their CBT skills for treating OCD". Steven Shearer, PhD in The Journal of Nervous and Mental Disease, Volume 195, No. 3, March 2007 "...short and easy to read...very helpful for both beginning therapists and therapists interested in reviewing a detailed background and description of OCD. The book gives a concise but thorough overview of current theories and models of intervention, diagnosis and treatment indications, current methods of treatment options, case examples, and suggested handouts and treatment forms. ...gives an excellent review of theories and models of how OCD is learned or biochemically based..." Overall, this book is short and to the point. Clinicians should find this a helpful guide to the treatment of OCD. It can also be used as a refresher on an evidence-based intervention in the treatment of OCD." Jeff Baker in PsycCRITIQUES June 7, 2006 Vol. 51 (23), Article 2 Clinical Director, OCD Center at Rogers Memorial Hospital, Oconomowoc, WI "Dr. Jonathan Abramowitz is one of the world's leading experts on Obsessive Compulsive Disorder and has cumulated years of hands-on experience. In this very readable treatment program, he makes these strategies and his experience available to the therapist. Anyone treating patients with Obsessive Compulsive Disorder will want to have this resource." David H. Barlow, PhD Professor of Psychology, Research Professor of Psychiatry, Director, Center for Anxiety and Related Disorders at Boston University "This book does a fine job of combining cognitive and behavioral interventions into an integrated program of therapy. Dr. Abramowitz' detailed attention to symptom subtypes is especially useful for therapists learning to apply CBT to the many varieties of obsessions and compulsions. The highlighting of clinical pearls, vignettes, and therapeutic dialog is particularly helpful and makes this manual very user-friendly." Gail Steketee, PhD Professor, Boston University School of Social Work


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Product Details
  • ISBN-13: 9781613343166
  • Publisher: Hogrefe Publishing
  • Publisher Imprint: Hogrefe Publishing
  • Series Title: Advances in Psychotherapy: Evidence Based Practice
  • ISBN-10: 1613343167
  • Publisher Date: 31 Jan 2006
  • Binding: Digital (delivered electronically)


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