By David A. Clark
This authoritative e-book studies present cognitive-behavioral versions of OCD and delineates an cutting edge, theoretically and empirically grounded method of overview and remedy. major scientist-practitioner David A. Clark first elaborates and refines current theories of obsessions and compulsions. He then spells out potent thoughts for assessing buyer wishes, constructing a transparent case formula, imposing an array of cognitive and behavioral interventions, and troubleshooting capability problems. Illustrated with broad scientific fabric, the quantity is functional and elementary. Reproducible appendices characteristic over a dozen score scales, buyer handouts, and homework projects.
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Additional info for Cognitive-Behavioral Therapy for OCD
Often a “just right feeling” is the motive for a person’s compulsive reordering and repeating rituals, rather than a reduction in tension or anxiety. In compulsive hoarding, the person feels compelled to repeatedly check his or her possessions to ensure that nothing is missing. Finally, the OCD subtype least often encountered in the clinical setting is religious obsession. Individuals of this subtype obsess over the meaning of morality, sins, and whether they have been diligent in keeping religious law.
OCD also has such a diverse, idiosyncratic clinical presentation that it is not possible to consider the disorder a single homogeneous diagnostic entity. Various subtypes of the disorder have been identified that may differ in the psychological processes and fear structure that maintain obsessional symptoms. Although consensus on OCD subtypes has eluded researchers, it is evident that some variations in treat- A Diagnostic Enigma 23 ment protocol will be needed for compulsive cleaning and checking, obsessional rumination without overt compulsions, and hoarding.
Phenomenology of Obsessions and Compulsions 29 Subjective resistance is one of the hallmarks of obsessions. The individual feels compelled to deal with the obsession, to terminate its dominance of conscious awareness through a variety of control strategies, which include reassurance seeking, avoidance, rationalization, distraction, compulsive rituals, and neutralization. Although the degree of resistance against the obsession varies, there is a motivated effort to ignore, suppress, or neutralize the distressing intrusive thought.