Cognitive-behavioral Therapy for OCD

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Guilford Press, Jan 1, 2004 - Psychology - 324 pages
This authoritative, highly readable book reviews current cognitive-behavioral models of OCD and delineates an innovative approach to assessment and treatment. From leading scientist-practitioner David A. Clark, the book first elaborates on and refines existing theories of obsessions and compulsions, with a focus on the maladaptive appraisals and beliefs underlying different types of symptomatology. Building on this expanded account of obsessional phenomena--and drawing on the latest CBT theory and research--the second half of the book presents a detailed treatment manual. Specific strategies are set forth for identifying client needs, developing a cognitive-behavioral case formulation, implementing a range of carefully planned interventions, and troubleshooting potential difficulties. Illustrated with extensive clinical material, the volume is practical and user-friendly. Invaluable appendices feature over a dozen reproducible rating scales, homework tasks, and client handouts.
 

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Contents

A Diagnostic Enigma
3
CHAPTER 2Phenomenology of Obsessions and Compulsions
24
PART IICognitiveBehavioral Theory and Research
49
CHAPTER 3Behavioral Perspectives on OCD
51
CHAPTER 4Neuropsychology and Information Processing in OCD
69
CHAPTER 5Cognitive Appraisal Theoriesof OCD
87
CHAPTER 6Thought Suppression and Obsessions
116
A New Model of Obsessions
134
CHAPTER 8CognitiveBehavioral Assessment of OCD
151
Basic Elements and Rationale
186
CHAPTER 10Cognitive Restructuring and Generating Alternatives
212
CHAPTER 11Empirical Hypothesis Testing
236
CHAPTER 12Modifying Secondary Appraisalsof Control
251
CHAPTER 13Empirical Status and Future Directions
268
References
285
Index
313

PART IIICognitiveBehavioral Therapy
149

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Page 287 - Brown, TA, Di Nardo, PA, Lehman, CL, & Campbell, LA (2001). Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology, 110, 49-58.
Page 287 - Burns, GL, Keortge, SG, Formea, GM, & Sternberger, LG (1996). Revision of the Padua Inventory of Obsessive Compulsive Disorder Symptoms: Distinctions between worry, obsessions and compulsions.
Page 301 - Neuropsychological deficits in obsessive-compulsive disorder: A comparison with unipolar depression, panic disorder, and normal controls.
Page 289 - Van Dyck, R. (1997). Prediction of outcome and early vs. late improvement in OCD patients treated with cognitive behaviour therapy and pharmacotherapy. Acta Psychiatrica Scandinavica, 96, 354-361.

About the author (2004)

David A. Clark, PhD, is a professor in the Department of Psychology, University of New Brunswick, Canada. He received his doctorate from the Institute of Psychiatry, University of London, England. Dr. Clark has published widely on cognitive theory and therapy of depression and OCD, and is a founding fellow of the Academy of Cognitive Therapy. With Aaron T. Beck, Dr. Clark recently developed the Clark-Beck Obsessive-Compulsive Inventory, which assesses self-reported severity of obsessive and compulsive symptoms. He has received a number of research grants to study the cognitive basis of emotional disorders, the most recent being a Canadian federal grant to investigate intentional control of unwanted intrusive thoughts. He is also a founding member of the Obsessive Compulsive Cognitions Working Group, an international research group devoted to the study of the cognitive aspects of OCD, and serves as an associate editor of Cognitive Therapy and Research.

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