Historically, psychologists have considered obsessive–compulsive disorder (OCD) a challenging disorder to treat, with significant numbers of patients failing to benefit from treatment. The heterogeneity of the population and the complexity of the disorder have been contributing factors. However, cognitive–behavioral treatments are showing great promise, particularly when delivered with pharmacotherapy and tailored to the unique characteristics of each OCD subtype.
This book provide practical, step-by-step descriptions of psychological approaches to treating OCD. After explaining the general, underlying features of the disorder, the contributors describe evidence-based behavioral and cognitive approaches, such as exposure and ritual prevention and cognitive restructuring. Subsequent chapters discuss how to apply these strategies with particular presentations of OCD, including fears of contamination; doubting and checking; incompleteness concerns; religious, sexual, and aggressive obsessions; and compulsive hoarding.
Practitioners experienced in treating this disorder will appreciate the discussion of more advanced issues, including dealing with treatment resistance and comorbidity and treating OCD in special populations. All readers will find this book to be a practical and insightful guide for helping individuals with this troubling disorder.
Contributors
Acknowledgements
Introduction
—Martin M. Antony, Christine Purdon, and Laura J. Summerfeldt
I. Fundamentals of Psychological Treatment for Obsessive–Compulsive Disorder
- Cognitive–Behavioral Models of Obsessive–Compulsive Disorder
—Steven Taylor, Jonathan S. Abramowitz, and Dean McKay - General Issues in Psychological Treatment for Obsessive–Compulsive Disorder
—David F. Tolin and Gail Steketee - Treatment Readiness, Ambivalence, and Resistance
—C. Alec Pollard - Exposure and Response Prevention
—Karen Rowa, Martin M. Antony, and Richard P. Swinson - Cognitive Therapy for Obsessive–Compulsive Disorder
—Christine Purdon
II. Strategies for Specific Obsessive–Compulsive Disorder Presentations
- Treating Contamination Concerns and Compulsive Washing
—David S. Riggs and Edna B. Foa - Treating Doubting and Checking Concerns
—Jonathan S. Abramowitz and Christy A. Nelson - Treating Incompleteness, Ordering, and Arranging Concerns
—Laura J. Summerfeldt - Treating Religious, Sexual, and Aggressive Obsessions
—S. Rachman - Treating Compulsive Hoarding
—Ancy E. Cherian and Randy O. Frost
III. Strategies for Specific Populations
- Treating Obsessive–Compulsive Disorder in Children and Adolescents
—Martin E. Franklin, John S. March, and Abbe Garcia - Treating Obsessive–Compulsive Disorder in People With Poor Insight and Overvalued Ideation
—David Veale - Treating Comorbid Presentations: Obsessive–Compulsive Disorder, Anxiety Disorders, and Depression
—Deborah Roth Ledley, Anushka Pai, and Martin E. Franklin - Treating Comorbid Presentations: Obsessive–Compulsive Disorder and Disorders of Impulse Control
—Adam S. Radomsky, Antje Bohne, and Kieron P. O'Connor
Author Index
Subject Index
About the Editors
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