New PDF release: Cognitive-Behavioral Therapy for OCD

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 evaluation and therapy. major scientist-practitioner David A. Clark first elaborates and refines latest theories of obsessions and compulsions. He then spells out potent thoughts for assessing customer wishes, constructing a transparent case formula, enforcing an array of cognitive and behavioral interventions, and troubleshooting power problems. Illustrated with wide medical fabric, the quantity is sensible and trouble-free. Reproducible appendices characteristic over a dozen ranking scales, buyer handouts, and homework initiatives.

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Sample text

There does seem to be fairly consistent evidence for distinct washing and checking dimensions. ), differences emerge across studies. It may be that the lower frequency of other types of obsessive–compulsive symptoms makes their reliable identification in empirical studies more difficult. Certainly, we often see individuals in whom the primary clinical presentation is obsessional rumination, without overt compulsions, symmetry or precision obsessions, hoarding, or abhorrent religious or sexual obsessions.

The final characteristic, ego dystonicity, refers to the degree that the content of the obsession is contrary to or inconsistent with a person’s sense of self as ref lected in his or her core values, ideals, and moral attributes. Intrusive thoughts are viewed as occurring outside the context of valued aspects of the self; they are not the type of thought, image, or impulse that a person would expect of him- or herself, and so the obsession represents a threat to the person’s self-view (Purdon, 2001; Purdon & Clark, 1999).

A second primary assumption is that the hoarding involves saving useless objects, to which the individual has an excessive emotional attachment (Frost & Hartl, 1996). A number of associated features have been identified with compulsive hoarders, including compulsive acquisition or buying, inability to discard possessions, lack of organization, and avoidance of decision making (e. , avoidance of making decisions to discard objects; Frost & Steketee, 1999). There is considerable debate on whether hoarding should be considered a subtype of OCD or an entirely different disorder.

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