By David A. Clark
This authoritative publication studies present cognitive-behavioral types of OCD and delineates an leading edge, theoretically and empirically grounded method of overview and therapy. top scientist-practitioner David A. Clark first elaborates and refines present theories of obsessions and compulsions. He then spells out potent options for assessing purchaser wishes, constructing a transparent case formula, imposing an array of cognitive and behavioral interventions, and troubleshooting strength problems. Illustrated with vast scientific fabric, the quantity is useful and simple. Reproducible appendices function over a dozen ranking scales, shopper handouts, and homework projects.
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Extra info for Cognitive-Behavioral Therapy for OCD
A smaller group has delusions, hallucinations, and/or thought disorder (5–6%) that are more indicative of a psychotic illness. Insel and Akiskal (1986) concluded that 20% of patients with OCD develop psychotic symptoms, although the psychosis in OCD is either a paranoid state or a mood disorder. A true schizophrenic deterioration in OCD is extremely rare. There is no evidence of an etiological or diagnostic connection between OCD and psychotic disorders (Black, 1974; Salkovskis, 1996c). Nor is there any firm evidence that OVI or delusions develop out of obsessions (Kozak & Foa, 1994; Rachman & Hodgson, 1980).
Although much remains unknown about the critical symptom dimensions of OCD, more progress is likely to result from adopting a dimensional perspective on symptom presentation than from continuing the search for stable OCD subtypes. SUMMARY AND CONCLUSION There are many characteristics of OCD that make it a diagnostic enigma. It takes a chronic, often debilitating, course, affecting 1–2% of the general population. The disorder strikes individuals during their youth and then persists, often for a lifetime, with an intermittent worsening of symptoms that can have severe and fairly generalized negative effects on daily living and personal attainment.
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.