Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-19T15:03:46.323Z Has data issue: false hasContentIssue false
  • English
  • Français

Cognitive Therapy of Obsessive – compulsive Disorder: Treating Treatment Failures

Published online by Cambridge University Press:  16 June 2009

Paul M. Salkovskis  and
Hilary M. C. Warwick
Paul M. Salkovskis
Affiliation:
Senior Clinical Psychologist, The General Infirmary at Leeds
Hilary M. C. Warwick
Affiliation:
Tutor in Psychiatry, University of Leeds
Get access Rights & Permissions [Opens in a new window]

Extract

Foa (1979) has identified two groups of obsessional patients for whom behaviour therapy is ineffective; those with severe concurrent depression and those with “overvalued ideation”. She has also highlighted the need for the development of new treatment strategies for these individuals. A case history illustrating the development of overvalued ideation in a previously typical obsessional patient is described, together with an account of a successful treatment based on Beck's cognitive therapy combined with exposure. The implications of this report for views on the development of overvalued ideation in obsessionals are discussed. It is argued that cognitive–behavioural interventions such as the one described here may be useful as an adjunct to more traditional behavioural treatments for obsessional disorders as well as in the treatment of patients with overvalued ideation.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 13 , Issue 3 , July 1985 , pp. 243 - 255
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. New York: International Universities Press.Google Scholar
Beck, A. T. and Beamsderfer, A. (1974). Assessment of depression: the depression inventory. In Modern Problems in Pharmacopsychiatry, Pichot, P. (ed), vol. 7. Basel, Switzerland: Karger.Google Scholar
Beck, A. T., Rush, A. J.Shaw, A. J. and Emery, G. (1979). Cognitive Therapy of Depression. New York: Guildford Press.Google Scholar
Black, A. (1974). The natural history of obsessional neurosis. In Obsessional States Beech, H. R. (ed), London: Methuen.Google Scholar
Foa, E. B. (1979). Failures in treating obsessive-compulsives. Behaviour Research and Therapy 17, 169–176.CrossRefGoogle ScholarPubMed
Foa, E. B. and Goldstein, A. (1978). Continuous exposure and strict response prevention in the treatment of obsessive-compulsive neurosis. Behaviour Therapy 9, 821–829.CrossRefGoogle Scholar
Gittleson, N. (1966). The fate of obsessions in depressive psychosis. British Journal of Psychiatry, 112, 705–708.CrossRefGoogle ScholarPubMed
Hartman, L. M. and Cashman, F. E. (1983). Cognitive–behavioural and psychopharmacological treatment of delusional symptoms: a preliminary report. Behavioural Psychotherapy 11, 50–61.CrossRefGoogle Scholar
Lamontagne, Y., Audet, N. and Elie, R. (1983). Thought stopping for delusions and hallucinations: a pilot study. Behavioural Psychotherapy 11, 177–184.CrossRefGoogle Scholar
McKenna, P. J. (1984). Disorders with overvalued ideas. British Journal of Psychiatry 145, 579–585.CrossRefGoogle ScholarPubMed
Marks, I. M. (1981) Cure and Care of Neuroses. New York: J. Wiley.Google Scholar
Mayer-Gross, W., Slater, E. and Roth, M. (1960). Clinical Psychiatry, Cassel & Co: London.Google Scholar
Meyer, V. (1966). Modification of expectations in cases with obsessional rituals. Behaviour Research and Therapy 4, 273–280.CrossRefGoogle ScholarPubMed
Rachman, S. J. (1978). An anatomy of obsessions. Behaviour Analysis and Modification 2, 253–278.Google Scholar
Rachman, S. J. and Hodgson, R. J. (1980). Obsessions and Compulsions, Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Rachman, S. J. and De Silva, P. (1978). Abnormal and normal obsessions. Behaviour Research and Therapy 16, 233–248.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. and Harrison, J. (1984). Abnormal and normal obsessions: a replication. Behaviour Research and Therapy 22, 549–552.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. (1985). A cognitive-behavioural model of obsessive–compulsive disorder. Behaviour Research and Therapy, in press.CrossRefGoogle Scholar
Warwick, H. M. C. and Salkovskis, P. M. (1985). Reassurance. British Medical Journal 290, 1028.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.