Includes bibliographical references (pages 285-312) and index.
Obsessive compulsive disorder: a diagnostic enigma -- Phenomenology of obsessions and compulsions -- Behavioral perspectives -- Neuropsychology and information processing in OCD -- Cognitive appraisals theories of OCD -- Thought suppression and obsessions -- Cognitive control: a new model of obsessions -- Cognitive behavioral assessment -- Getting started: basic elements and rationale -- Cognitive restructuring and generating alternatives -- Behavioral interventions -- Modifying secondary appraisals of control -- Empirical status and future directions.
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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.