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Obsessive-Compulsive Disorder in Adults [Mīkstie vāki]

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This volume opens with an overview of the diagnosis and assessment of OCD in adults and delineates an evidence-based conceptual framework for understanding the development, maintenance, and treatment of obsessions and compulsions. The core of the book that follows is a highly practical treatment manual, based on decades of scientific research and clinical refinement, packed with helpful clinical pearls, therapist-patient dialogues, illustrative case vignettes, sample forms and handouts. State-of-the-art strategies for enhancing exposure therapy using inhibitory learning, ACT, and couples-based approaches are described. Readers are also equipped with skills for tailoring treatment to patients with different types of OCD symptoms (e.g., contamination, unacceptable thoughts, challenging presentations such as mental rituals) and for addressing common obstacles to treatment. The book is an essential resource for anyone providing services for individuals with anxiety disorders.

Recenzijas

[ T]his book is a wonderful new resource for mental health professionals to provide state-of-the-art treatment for individuals with OCD. "On the one hand, the book is highly concise, ideal for the clinician who wants a clear and direct access to all data relevant for successful treatment in the most parsimonious way. On the other hand, OCD is unique in its heterogeneous nature, and ... [ t)he authors provide information on the various References symptoms and comorbidities accompanied by case vignettes to highlight important points and provide clinical examples."; Gideon E. Anholt, PhD, in PsycCRITIQUES, October 2015; "This volume in the Advances in Psychotherapy series is a thorough guide to the effective diagnosis and empirically supported treatment for obsessive-compulsive disorder. The authors review the DSM-5 and ICD-10 diagnostic criteria, current theories and models, prevalence rates, and comorbidity, and provide a well-thought out examination of current treatments.; "All of the books in this series are written for a wide range of mental health professionals, but psychologists and psychiatrists will benefit the most from the wealth of knowledge in this volume. Another wonderful feature of these books is their usefulness across clinical, research, and academic settings."; Nicholas Greco IV, MS, BCETS, CATSM(Columbia College of Missouri), in DOODY'S BOOK REVIEW SERVICE, 2015;;"The authors have done a tremendous service to the profession and clinicians of all levels with this book. The research related to the conceptualization and treatment of OCD has burgeoned in recent years, and this book brings to providers a single, brief, highly approachable resource that will greatly facilitate the delivery of therapy to clients. Especially unique are the clinical vignettes that link conceptualization of this complex disorder to clinical presentations that are common but less well known, such as harming obsessions and unacceptable thoughts. This book is a 'must-read' for clinicians who expect to treat individuals with OCD."; Dean McKay, PhD, ABPP, President (2013-2014), Association for Behavioral and Cognitive Therapies; Professor, Fordham University, Bronx, NY;; "From the esteemed University of North Carolina Anxiety and Stress Disorders Clinic comes this clinician's guide to treatment of OCD. Going well beyond outlining the evidencebased treatment protocols, the authors sort through the daunting number of permutations of OCD to guide the reader from assessment tools through the best responses to nonadherence and misuse of exposure techniques as anxiety control strategies."; Reid Wilson, PhD, coauthor, Stop Obsessing! Overcoming Your Obsessions and Compulsions;; "Finally, an updated, concise text that covers all the 'OCD bases' from conceptualization to psychological treatment, including recent clinical advances such as ACT and inhibitory learning. Anyone interested in treating OCD needs to use this book as their guiding resource."; Bradley Riemann, PhD, Clinical Director, OCD Center and CBT Services, Rogers Memorial Hospital, Oconomowoc, WI;

Preface v
Acknowledgments vi
Dedication vi
1 Description
1(11)
1.1 Terminology
1(1)
1.2 Definition
1(4)
1.2.1 Insight
3(1)
1.2.2 Tics
3(1)
1.2.3 OCD From an Interpersonal Perspective
4(1)
1.3 Epidemiology
5(1)
1.4 Course and Prognosis
5(1)
1.5 Differential Diagnoses
5(3)
1.5.1 Generalized Anxiety Disorder (GAD)
5(1)
1.5.2 Depression
6(1)
1.5.3 Tics and Tourette's Syndrome (TS)
6(1)
1.5.4 Delusional Disorders (e.g., Schizophrenia)
6(1)
1.5.5 Impulse Control Problems
6(1)
1.5.6 Obsessive-Compulsive Personality Disorder (OCPD)
7(1)
1.5.7 Illness Anxiety (aka Hypochondriasis)
7(1)
1.5.8 Body Dysmorphic Disorder (BDD)
7(1)
1.5.9 Hoarding Disorder
7(1)
1.6 Comorbidities
8(1)
1.7 Diagnostic Procedures and Documentation
8(4)
1.7.1 Structured Diagnostic Interviews
8(1)
1.7.2 Semi-Structured Symptom Interviews
8(2)
1.7.3 Self-Report Inventories
10(1)
1.7.4 Documenting Changes in Symptom Levels
10(2)
2 Theories and Models
12(7)
2.1 Biological Theories
12(1)
2.1.1 Neurotransmitter Theories
12(1)
2.1.2 Neuroanatomical Theories
12(1)
2.2 Psychological Theories
13(6)
2.2.1 Learning Theory
13(1)
2.2.2 Cognitive Deficit Models
13(1)
2.2.3 Contemporary Cognitive-Behavioral Models
14(5)
3 Diagnosis and Treatment Indications
19(9)
3.1 Form vs. Function
19(1)
3.2 The Diagnostic Assessment
20(1)
3.3 Identifying the Appropriate Treatment
21(2)
3.3.1 Empirically Supported Treatments for OCD
21(2)
3.4 Factors That Influence Treatment Decisions
23(3)
3.4.1 Age
23(1)
3.4.2 Gender
23(1)
3.4.3 Ethnic/Racial Background
23(1)
3.4.4 Educational Level
24(1)
3.4.5 Patient Preference
24(1)
3.4.6 Clinical Presentation
24(1)
3.4.7 OCD Symptom Theme
24(1)
3.4.8 Interpersonal Factors
25(1)
3.4.9 Insight
25(1)
3.4.10 Comorbidity
25(1)
3.4.11 Treatment History
26(1)
3.5 Presenting the Recommendation for CBT
26(2)
4 Treatment
28(54)
4.1 Methods of Treatment
28(42)
4.1.1 Functional Assessment
29(4)
4.1.2 Self-Monitoring
33(1)
4.1.3 Psychoeducation
34(8)
4.1.4 Using Cognitive Therapy Techniques
42(5)
4.1.5 Using Acceptance-Based Strategies
47(3)
4.1.6 Planning for Exposure and Response Prevention
50(6)
4.1.7 Implementing Exposure and Response Prevention
56(12)
4.1.8 Ending Treatment
68(2)
4.2 Mechanisms of Action
70(1)
4.3 Efficacy and Prognosis
71(1)
4.4 Variations and Combinations of Methods
71(2)
4.4.1 Variants of CBT Treatment Procedures
71(1)
4.4.2 Combining Medication and CBT
72(1)
4.4.3 Involving Significant Others in Treatment
72(1)
4.5 Problems in Carrying Out the Treatment
73(7)
4.5.1 Negative Reactions to the CBT Model
73(1)
4.5.2 Nonadherence
74(1)
4.5.3 Arguments
75(1)
4.5.4 Persistent Family Accommodation of OCD Symptoms
76(1)
4.5.5 Therapist's Inclination to Challenge the Obsession
77(1)
4.5.6 Hijacking Psychoeducational and Cognitive Interventions
78(1)
4.5.7 Using Exposure to Control Anxiety
79(1)
4.5.8 Unbearable Anxiety Levels During Exposure
79(1)
4.5.9 Absence of Anxiety During Exposure
80(1)
4.5.10 Therapist Discomfort With Conducting Exposure Exercises
80(1)
4.6 Multicultural Issues
80(2)
5 Case Vignettes
82(9)
5.1 Case Vignette 1: Contamination Symptoms
82(2)
5.2 Case Vignette 2: Harming Symptoms
84(2)
5.3 Case Vignette 3: Incompleteness Symptoms
86(2)
5.4 Case Vignette 4: Unacceptable Thoughts
88(3)
6 Further Reading
91(1)
7 References
92(2)
8 Appendix: Tools and Resources
94
Jonathan S. Abramowitz, PhD, is Professor and Associate Chair of Psychology and Research Professor of Psychiatry at the University of North Carolina (UNC) at Chapel Hill. He is Director of the UNC Anxiety and Stress Disorders Clinic and a North Carolina licensed psychologist with a diplomate from the American Board of Professional Psychology. He is an international expert on anxiety and OCD and has published 12 books and over 200 research articles and book chapters. He is editor of two scientifi c journals, including the Journal of Obsessive-Compulsive and Related Disorders. Dr. Abramowitz has served as President of the Association for Behavioral and Cognitive Therapies. Ryan Jane Jacoby, MA, is a doctoral student of clinical psychology in the Anxiety/OCD Lab at the University of North Carolina (UNC) at Chapel Hill. She conducts research on the nature and treatment of OCD and anxiety disorders and is specifi cally interested in cognitive biases, treatment augmentation strategies, symptom dimensions of OCD, and inhibitory learning approaches to exposure therapy. Ms. Jacoby has published and presented her research at various national and international professional conferences and has received numerous awards for her academic accomplishments