Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-27T19:20:25.041Z Has data issue: false hasContentIssue false

The Group Treatment of Obsessive—Compulsive Ritualisers: Behavioural Management of Identified Patterns of Relapse

Published online by Cambridge University Press:  16 June 2009

Colin A. Espie
Affiliation:
Department of Psychological Medicine, University of Glasgow

Extract

Five obsessive—compulsives who had previously benefited from individual behaviour therapy, but had subsequently relapsed, were included in 10-week group therapy programme designed to re-establish this behavioural approach with particular emphasis upon those factors which appeared to have been related to relapse.

Considerable reductions in ratings of ritualistic behaviour and obsessional thinking were achieved and maintained at one year follow-up, with associated generalization to other areas of personal functioning. Possible prognostic variables were systematically examined. The results are discussed with reference to previous research studies.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1986

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

Bedford, D. A. and Foulds, G. A. (1977). Validation of the Delusion-Symptoms-States Inventory. British Journal of Medical Psychology 50, 163171.CrossRefGoogle Scholar
Boersma, K., Den Hengst, S., Dekker, J. and Emmelkamp, P. M. G. (1976). Exposure and response prevention in the natural environment: A comparison with obsessive-compulsive patients. Behaviour Research and Therapy 14, 1924.CrossRefGoogle ScholarPubMed
Emmelkamp, P. M. G. and De Lange, I. (1983). Spouse involvement in the treatment of obsessive-compulsive patients. Behaviour Research and Therapy 21, 341346.CrossRefGoogle ScholarPubMed
Emmelkamp, P. M. G., Helm, M. Van Der, Zanten, B. L. Van and Plochg, I. (1980). Treatment of obsessive-compulsive patients: The contribution of self-instructional training to the effectiveness of exposure. Behaviour Research and Therapy 18, 6166.CrossRefGoogle Scholar
Emmelkamp, P. M. G. and Kraanen, J. (1977). Therapist-controlled exposure in vivo vs self-controlled exposure in vivo: A comparison with obsessive-compulsive patients. Behaviour Research and Therapy 15, 491495.CrossRefGoogle Scholar
Foa, E. B. (1979). Failure in treating obsessive-compulsives. Behaviour Research and Therapy 17, 169176.CrossRefGoogle ScholarPubMed
Foa, E. B. and Goldstein, A. (1978). Continuous exposure and complete response prevention in the treatment of obsessive-compulsive neurosis. Behaviour Therapy 8, 821829.CrossRefGoogle Scholar
Foa, E. B. and Steketee, G. S. (1979). Obsessive-compulsives: Conceptual issues and treatment interventions In Progress in Behaviour Modification, Hersen, M., Eisler, R. M. and Miller, D. M. (eds), vol. 8, New York: Academic Press.Google Scholar
Foa, E. B., Steketee, G. S., Grayson, J. B. and Doppelt, H. G. (1983). Treatment of obsessive-compulsives: When do we fail? In Failures in Behaviour Therapy, Foa, E. B. and Emmelkamp, P. M. G. (eds), New York: Wiley.Google Scholar
Kirk, J. W. (1983). Behavioural treatment of obsessional-compulsive patients in routine clinical practice. Behaviour Research Therapy 21, 5762.CrossRefGoogle ScholarPubMed
Marks, I. M. (1981). Review of behavioural psychotherapy, I: Obsessive-compulsive disorders. Americal Journal of Psychiatry 138, 584592.Google ScholarPubMed
Marks, I. M., Hodgson, R. and Rachman, S. (1975). Treatment of chronic obsessive-compulsive neurosis by in vivo exposure: A two-year follow-up and issues in treatment. British Journal of Psychiatry 127, 349364.CrossRefGoogle ScholarPubMed
Marks, I. M., Stern, R. S., Mawson, E. et al. (1980). Clomipramine and exposure for obsessive-compulsive rituals: I and II. British Journal of Psychiatry 136, 125; 161–166.CrossRefGoogle Scholar
Rabavilas, A. D. and Boulougouris, J. C. (1979). Mood changes and flooding outcome in obsessive-compulsive patients: Report of 2-year follow-up. Journal of Nerv. Mental Disease 167, 495496.CrossRefGoogle Scholar
Rabavilas, A. D., Boulougouris, J. C., Perissaki, C. and Stefanis, L. (1979). Pre-morbid personality traits and responsiveness to flooding in obsessive compulsive patients. Behaviour Research and Therapy 17, 575580.CrossRefGoogle ScholarPubMed
Rachman, S. and Hodgson, R. (1980). Obsessions and Compulsions. Englewood Cliffs N.J.: Prentice-Hall.Google Scholar
Rachman, S. (1983). Obstacles to successful treatment of obsessions. In Failures in Behaviour Therapy, Foa, E. B. and Emmelkamp, P. M. G. (eds), New York: Wiley.Google Scholar
Steketee, G., Foa, E. B. and Grayson, J. B. (1982). Recent advances in behavioural treatment of obsessive-compulsives. Archives of General Psychiatry 39, 13651371.CrossRefGoogle ScholarPubMed
Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry 12, 6370.CrossRefGoogle ScholarPubMed
Zung, W. W. K. (1971). A rating instrument for anxiety disorders. Psychosomatics 12, 371379.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.