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Cognitive Therapy with Obsessive–Compulsive Disorder

Published online by Cambridge University Press:  02 January 2018

Ian A. James*
Affiliation:
Collingwood Clinic, Newcastle upon Tyne
Ivy-Marie Blackburn
Affiliation:
Collingwood Clinic, Newcastle upon Tyne
*
Dr I. A. James, Cognitive Therapy Centre, Collingwood Clinic, Newcastle Mental Health NHS Trust, Gosforth, Newcastle upon Tyne, NE3 3XT, UK

Abstract

Background

People with obsessive–compulsive disorders (OCD) are widely treated with a combination of medication and behavioural techniques. The success rate is 50–85%, but both relapse and drop-out rates appear high. The use of cognitive therapy (CT) for the treatment of OCD has been suggested. The empirical evidence supporting the use of CT for OCD is examined.

Method

A manual and computer (Medline) literature search was performed.

Results

Fifteen empirical studies were found: ten non-controlled, and five controlled.

Conclusions

There are few controlled CT studies, and these show little evidence of improvement when CT is added to existing therapeutic techniques.

Type
Review Articles
Copyright
Copyright © Royal College of Psychiatrists, 1995 

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References

Baldwin, D., Fineberg, N. & Bullock, T. (1991) Obsessive–compulsive disorder: towards an aetiological understanding? Psychiatry in Practice, 10, 69.Google Scholar
Beck, A. T. (1976) Cognitive Therapy and the Emotional Disorders. New York: International University Press.Google Scholar
Blue, F. R., McKnight, D., Rau, B. & Fulcher, R. (1987) A multidisciplinary approach to an individual with severe ritualistic behaviour. Psychological Reports, 61, 407410.Google Scholar
Dupont, S. (1992) A case of a worried well obsessional (or an 8-month one-night stand). Behavioural Psychotherapy, 20, 287290.CrossRefGoogle Scholar
Ellis, A. (1987) Integrative development in rational-emotive-therapy. Journal of Integrative and Eclectic Psychotherapy, 6, 470479.Google Scholar
Emmelkamp, P. M. G., Van der Helm, M., Van Zanten, B. L. & 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., Visser, S. & Hoekstra, R. J. (1988) Cognitive therapy vs exposure in vivo in the treatment of obsessive–compulsives. Cognitive Therapy Research, 12, 103114.Google Scholar
Emmelkamp, P. M. G. & Beens, H. (1991) Cognitive therapy with obsessive–compulsive disorder: A comparative evaluation. Behaviour Research and Therapy, 29, 293300.Google Scholar
Enright, S. J. (1991) Group treatment for obsessive–compulsive disorder: An evaluation. Behavioural Psychotherapy, 19, 183192.CrossRefGoogle Scholar
Foa, E. B., Steketee, G., Grayson, J. B. & Doppelt, H. G. (1983) Treatment of obsessive–compulsives: when do we fail? In Failures in Behaviour Therapy (eds E. Foa & P. Emmelkamp), pp. 1034. New York: Wiley.Google Scholar
Gandev, P. S. (1992) A cognitive-behavioural approach for the treatment of obsession with an aggressive theme. Journal of Cognitive Psychotherapy, 6, 185191.CrossRefGoogle Scholar
Gandev, P. S. (1993) Cognitive behavioural treatment of compulsive water drinking: A case report. Journal of Cognitive Psychotherapy, 7, 6368.Google Scholar
Kearney, C. & Silverman, W. K. (1990) Treatment of an adolescent with obsessive–compulsive disorder by alternating response prevention and cognitive therapy: An empirical analysis. Journal of Behaviour Therapy and Experimental Psychiatry, 21, 3947.CrossRefGoogle ScholarPubMed
Jaremko, M. E. (1982) Cognitive restructuring-assistance in the clinical extinction of fear and avoidance. Scandinavian Journal of Behaviour Therapy, 11, 175182.CrossRefGoogle Scholar
Meichenbaum, D. H. (1975) Self-instructional methods. In Helping People Change (eds F. H. Kanfer & A. P. Goldstein). New York: Pergamon Press.Google Scholar
Moore, K. & Burrows, G. D. (1991) Hypnosis in the treatment of obsessive compulsive disorder. Australian Journal of Clinical and Experimental Hypnosis, 19, 6375.Google Scholar
Morelli, G. (1983) Adolescent compulsion: a case study involving cognitive-behavioural treatment. Psychological Reports, 53, 519522.CrossRefGoogle Scholar
Ownby, R. L. (1983) A cognitive behavioural intervention for compulsive handwashing with a thirteen-year-old boy. Psychology in the Schools, 20, 219222.3.0.CO;2-H>CrossRefGoogle Scholar
Rachman, S. J. & Hodgson, R. J. (1980) Obsessions and Compulsions. New York: Prentice-Hall.Google Scholar
Rasmussen, S. A. & Tsuang, M. T. (1986) Clinical characteristics and family history in DSM–III obsessive–compulsive disorder. American Journal of Psychiatry, 143, 317322.Google ScholarPubMed
Reed, G. F. (1983) Obsessional-compulsive disorder: a cognitive/structural approach. Canadian Psychology, 24, 169180.CrossRefGoogle Scholar
Salkovskis, P. M. (1985) Obsessional-compulsive problems: a cognitive-behavioural analysis. Behaviour Research and Therapy, 23, 571583.Google Scholar
Salkovskis, P. M. & Warwick, H. M. (1985) Cognitive therapy of obsessive compulsive disorder-treating treatment failures. Behavioural Psychotherapy, 13, 243255.Google Scholar
Thoren, P., Asberg, M., Conholm, B., et al (1980) Clomipramine treatment of obsessive–compulsive disorder: a clinical controlled trial. Archives of General Psychiatry, 37, 12811285.Google Scholar
Willmuth, M. E. (1988) Cognitive-behavioural and insight-oriented psychotherapy of an eleven-year-old boy with obsessive–compulsive disorder. American Journal of Psychotherapy, 42, 472478.Google Scholar
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