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Conceptualizing and targeting beliefs in the treatment of a man with obsessive compulsive disorder and overvalued ideation

Published online by Cambridge University Press:  19 April 2011

Thomas Christodoulides ,
Pauline Callcott  and
Robert Dudley
Thomas Christodoulides*
Affiliation:
Early Intervention in Psychosis Service, Northumberland Tyne and Wear Foundation NHS Trust
Pauline Callcott
Affiliation:
Newcastle Cognitive and Behavioural Therapies Centre, Northumberland Tyne and Wear Foundation NHS Trust
Robert Dudley
Affiliation:
Early Intervention in Psychosis Service, Northumberland Tyne and Wear Foundation NHS Trust Institute of Neuroscience, Newcastle University, Newcastle upon Tyne
*
*Author for correspondence: Dr T. Christodoulides, Early Intervention in Psychosis Service, Northumberland Tyne and Wear Foundation NHS Trust. (email: [email protected])
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Abstract

There are theoretical challenges in distinguishing obsessions from overvalued ideas (OVIs) and delusions. The latter can be defined by its rigid nature and unusual content, but obsessions and OVIs are also reported with such characteristics. Clinically, what are the implications when this distinction is not entirely clear? In this case study, these issues are explored with a man who presented with commonly reported symptoms of obsessive compulsive disorder (OCD) and a belief about transforming into a giant fly. Clinically meaningful gains were made following a course of 17 sessions of CBT, providing some additional support for the effectiveness of CBT for abnormal beliefs within OCD.

Keywords

Case studydelusionsobsessionsovervalued ideas
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 4 , Issue 2 , June 2011 , pp. 68 - 77
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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References

Recommended follow-up reading

Freeston, M, Ladouceur, R (1997). What do patients do with their intrusive thoughts? Behaviour Research and Therapy 35, 335–348.CrossRefGoogle Scholar
Kozak, MJ, Foa, EB (1994). Obsessions, overvalued ideas, and delusions in obsessive-compulsive disorder. Behaviour Research and Therapy 32, 343–353.CrossRefGoogle ScholarPubMed
Veale, D (2002). Over-valued ideas: a conceptual analysis. Behaviour Research and Therapy 40, 383–400.CrossRefGoogle ScholarPubMed
Wells, A (2008). Metacognitive therapy: cognition applied to regulating cognition. Behavioural and Cognitive Psychotherapy 36, 651–658.CrossRefGoogle Scholar

References

Basoglu, M, Laz, T, Kasvikis, Y, Marks, IM (1988). Predictors of improvement in obsessive compulsive disorder. Journal of Anxiety Disorders 2, 299–317.CrossRefGoogle Scholar
Beck, AT (1976). Cognitive Therapy and the Emotional Disorders. New York: International Universities Press.Google Scholar
Beck, AT, Epstein, N, Brown, G, Steer, RA (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology 56, 893–897.CrossRefGoogle ScholarPubMed
Beck, AT, Ward, C, Mendelson, M, Mock, J, Erbaugh, J (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 561–571.CrossRefGoogle ScholarPubMed
Cronenberg, D, Rodley, C (1996). Cronenberg on Cronenberg. London: Faber and Faber.Google Scholar
Dugas, MJ, Freeston, MH, Ladouceur, R (1997). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy & Research 21, 593–606.CrossRefGoogle Scholar
Evans, C, Mellor-Clark, J, Margison, F, Barkham, M, McGrath, G, Connell, J, Audin, K (2000). Clinical outcomes in routine evaluation: the CORE-OM. Journal of Mental Health 9, 247–255.CrossRefGoogle Scholar
Fisher, PL, Wells, A (2005). Experimental modification of beliefs in obsessive-compulsive disorder: a test of the metacognitive model. Behaviour Research and Therapy 43, 821–829.CrossRefGoogle ScholarPubMed
Flitcroft, A, James, IA, Freeston, M, Wood-Mitchell, A (2007). Determining what is important in a good formulation. Behavioural and Cognitive Psychotherapy 35, 325–335.CrossRefGoogle Scholar
Freeman, D, Garety, PA (1999). Worry, worry processes and dimensions of delusions: an exploratory investigation of a role for anxiety processes in the maintenance of delusional distress. Behavioural and Cognitive Psychotherapy 27, 47–62.CrossRefGoogle Scholar
Freeston, M, Ladouceur, R, Provencher, M, Blais, F (1995). Strategies used with intrusive thoughts: context, appraisals, mood and efficacy. Journal of Anxiety Disorders 9, 201–215.CrossRefGoogle Scholar
Insel, TR, Akiskal, HS (1986). Obsessive-compulsive disorder with psychotic features: a phenomenological analysis. American Journal of Psychiatry 143, 1527–1533.Google Scholar
Kozak, MJ, Foa, EB (1994). Obsessions, overvalued ideas, and delusions in obsessive-compulsive disorder. Behaviour Research and Therapy 32, 343–353.CrossRefGoogle ScholarPubMed
Lelliott, PT, Noshirvani, HF, Basoglu, M, Marks, IM, Monteiro, WO (1988). Obsessive-compulsive beliefs and treatment outcome. Psychological Medicine 18, 697–702.CrossRefGoogle ScholarPubMed
Morrison, AP, Wells, A (2003). A comparison of metacognitions in patients with hallucinations, delusions, panic disorder, and non-patient controls. Behaviour Research and Therapy 41, 251–256.CrossRefGoogle ScholarPubMed
Neziroglu, FA, McKay, D, Yaryura-Tobias, JA, Stevens, KP, Todaro, J (1999). Behaviour Research and Therapy 37, 881–902CrossRefGoogle Scholar
Oltmanns, TF (1988). Approaches to the definition and study of delusions. In: Delusional Beliefs (ed. Oltmanns, T. F. and Maher, B. A.), pp. 3–12. New York: Wiley.Google Scholar
Purdon, C, Clark, DA (2000). White bears and other elusive intrusions: assessing the relevance of thought suppression for obsessional phenomena. Behavior Modification 24, 425–453.CrossRefGoogle ScholarPubMed
Salkovskis, PM (1985). Obsessional-compulsive problems: a cognitive-behavioural analysis. Behaviour Research and Therapy 23, 571–583CrossRefGoogle ScholarPubMed
Salkovskis, PM (1999). Understanding and treating obsessive compulsive disorder. Behaviour Research and Therapy 37 (Suppl. 1), S29–S52.CrossRefGoogle ScholarPubMed
Sanavio, E (1988). Obsessions and compulsions: the Padua inventory. Behaviour, Research and Therapy 26, 169–177.CrossRefGoogle ScholarPubMed
Veale, D (2002). Over-valued ideas: a conceptual analysis. Behaviour Research and Therapy 40, 383–400.CrossRefGoogle ScholarPubMed
Wells, A, Matthews, G (1994). Attention and Emotion: A Clinical Perspective. Hove, UK: Erlbaum.Google Scholar
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