Cognitive-Behavioral Therapy for OCD

Overview

This authoritative book reviews current cognitive-behavioral models of OCD and delineates an innovative, theoretically and empirically grounded approach to assessment and treatment. Leading scientist-practitioner David A. Clark first elaborates and refines existing theories of obsessions and compulsions. He then spells out effective strategies for assessing client needs, developing a clear case formulation, implementing an array of cognitive and behavioral interventions, and troubleshooting potential ...
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Cognitive-Behavioral Therapy for OCD

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Overview

This authoritative book reviews current cognitive-behavioral models of OCD and delineates an innovative, theoretically and empirically grounded approach to assessment and treatment. Leading scientist-practitioner David A. Clark first elaborates and refines existing theories of obsessions and compulsions. He then spells out effective strategies for assessing client needs, developing a clear case formulation, implementing an array of cognitive and behavioral interventions, and troubleshooting potential difficulties. Illustrated with extensive clinical material, the volume is practical and user-friendly. Reproducible appendices feature over a dozen rating scales, client handouts, and homework tasks.
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Editorial Reviews

From the Publisher
"This is an outstanding book. Clark has undertaken the considerable task of reviewing all of the key literature on OCD, from early behavioral research to current cognitive theories and tactics. Coverage of definitions, diagnostic criteria, epidemiology, and assessment is balanced and up to date. Naturally, the book is particularly strong on the subject of obsessions, as Clark has made a significant research contribution here and is an accepted authority. Well organized and comprehensive, the book is bolstered by many tables and summaries. It may well become a standard reference and is likely to be required reading in clinical graduate programs."—S. Rachman, PhD, University of British Columbia

"This book fills an important gap in the treatment literature. The coverage is detailed and thorough, providing a good balance of theory, research, and step-by-step clinical suggestions. Clark's expertise and experience, both as a scientist and a clinician, are evident in this extremely well-written work. Students learning to apply evidence-based strategies to the treatment of OCD will find this to be an invaluable resource."—Martin M. Antony, PhD, Ryerson University, Toronto

"This very readable and wonderfully detailed volume provides up-to-date and comprehensive coverage of the phenomenology of OCD, as well as the theoretical and research basis for understanding this complicated condition. Initial chapters provide a wealth of information on diagnostic distinctions and set the stage for knowledgeably applying the treatment techniques contained in the second half of the book. These strategies are clearly presented with numerous examples and helpful tables, handouts, and therapy forms. Especially useful is the detailed presentation of the subtleties of effective cognitive and behavioral interventions. Overall, this is a truly excellent handbook that should be on the shelves of practicing clinicians, academic instructors, and advanced graduate students interested in the psychopathology and treatment of OCD."—Gail Steketee, PhD, Boston University School of Social Work

"This volume is exciting reading for anyone interested in recent developments in cognitive-behavioral theories and therapies of obsessive-compulsive disorders. David A. Clark has written a cohesive, comprehensive book that is scholarly yet at the same time contains much of value for the clinician. Provided is a much-needed, theoretically and empirically guided CBT treatment manual for obsessional disorders. Highly recommended!"—Paul M.G. Emmelkamp, PhD, University of Amsterdam

Cognitive Behavioral Therapy Book Reviews
"[An] outstanding volume. Dr. Clark's informative, thought-provoking book is a must read for students, as well as experts, interested in learning more about this complex and difficult to treat disorder."—Cognitive Behavioral Therapy Book Reviews
Bulletin of the Menninger Clinic
"This book is a must for anyone who will ever have a potential OCD patient walk into her or his office."—Bulletin of the Menninger Clinic
Doody's Review Service
Reviewer: Gary B Kaniuk, Psy.D.(Cermak Health Services)
Description: This book presents a cognitive-behavioral approach toward obsessive-compulsive disorder (OCD). It covers theory, research, and practice. The third part of the book is a treatment manual with reproducible appendixes.
Purpose: According to the author: "My purpose in writing this book is to provide a comprehensive account of contemporary cognitive-behavioral theory, research, and treatment of OCD. Written with a scientist-practitioner orientation, it assumes that psychological treatment of OCD will be effective only if it is theoretically guided and empirically verified. As a result, half of the book is devoted to cognitive-behavioral theory and research of OCD, whereas the rest of the book constitutes a CBT treatment manual for obsessional disorders." (p.viii) The book definitely meets the author's objectives.
Audience: According to the author, "Scholarly yet accessible, this state-of-the-science book belongs on the desks of cognitive-behavioral therapists; clinicians of other orientations who may encounter clients with OCD in their practice; and students and residents in the full range of mental health fields. It will serve as a uniquely informative text for graduate-level courses and clinical training programs." The author is indeed a credible authority. He is currently a professor in the Department of Psychology at University of New Brunswick, and he has published many articles about cognitive therapy of depression and OCD and he is a Founding Fellow of the Academy of Cognitive Therapy. He has worked with Aaron Beck on the Clark-Beck Obsessive-Compulsive Inventory. Dr. Clark is an accomplished researcher in the field of OCD.
Features: The book contains theory, research, and therapeutic approaches to OCD in the cognitive-behavioral tradition. The third part of the book (which contains half the pages) is a treatment manual which a therapist can use with clients. The appendixes in chapters 8-10 are wonderful and can be reproduced, if you use the material with your own clients. The author presents case examples and really walks you through the cognitive model. Chapter 9, "Getting Started," is extremely helpful because it begins with theoretical assumptions and then deals with practice issues. It teaches the importance of the therapeutic relationship and deals with pitfalls.
Assessment: This is a wonderful book because it focuses on one disorder and provides both theoretical and clinical instruction. Novice therapists will gain the most, but seasoned veterans can also learn under the teaching of Dr. Clark. The reproducible appendixes (inventories and rating scales) are invaluable. The reader will not come away disappointed because Dr. Clark delivers the goods. He is an expert who has worked with and learned from the master, Dr. Aaron Beck.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781572309630
  • Publisher: Guilford Publications, Inc.
  • Publication date: 11/17/2003
  • Pages: 338
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.88 (d)

Meet the Author

David A. Clark, PhD, is a professor in the Department of Psychology, University of New Brunswick, Canada. He received his doctorate from the Institute of Psychiatry, University of London, England. Dr. Clark has published widely on cognitive theory and therapy of depression and OCD, and is a founding fellow of the Academy of Cognitive Therapy. With Aaron T. Beck, Dr. Clark recently developed the Clark-Beck Obsessive-Compulsive Inventory, which assesses self-reported severity of obsessive and compulsive symptoms. He has received a number of research grants to study the cognitive basis of emotional disorders, the most recent being a Canadian federal grant to investigate intentional control of unwanted intrusive thoughts. He is also a founding member of the Obsessive Compulsive Cognitions Working Group, an international research group devoted to the study of the cognitive aspects of OCD, and serves as an associate editor of Cognitive Therapy and Research.

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Table of Contents

I. The Nature of OCD
1. Obsessive-Compulsive Disorder: A Diagnostic Enigma
2. Phenomenology of Obsessions and Compulsions
II. Cognitive-Behavioral Theory and Research
3. Behavioral Perspectives on OCD
4. Neuropsychology and Information Processing in OCD
5. Cognitive Appraisals Theories of OCD
6. Thought Suppression and Obsessions
7. Cognitive Control: A New Model of Obsessions
III. Cognitive-Behavioral Therapy
8. Cognitive-Behavioral Assessment of OCD
9. Getting Started: Basic Elements and Rationale
10. Cognitive Restructuring and Generating Alternatives
11. Empirical Hypothesis Testing
12. Modifying Secondary Appraisals of Control
13. Empirical Status and Future Directions

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