Cognitive-Behavioral Therapy for OCD

Cognitive-Behavioral Therapy for OCD

by David A. Clark
     
 

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The last decade has witnessed a dramatic shift in theory, research, and treatment of obsessive-compulsive disorder (OCD). Traditional behavioral models of the disorder have increasingly been integrated with cognitive perspectives, leading to better scientific understanding and enhanced treatment approaches. From leading scientist-practitioner David A. Clark, this…  See more details below

Overview

The last decade has witnessed a dramatic shift in theory, research, and treatment of obsessive-compulsive disorder (OCD). Traditional behavioral models of the disorder have increasingly been integrated with cognitive perspectives, leading to better scientific understanding and enhanced treatment approaches. From leading scientist-practitioner David A. Clark, this authoritative, highly practical book reviews the breadth of current knowledge on OCD and its treatment and sets forth a cutting-edge framework for therapeutic work. Provided are readily applicable clinical tools that are theoretically grounded and evidence-based, making this an essential resource for anyone studying or treating this chronic and often debilitating disorder.

Initial chapters explore the complexities of OCD, reviewing its diagnosis, course, clinical presentation, and subtypes, and examining how obsessions and compulsions develop and are maintained. Elaborating on and refining existing cognitive and behavioral theories, Clark presents an expanded account of obsessional phenomena which forms the basis of his innovative treatment approach. The latter portion of the book spells out the nuts and bolts of clinical intervention. Strategies are outlined for cognitive-behavioral assessment and case conceptualization, and available OCD assessment instruments are reviewed. Chapters then offer step-by-step guidelines for conducting an array of carefully planned cognitive and behavioral interventions.

Throughout, emphasis is placed on helping clients modify not only their primary appraisals and beliefs about intrusive thoughts, but also their faulty secondary appraisals of mental control. Including a wealth of case examples, sample dialogues, troubleshooting tips, and quick-reference tables and charts, the volume is readable and clinician-friendly. Reproducible appendices feature over a dozen requisite rating scales, client handouts, and homework tasks. 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.

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Editorial Reviews

4 Stars! from Doody
Doody's Review Service
Reviewer: Gary B Kaniuk, PsyD (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.
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."
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."

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Product Details

ISBN-13:
9781593853754
Publisher:
Guilford Publications, Inc.
Publication date:
10/01/2006
Edition description:
New Edition
Pages:
324
Sales rank:
788,597
Product dimensions:
6.00(w) x 9.00(h) x (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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