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Cognitive Therapy of Obsessive – compulsive Disorder: Treating Treatment Failures

Published online by Cambridge University Press:  16 June 2009

Paul M. Salkovskis  and
Hilary M. C. Warwick
Paul M. Salkovskis
Affiliation:
Senior Clinical Psychologist, The General Infirmary at Leeds
Hilary M. C. Warwick
Affiliation:
Tutor in Psychiatry, University of Leeds
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Extract

Foa (1979) has identified two groups of obsessional patients for whom behaviour therapy is ineffective; those with severe concurrent depression and those with “overvalued ideation”. She has also highlighted the need for the development of new treatment strategies for these individuals. A case history illustrating the development of overvalued ideation in a previously typical obsessional patient is described, together with an account of a successful treatment based on Beck's cognitive therapy combined with exposure. The implications of this report for views on the development of overvalued ideation in obsessionals are discussed. It is argued that cognitive–behavioural interventions such as the one described here may be useful as an adjunct to more traditional behavioural treatments for obsessional disorders as well as in the treatment of patients with overvalued ideation.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 13 , Issue 3 , July 1985 , pp. 243 - 255
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1985

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