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2 results

  • 13 - Obsessive Compulsive Disorder:

  • from Part Three - Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder and Associated Disorders
  • Edited by Gillian Todd, University of East Anglia, Rhena Branch, University of East Anglia
  • Book:
    Evidence-Based Treatment for Anxiety Disorders and Depression
    Published online:
    06 January 2022
    Print publication:
    13 January 2022, pp 252-268

  • Summary

    “Pure” obsessions were once considered untreatable. This chapter provides clarity on the definition of obsessive thoughts and their associated behavioral sequelae (mental and physical rituals, reassurance seeking, and avoidance). The reader will become familiar with the universality of intrusive thoughts and the mechanism by which they convert to obsessive thoughts in certain individuals. The most common misinterpretations of obsessive thoughts are outlined (including fears that one is crazy, immoral, and/or dangerous). Up-to-date research on evidence-based treatment for this symptom is reviewed. Structured assessment tools and options for open-ended questions are provided for measuring not only symptoms, but the maladaptive beliefs associated with these symptoms. A case vignette of a new mother who began having intrusive thoughts of harming her infant is used to illustrate the case formulation, as well as behavioral and cognitive interventions. The chapter ends with relapse prevention strategies and suggested further reading.

  • Thought–Action Fusion: Is it Present in Schizophrenia?

  • Elif Kabakcı, Başaran Demir, Hilal Demirel, Ali Emre Şevik
  • Journal:
    Behaviour Change / Volume 25 / Issue 3 / 01 September 2008
    Published online by Cambridge University Press:
    22 February 2012, pp. 169-177

  • Thought–action fusion (TAF) refers to the belief that thoughts and actions are linked. While ‘Moral’ TAF refers to the belief that unacceptable thoughts are morally equivalent to overt actions, ‘Likelihood’ TAF is the belief that certain thoughts can increase the probability of some events (related to self or others) to occur. The objective of this study was to compare the schizophrenic patients with nonclinical controls in terms of TAF Likelihood and TAF Moral after controlling for the effects of obsessive compulsive and depressive symptoms, magical ideation and schizotypy. The sample was composed of patients hospitalised for schizophrenia (n = 45) and nonclinical control subjects (n = 41). Thought–Action Fusion Scale, Maudsley Obsessive–Compulsive Inventory, Magical Ideation Scale, Schizotypal Personality Characteristics Subscale and Beck Depression Inventory were administered. Results revealed that after controlling the effects of obsessive–compulsive and depressive symptoms, magical ideation and schizotypy, patients still had higher scores on TAF Likelihood Others but not on Self. Patients also had a tendency to get higher scores on TAF Moral. It is concluded that the study shows the presence of TAF Likelihood Others in schizophrenia even after controlling for the effects of magical ideation, depressive and OCD symptoms and schizotypal characteristics.