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Understanding and treating obsessive-compulsive disorder.

P M Salkovskis¹

¹University of Oxford Department of Psychiatry, Warneford Hospital, UK.

Behaviour Research and Therapy

|July 14, 1999

Summary

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Cognitive Behaviour Therapy (CBT) evolved from behaviour therapy for Obsessive-Compulsive Disorder (OCD). Understanding interpretations of intrusive thoughts, particularly responsibility, is key to treating OCD with CBT strategies.

Area of Science:

Psychology
Psychiatry
Behavioural Science

Background:

Obsessive-Compulsive Disorder (OCD) treatment has evolved significantly.
Early behaviour therapy paved the way for modern Cognitive Behaviour Therapy (CBT).

Purpose of the Study:

To describe the evolution of behaviour therapy into CBT for OCD.
To highlight the role of cognitive interpretations in obsessional problems.
To detail CBT strategies for treating OCD.

Main Methods:

Review of the development of behaviour therapy and CBT for OCD.
Analysis of cognitive theory regarding the interpretation of intrusive thoughts.
Clinical description of treatment strategies specific to obsessional problems.

Related Experiment Videos

Main Results:

Rachman and colleagues' experiments in the 1970s were crucial.
Negative interpretations of intrusive thoughts, especially concerning harm and responsibility, maintain OCD.
These interpretations lead to maladaptive behaviours and negative mood, perpetuating the disorder.

Conclusions:

Cognitive interpretations, particularly those involving responsibility, are central to understanding and treating OCD.
CBT offers effective general and specific strategies for managing obsessional problems.
Understanding the cognitive underpinnings of OCD is vital for successful treatment.