Beyond Reasonable Doubt Reasoning Processes in Obsessive-Compulsive Disorder and Related Disorders

by O'Connor, Kieron; Aardema, Frederick; Pé; lissier, Marie-Claude

• ISBN13: 9780470868775
• ISBN10: 0470868775
• Edition: 1st
• Format: Paperback
• Copyright: 2005-01-24
• Publisher: WILEY

Summary

Traditionally, obsessive-compulsive disorder has been classified as an anxiety disorder, but there is increasing evidence that it has schizotypal features in other words it is a belief disorder. This book describes the ways in which reasoning can be applied to OCD for effective treatment regimes. It moves comprehensively through theoretical, experimental, clinical and treatment aspects of reasoning research, and contains a detailed treatment manual of great value to practitioners, including assessment and treatment protocols and case studies

Author Biography

Kieron O’Connor completed his research and clinical training in psychology at the University of Sussex and the Institute of Psychiatry and Maudsley Hospital London (UK). In 1988 he was awarded the first of a series of fellowships by the Fonds de la Recherche en Santé du Québec, and established a clinical research program at the Fernand-Seguin Research Center, Louis-H. Lafontaine Hospital, University of Montreal. The multidisciplinary research program, which focuses on obsessive-compulsive disorder, Tourette and tic disorder, and delusional disorder, is currently funded by the Canadian Institutes of Health Research. Kieron O’Connor is also Associate Research Professor at the Psychiatry Department of the University of Montreal and is scientific advisor to the Quebec OCD Foundation. He has over 100 scientific publications. Forthcoming publications include Cognitive Behavioral Treatment of Tic Disorders (Wiley, in press).

Frederick Aardema studied clinical psychology at the University of Groningen and the University of Amsterdam in the Netherlands under the supervision of Prof. P.M.G. Emmelkamp in affiliation with the Fernand-Seguin Research Center located in Montreal, Canada. He currently resides in Canada and has published in international journals in the field of obsessive-compulsive disorder. In particular, his research interests include psychometric and experimental methods in the measurement of reasoning processes in OCD, as well as the application of inference and narrative based models to obsessions without overt compulsions. He is a licensed psychologist and has a private practice in Montreal, Quebec.

Marie-Claude Pélissier studied psychology at the University of Quebec at Montreal in Canada and did most of her clinical training in London, England. She has been working for almost eight years in clinical research on obsessive-compulsive disorder and other OCD related disorders, which has resulted in publications in two international journals. As a licensed psychologist, she recently started her own private practice. She is also actively involved in local mental health community groups where she teaches and acts as scientific consultant on OCD.

Table of Contents

About the Authors	vii
Preface	ix
Foreword by Paul M.G. Emmelkamp	xiii
Acknowledgments	xv
1 Cognitive Approaches to Obsessive-Compulsive Disorder: An Overview	1	(16)
Obsessive-Compulsive Disorder	1	(3)
Cognitive Approaches to OCD	4	(6)
Intrusions and Inferences in OCD	10	(2)
Phobic and Non-Phobic Models of Development in OCD	12	(1)
Treatment Considerations	13	(3)
Conclusion	16	(1)
2 Reasoning in Everyday Life	17	(36)
Formal Logic and Informal Thinking	17	(15)
Making Sense of the Senses	32	(21)
3 Reasoning and Narrative	53	(28)
Conversation and Conviction	53	(14)
Inference and Imagination	67	(13)
Conclusion	80	(1)
4 Reasoning and Psychopathology	81	(32)
Reasoning in Clinical Populations	81	(15)
Reasoning Therapy	96	(14)
General Conclusion	110	(3)
5 An Inference-Based Approach to Obsessive-Compulsive Disorder	113	(36)
Clinical and Phenomenological Investigations into Inferential Confusion	113	(2)
Critical Concepts in an Inference-Based Model	115	(6)
Psychometric Measurement of Inferential Confusion	121	(10)
Experimental Studies of Inferential Confusion	131	(9)
Clinical Trials of an Inference-Based Approach to Therapy (IBA)	140	(6)
Conclusion	146	(3)
6 Using the IBA Treatment Manual	149	(50)
Introduction to Treatment	149	(1)
Step-by-Step Program	149	(17)
Common Queries from Clients	166	(4)
Troubleshooting Guide	170	(8)
Case Studies	178	(21)
7 Future Directions	199	(16)
IBA and Other Cognitive Therapy	199	(12)
Future Development in IBA	211	(2)
A Final Comment	213	(2)
Appendix 1 Overview of Our Treatment Program for Obsessive-Compulsive Disorder	215	(12)
Appendix 2 Worksheets, Exercise Sheets and Training Cards	227	(52)
Appendix 3	279	(2)
Appendix 4	281	(4)
References	285	(16)
Index	301