scholarly journals Cognitive Processes and Biases in Obsessive-Compulsive Disorder

10.5772/58406 ◽  
2014 ◽  
Author(s):  
Elisa Krackow ◽  
Sarah Nunley ◽  
Pamela Tessier
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Cognitive Processes ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

A Cognitive Approach to the Treatment of Primary Inferences in Obsessive-Compulsive Disorder

1999 ◽  
Vol 13 (4) ◽  
pp. 359-375 ◽  
Author(s):  
Kieron O’Connor ◽  
Sophie Robillard
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Cognitive Processes ◽  
Behavioral Therapy ◽  
Narrative Fiction ◽  
Obsessive Compulsive ◽  
Cognitive Approach ◽  
Compulsive Disorder ◽  
Condensed Form ◽  
A Chain ◽  
State Of Affairs

In this article, it is argued that obsessive-compulsive disorder (OCD) with overt compulsions, where there is overvalued ideation, is primarily a disorder of the imagination and hence, by implication, psychological therapy should principally address the client’s imagination, rather than other cognitive processes. According to this model, the OCD client imagines a state of affairs which is then taken ‘as if it were a reality and does so because of the persuasive influence of an imaginary narrative fiction. This narrative is replayed, often in condensed form, in the OCD context and leads the client into a chain of maladaptive inferences about a possible state of affairs. The client then acts in accordance with what might be present rather than what is actually present. An inference-based approach (IBA) which directly addresses and challenges the imaginary narrative of the client is outlined, with clinical illustrations. The IBA approach complements other cognitive-behavioral therapy (CBT) and can be used in conjunction with existing CBT methods which focus more on modifying the interpretations and secondary appraisals subsequent to primary inferences.

Obsessive–Compulsive Disorder

1995 ◽  
Vol 166 (4) ◽  
pp. 546-550 ◽  
Author(s):  
Frank Tallis
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Cognitive Processes ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Central Position ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
The Us ◽  
Biological Substrates ◽  
The Uk ◽  
Therapy Strategies

Obsessive–compulsive disorder (OCD) has recently undergone a dramatic change in status. Once regarded as a rare example of the neuroses, it now occupies a central position in contemporary psychiatry. The reasons for this renaissance in interest are relatively easy to describe. Firstly, results from the National Institute of Mental Health Epidemiological Catchment Area (ECA) survey indicated that the lifetime prevalence of OCD was 2.5% (1 in 40 people) and the 6-month point prevalence was 1.5%, making it the fourth most common psychiatric disorder in the US (Myers et al, 1984; Robins et al, 1984; Karno et al, 1988). If these figures are applicable to the UK, there may be up to 1 million sufferers. Secondly, the therapeutic efficacy of the selective serotonin reuptake inhibitors (SSRIs) and consistent findings from a number of neuroimaging investigations have stimulated interest in understanding the biological substrates of OCD. Finally, the traditional behavioural account of OCD has been elaborated, with greater emphasis given to cognition and cognitive processes; this revised anatomy of obsessions has, predictably, stimulated the development of specific cognitive therapy strategies.

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