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Obsessive-Compulsive Disorder (OCD) is an Anxiety
Disorder that can be diagnosed in approximately 2.5% of the
population. In this seminar, effective cognitive-behavioral techniques for the
treatment of Obsessive-Compulsive Disorder are presented and
discussed. After a brief introduction by Prof. Francesco
Rovetto, Prof. Becker traces an historical review from the first
behavioral theories to the latest studies on the specific cognitive
domains: overvaluation of danger, excessive importance attributed to
thoughts, excessive sense of responsibility, perfectionism, excessive
thought control, inability to tolerate uncertainty. The various
therapeutic techniques are presented and discussed in detail.
In the last part of the seminar, of about half
hour, Dr. Melli talks (in Italian, without English translation)
about the typical cognitive-behavioral treatment protocol for the
obsessive-compulsive patient, also with clinical examples that show
their application to Italian patients: detailed assessment, motivational
interventions, exposure and response prevention techniques, cognitive
interventions.
In summary, the most recent advances in the
diagnosis and treatment of obsessive-compulsive disorder are
presented, according a cognitive-behavioral approach, with the
necessary critical remarks towards the excesses of some cognitive
theorists.
Joel L. Becker, Ph.D., works at the Center
for Cognitive Therapy in Beverly Hills (California), and
teaches at the University of California at Los Angeles (UCLA)
and at the University
of Southern California (USC). He was trained in both
psychodynamic and cognitive-behavioral approaches.
Currently he is specialized in marital therapy and in the
psychotherapy of anxiety disorders. One of his seminars on anxiety
disorders, titled "Anxiety Disorders: cognitive-behavioral psychotherapeutic
techniques", was held on June 6, 2000, at the
Department of Psychology of the University of Parma, and the
videotape is available (see web site http://www.psychomedia.it/pm-cong/2000/bec-e-pr.htm).
Gabriele Melli teaches at the Istituto di Psicologia e
Psicoterapia Comportamentale e Cognitiva (IPSICO) of Florence,
Italy, and is secretary of the Italian Association for the
Obsessive-Compulsive Disorder (AIDOC).
References
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Boschi/G. Russo e il paziente in forma anonima [1994/3]; N. Guidi
[1994/4])
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ossessivo-compulsivo. Il Ruolo Terapeutico, 80: 71-77.
Edizione su Internet: http://www.psychomedia.it/pm/modther/probpsiter/ruoloter/rt80-99.htm.
Obsessive Compulsive Cognitions Working Group
(1997). Cognitive assessment of obsessive-compulsive disorder.
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Obsessive Compusive Cognitions Working Group
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thought recurrences: impact on anxiety, active resistance and mood
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& Muris, P. (2001). Thought-action fusion and thought
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H., & Ladouceur, R. (1995). Perfectionism, responsibility and
obsessive-compulsive symptoms. Behaviour Research and Therapy,
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Salkovskis, P. M. (1985) Obsessional-compulsive
problems: a cognitive-behavioural analysis. Behaviour Research
and Therapy, 25, 571-583.
Salkovskis, P.M., Wroe, A.L., Gledhill, A.,
Morrison, N., Forrester, E., Richards, C., Reynolds, M., &
Thorpe, S. (2000). Responsibility attitudes and interpretations are
characteristic of obsessive compulsive disorder. Behaviour
Research and Therapy, 38, 347-372.
Sica, C., Novara, C., Sanavio, E., Dorz, S., &
Coradeschi, D. (2002). Obsessive Compulsive Disorder Cognitions
Across Cultures. In Frost, R.O. and Steketee, G. (2002). Cognitive
Approaches to Obsessions and Compulsions: Theory, Assessment and
Treatment. Cambridge, Pergamon Press.
Sookman, D., Pinard, G., & Beck, A.T. (2001).
Vulnerability schemas in obsessive compulsive disorder. Journal
of Cognitive Psychotherapy, 22, 269-298.
Van Oppen, P., & Emmelkamp, P.M.G. (1997).
Behavior and cognitive therapy for obsessive-compulsive disorder. In
J.A. den Boer & H.G.M. Westenberg (eds), Focus on
obsessive-compulsive spectrum disorders (pp. 185-204). Synthesis,
Amsterdam.
Wells A. (1997). Cognitive Therapy of Anxiety
Disorders: A Practice Manual and Conceptual Guide. New York:
Wiley (trad. it.: Trattamento cognitivo dei disturbi d'ansia.
Milano: McGraw-Hill, 1999).
Wroe, A.L., Salkovskis, P.M., & Richards, H.C.
(2000). Now I know it could happen, I have to prevent it: A clinical
study of the specificity of intrusive thoughts and the decision to
prevent harm. Behavioural and Cognitive Therapy, 28, 63-70.
- Joel Becker, Ph.D.
- Center for
Cognitive Psychotherapy
- 9665 Wilshire
Boulevard, # 520
- Beverly Hills, CA
90212
- USA
- Tel. (310) 858-3831
- E-Mail <jbecker@ucla.edu>
For
further informations: <migone@unipr.it>
Other videos:
John F. Clarkin, "Personality and personality disorders" (1997)
(6 videos, 17 hours)
Joel Becker, "Anxiety Disorders:
Cognitive-behavioral psychotherapeutic techniques" (2000)
(2 videos, 5 hours)
Joel Becker & Gabriele Melli, "Recent advances in the assessment and
cognitive-behavioral treatment of Obsessive-Compulsive Disorder" (2003)
(1 video, 3 hours)
Robert R. Holt & Morris N. Eagle, "The
scientific status of psychoanalysis" (2000)
(1 video, 2.5 hours)
Robert R. Holt, Philip S. Holzman, Roy Schafer, Herbert J. Schlesinger, Fred
Schwartz, Peter H. Wolff et al., "40th Anniversary of the
Rapaport-Klein Study Group: Reflections on David Rapaport" (2003) (1
video, 2 hours, in English)
Adolf Grünbaum et al., "Questions and answers on psychoanalysis and
philosophy" (1998)
(2 videos, audio only with images)
Robert R. Holt, "A History of the Research Center for Mental Health, New York
University (NYU)" (2006) (1 video, in English)
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