Treating a Case of Disgust-Based Contamination Obsessive-Compulsive Disorder Using a Functional Approach to Exposure and Response Prevention: A Case Study.

IF 0.6 4区 心理学 Q4 PSYCHOLOGY, CLINICAL
Richard S Gallagher
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引用次数: 0

Abstract

Research has shown that disgust-based contamination obsessive-compulsive disorder (OCD) is often challenging to treat due to neurological and behavioral differences that can inhibit short-term habituation. This article presents a case study of using a novel functional approach to exposure and response prevention for disgust-based OCD focused on facilitating practice in avoided situations, incorporating concepts from acceptance and commitment therapy as well as emerging literature on using judicious safety behaviors to enable repeated practice. This case involves a 39-year-old male patient with disgust-based contamination OCD treated using this approach. Following a short course of psychotherapy combined with self-directed practice, the patient's measured level of OCD severity (Yale-Brown Obsessive Compulsive Scale) was reduced by 56% over a 5-month period, with the patient meeting remission at posttreatment.

使用暴露和反应预防的功能方法治疗一例基于厌恶的污染强迫症:一个案例研究。
研究表明,由于神经和行为上的差异会抑制短期的习惯化,基于厌恶的污染强迫症(OCD)通常很难治疗。本文介绍了一个案例研究,使用一种新的功能方法来预防基于厌恶的强迫症的暴露和反应,重点是促进在避免的情况下的实践,结合接受和承诺治疗的概念,以及使用明智的安全行为来实现重复实践的新兴文献。本病例涉及一名39岁男性患者,使用该方法治疗基于厌恶的污染强迫症。经过短期的心理治疗结合自我指导的实践,患者的强迫症严重程度(耶鲁-布朗强迫症量表)在5个月的时间内降低了56%,患者在治疗后达到缓解。
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来源期刊
Journal of Cognitive Psychotherapy
Journal of Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
1.70
自引率
0.00%
发文量
47
期刊介绍: The Journal of Cognitive Psychotherapy is devoted to advancing the science and clinical practice of cognitive-behavior therapy. This includes a range of interventions including cognitive therapy, rational-emotive behavior therapy, dialectical behavior therapy, acceptance and commitment therapy, and mindfulness approaches. The journal publishes empirical papers, including case studies, along with review articles, papers that integrate cognitive-behavior therapy with other systems, and practical "how to" articles.
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