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One of the most experienced therapists in the world for treatment-resistant obsessive compulsive disorder (OCD) explains the disorder, the treatments available, and the skills needed to overcome and outsmart OCD.This is an eye-opening study of one of the most common psychiatric ailments diagnosed today—obsessive compulsive disorder (OCD). Written by Leslie J. Shapiro, a renowned therapist at one of the most well known OCD facilities in the world, this reference shares effective treatment strategies and clinical factors for helping therapists, mental health professionals, psychology students, clergy, and others deal with patients coping with this illness. The author offers case examples from her 15 years of residential work with patients, demonstrating how sufferers—even the most treatment resistant—can get control of the condition.Organized into three sections, this guidebook first reveals how OCD and guilt are intertwined and explores survival instincts, cultural factors, and the nature of thoughts. The second section covers aspects of the obsessive conscience such as scrupulosity, moralosity, and obsessive guilt. The book's conclusion describes effective exposure and response prevention strategies for these symptoms and examines methods of treatment that augment and help maintain recovery. An in-depth discussion on the differences between compulsive and impulsive behaviors—as well as other treatment impediments—is included.
Leslie J. Shapiro is a residential-level behavior therapist for treatment resistant obsessive compulsive disorder (OCD) at the OCD Institute at McLean Hospital.
Foreword by Michael A. JenikeAcknowledgmentsPart I: Hard-wired at Birth1 Your Brain Has a Mind of Its Own2 Hypersurvival: Evolutionary Survival Instincts Gone Awry—Too Much of a Necessary Thing?3 All Walks of Life: Global Prevalence and the Universal Culture of Rituals4 We AllHave "Bad" Thoughts5 In Good Company: A Who's Who of Obsessive ConsciencePart II: The Exploited Conscience6 Scrupulosity: It's Not Religious7 Moralosity: Nonreligious and Moral Perfectionistic OCD8 Obsessive GuiltPart III: "You Want Me to DoWhat?"9 Taking Control Where You Can and Must10 Helpful Treatment AugmentationsPart IV: Other Guiding Considerations11 It's Impulsive, Not Compulsive12 A Word about CountertransferenceAppendix A: GlossaryAppendix B: Types of Guilt Found in Western LiteratureAppendix C: Harder Personal Feelings QuestionnaireAppendix D: Rate Your OCDAppendix E: Pennsylvania Inventory of ScrupulosityAppendix F: The Loyola Religious Obsession and Compulsion ChecklistAppendix G: Family Accommodation Scale for Obsessive–Compulsive DisorderIndex
Impressively well written, exceptionally well organized, and deftly presented, Understanding OCD is very highly recommended for professional and academic library Psychology/Psychiatry instructional reference collections.