Behavior therapy for obsessive-compulsive disorder: an alternative framework
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1985
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University of Hawaii at Manoa
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The purpose of this study was to examine the contribution of social/living skills to outcome in exposure and response prevention therapy for a group of obsessive-compulsive patients. A model is presented which emphasizes the role of social/living skills and the ability to develop alternative behaviors for improving in this type of therapy. Twenty patients were treated with ten sessions of exposure and response prevention therapy. These participants also completed a battery of social/living skills and obsessive-compulsive measures at three time periods: 1) pre-test, 2) post-test, and 3) two-week follow-up. The results indicated that 1) patients as a group improved as a result of exposure and response prevention, and 2) moderate support was found for the notion that social/living skills are a factor in outcome. A revised model is presented which suggests that exposure and response prevention produces differential effects, depending on whether or not the patient's ritual behaviors are anxiety based. Specifically, patients whose rituals produce relief from anxiety appear to benefit most from exposure and response prevention, compared to those patients whose rituals do not result in anxiety relief. It is suggested that those patients who do not benefit from this therapy require a more extensive functional analysis of the problem.
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Behavior therapy, Obsessive-compulsive disorder
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Theses for the degree of Doctor of Philosophy (University of Hawaii at Manoa). Psychology; no. 1937
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