Clinician's Handbook for Obsessive Compulsive Disorder

Dr Kieron O'Connor is currently the Director of the Centre for Research on Tic and Obsessional Disorders at the Fernand Seguin Research Center, Louis H. Lafontaine hospital affiliated with University of Montreal. He is also affiliated with the University of Quebec in Outaouais. His research focuses on improving understanding and treatment of people suffering from obsessive-compulsive spectrum and related disorders. The current IBT program is a product of this research. Dr O'Connor's publications include Behavioural Management of Tic Disorders (Wiley, 2005), and Beyond Reasonable Doubt: Reasoning Process in Obsessive Compulsive Disorder (with F. Aardema & M. C. Pélissier; Wiley, 2005). Dr Frederick Aardema is a Clinical Researcher at the Fernand Seguin Research Center, Louis H. Lafontaine hospital affiliated with the University of Montreal. He played a vital role in the development of the inference based approach to the treatment of OCD and his work on reasoning led to the development of an innovative theoretical approach to pure obsessional ruminations. Dr Aardema has published widely on obsessive-compulsive and related disorders. His books include Beyond Reasonable Doubt: Reasoning Process in Obsessive Compulsive Disorder (with K. P. O'Connor & M. C. Pélissier, Wiley, 2005).

• List of Cartoons viiAbout the Authors ixAcknowledgements xiIntroduction xiiiChapter One: Overview of the IBT Programme 1Chapter Two: IBT: Evaluation Tools 9Part I: Education and Foundation 21Chapter Three: When OCD Begins 23Chapter Four: The ‘Logic’ behind OCD 43Chapter Five: The Obsessional Story 57Chapter Six: The Vulnerable Self-Theme 73Part II: Intervention 89Chapter Seven: OCD Doubt is 100% Imaginary 91Chapter Eight: OCD Doubt is 100% Irrelevant 115Chapter Nine: The OCD Bubble 129Chapter Ten: Reality Sensing 143Part III: Consolidation 157Chapter Eleven: A Different Story 159Chapter Twelve: Tricks and Cheats of the OCD Con Artist 175Chapter Thirteen: The Real Self 189Chapter Fourteen: Knowing and Doing: Moving On and Preventing Relapse 205Chapter Fifteen: Trouble-Shooting 221Case Illustrations 231Case Illustrations: Clinical Data 257Answers to Common Queries from Clients 277Therapist Queries 283Quiz Answers Sheet 289Appendix 1: Inferential Confusion Questionnaire (ICQ-EV) 291Appendix 2: IBT Clinical Scales 293Appendix 3: Therapy Evaluation Form and Scale 299Appendix 4: Avoidance and Situational Profile Scale 307Appendix 5: Diary 311Bibliography: Key IBA Publications and Other References 321Index 325