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PSYCHOMEDIA
CONGRESSI E SEMINARI

 

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Department of Psychology, University of Parma, Italy
Director: Paolo Moderato, Ph.D.
Recent advances in the assessment
and cognitive-behavioral treatment
of Obsessive-Compulsive Disorder
Seminar for psychology students and metal health professionals held on April 15, 2003, at the Department of Psychology of the University of Parma, Italy, by
 
Joel Becker, Ph.D.
Clinical Associate Professor, Department of Psychology
University of California at Los Angeles (UCLA) & University of Southern California (USC) (Translation by Paolo Migone, M.D.)
and by
Gabriele Melli
Istituto di Psicologia e Psicoterapia Comportamentale e Cognitiva (IPSICO), Florence

The VIDEOTAPE or the DVD of the seminar are available, 
in both languages (English and Italian).
For informations and orders, contact
Paolo Migone, M.D., Via Palestro 14, 43100 Parma, Italy,
tel./fax +(39) 0521-960595, E-Mail <migone@unipr.it>

 

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

Beck A.T. (1976). Cognitive Therapy and the Emotional Disorders. New York: Int. Univ. Press (trad. it.: Principi di terapia cognitiva. Roma: Astrolabio, 1984).

Beck A.T. & Freeman A. (1993). Cognitive Therapy of Personality Disorders. New York: Guilford (trad. it.: Terapia cognitiva dei disturbi di personalitˆ. Milano: Mediserve, 1993).

Cottraux, J., Note, I., Yao, S.N., Lafont, S., Note, B., Mollard, E., Bouvard, M., Sauteraud, A., Bourgeois, M., & Dartigues, J.F. (2001). A randomized controlled trial of cognitive therapy versus intensive behavior therapy in obsessive compulsive disorder. Psychotherapy and Psychosomatics, 70, 288-297.

Dettore D. (1998). Il disturbo ossessivo-compulsivo. Caratteristiche cliniche e tecniche di intervento. Milano: McGraw-Hill.

Guidano V. & Liotti G. (1979). Elementi di psicoterapia comportamentale. Roma: Bulzoni.

Emmelkamp, P.M.G., & Aardema, A. (1999). Metacognition, specific obsessive-compulsive beliefs and obsessive-compulsive behaviour. Clinical Psychology and Psychotherapy, 6, 139-145.

Frost R.O. and Steketee, G. (1997), Perfectionism in obsessive compulsive disorder patients. Behaviour Research and Therapy, 35, 291-296.

Frost, R.O. and Steketee, G. (2002). Cognitive Approaches to Obsessions and Compulsions: Theory, Assessment, and Treatment. Cambridge, Pergamon Press.

Kozak, M.J., & Foa, E. B. (1994). Obsessions, overvalued ideas, and delusions in obsessive-compulsive disorder. Behaviour Research and Therapy, 32, 343-353.

Krochmalik, A., Jones, M.K., & Menzies, R.G. (2001). Danger Ideation Reduction Therapy (DIRT) for treatment-resistant compulsive washing. Behaviour and Therapy, 39, 897-912.

McLean, P.D., Whittal, M.L., Thordarson, D.S., Taylor, S., Sochting, I., Koch, W. J., Paterson, R., & Anderson, K.W. (2001). Cognitive versus behavior therapy in the group treatment of obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 69, 205-214.

Migone P. (1993). Un caso di disturbo ossessivo-compulsivo. Psicoterapia e scienze umane, XXVII, 4: 117-126 (discussioni di R. Holt e M. Reda [1993/4], P. Wachtel, G. Fossi e G. Liotti [1994/1]; G. Parisi/A. Peduto, W. Galliano, A. Longo/M. Mazzucchelli, G. Medri e P. Migone [1994/2]; P. Migone, M. Boschi/G. Russo e il paziente in forma anonima [1994/3]; N. Guidi [1994/4])

Migone P. (1999). La terapia del disturbo 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. Behaviour Research and Therapy, 35, 667-681.

Obsessive Compusive Cognitions Working Group (2001). Development and initial validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory. Behaviour Research and Therapy, 39, 987-1006.

Phillips, K.A., &McElroy, S.L. (2000). Personality disorders and traits in patients with body dysmorphic disorder. Comprehensive Psychiatry, 41, 229-236.

Purdon, D. (2001). Appraisal of obsessional thought recurrences: impact on anxiety, active resistance and mood state. Behaviour Therapy, 32, 47-64.

Rachman, S.J. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 36, 793-802.

Rassin, E., Diepstraten, P., Merckelbach, H., & Muris, P. (2001). Thought-action fusion and thought suppression in obsessive-compulsive disorder. Behaviour Research and Therapy, 39, 757-764.

Rheaume, J., Freeston, M.J., Dugas, M.J., Letarate, H., & Ladouceur, R. (1995). Perfectionism, responsibility and obsessive-compulsive symptoms. Behaviour Research and Therapy, 33, 785-794.

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


Videotapes, CDs, or DVDs  for mental health professionals:

John F. Clarkin, "Personality and personality disorders" (1997) (6 videotapes, 17 hours)

Joel Becker, "Anxiety Disorders: Cognitive-behavioral psychotherapeutic techniques" (2000) (2 videotapes or DVDs, 5 hours)

Joel Becker & Gabriele Melli, "Recent advances in the assessment and cognitive-behavioral treatment of Obsessive-Compulsive Disorder" (2003) (1 videotape or DVD, 3 hours)

Robert R. Holt & Morris N. Eagle, "The scientific status of psychoanalysis" (2000) (1 videotape, 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 videotape, 2 hours, in English)

Adolf Grünbaum et al., "Questions and answers on psychoanalysis and philosophy" (1998) (2 audio-CDs)

Robert R. Holt, "A History of the Research Center for Mental Health, New York University (NYU)" (2006) (1 DVD, in English)


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