Clinician's Handbook for Obsessive Compulsive Disorder: Inference-Based Therapy
- Provides clinical examples from the full range of OCD subtypes
- Coverage integrates theory and application
- Decribes case management in detail - from initial assessment to terminating therapy and follow-up
- Shows how IBT can also be generalized and applied to other serious psychiatric disorders
About the Authors ix
Chapter One: Overview of the IBT Programme 1
Chapter Two: IBT: Evaluation Tools 9
Part I: Education and Foundation 21
Chapter Three: When OCD Begins 23
Chapter Four: The ‘Logic’ behind OCD 43
Chapter Five: The Obsessional Story 57
Chapter Six: The Vulnerable Self-Theme 73
Part II: Intervention 89
Chapter Seven: OCD Doubt is 100% Imaginary 91
Chapter Eight: OCD Doubt is 100% Irrelevant 115
Chapter Nine: The OCD Bubble 129
Chapter Ten: Reality Sensing 143
Part III: Consolidation 157
Chapter Eleven: A Different Story 159
Chapter Twelve: Tricks and Cheats of the OCD Con Artist 175
Chapter Thirteen: The Real Self 189
Chapter Fourteen: Knowing and Doing: Moving On and Preventing Relapse 205
Chapter Fifteen: Trouble-Shooting 221
Case Illustrations 231
Case Illustrations: Clinical Data 257
Answers to Common Queries from Clients 277
Therapist Queries 283
Quiz Answers Sheet 289
Appendix 1: Inferential Confusion Questionnaire (ICQ-EV) 291
Appendix 2: IBT Clinical Scales 293
Appendix 3: Therapy Evaluation Form and Scale 299
Appendix 4: Avoidance and Situational Profile Scale 307
Appendix 5: Diary 311
Bibliography: Key IBA Publications and Other References 321
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).
—Jan van Niekerk, Clinical Psychologist, Fulbourn Hospital, Cambridge, UK
It is refreshing to have a new approach to therapy for OCD explained so clearly, with due regard to the theoretical subtlety of the Inference-Based Approach (IBA) approach. This book is a game-changer in this area of work and is a model of what careful research and evaluation can yield.
—Richard S. Hallam, Visiting Professor of Clinical Psychology, University of Greenwich, UK
The Inference-Based Approach (IBA) to the treatment of Obsessive-Compulsive Disorders presents a new and useful way to provide an evidence-based intervention for OCD. This approach is compatible with standard cognitive-behaviour therapy, but it adds a fresh perspective with new emphases for clinicians and clients alike. You will no doubt find it to be most interesting, and highly useful.
—Adam S. Radomsky, Associate Professor of Psychology, Concordia University, Canada
The Inference-Based Approach (IBA) has transformed the treatment of OCD in my private practice. This finely detailed treatment manual will now give clinicians – and their clients – access to the most innovative horizons of OCD clinical research and practice.
—Bob Safion, LMHC Private Practitioner, Anxiety Treatments, Massachusetts, USA
Building on a solid empirical and philosophical foundation, O’Connor and Aardema have written the definitive, practical guide to inference-based therapy for OCD for the practicing clinician that the field has been waiting for.
—Gary Brown, Research Director and Doctor in Clinical Psychology, Royal Holloway University of London, UK
This is an excellent handbook on the Inference-Based Approach, the most viable and promising approach to OCD of the past ten years. Based on firm research, the book is highly practical. The authors provide clear guidelines as to how therapists should deal with the underlying thoughts of OCD patients. A must for clinicians and students.
—Paul Emmelkamp, Academy Professor, University of Amsterdam, Netherlands