Synopses & Reviews
This unique volume gives readers a front-row seat at an exciting and crucial symposium.Rrecent advances in theory and treatment have significantly increased our understanding of obsessive-compulsive disorder (OCD). Yet research on OCD generally falls under the rubric of either behavioral or biological, and rarely do the two meet. Concepts and Controversies of Obsessive Compulsive Disorder bridges this gap admirably. Featuring an international panel of 42 experts, this volume focuses in depth onand presents opposing viewpoints to the seven conceptual and practical disputes that characterize the field today:- categorical versus dimensional perspectives on symptoms - animal versus behavioral models - single OCD entity versus OCD spectrum - neuropsychiatric versus cognitive-behavioral models - cognitive therapy versus exposure therapy - self-directed versus therapist-directed treatment - medication versus cognitive-behavioral therapy The book offers these issues in a debate format, with each side contributing a position paper on the topic, followed by a rebuttal from the opposite perspective. In addition, timely chapters examine sexual addictions, body dysmorphic disorder, trichotillomania, Tourettes syndrome, and compulsive shopping in the context of OCD to bring further insight into spectrum theories of the disorder.This level of discussion and argument, with its possibility for collaboration and integration, makes Concepts and Controveries of Obsessive Compulsive Disorder productive reading for students, researchers, and therapists of all orientations as they design the next generation of theory and greater nuances of treatment.
Review
From the reviews: Abramowitz and Houts' volume on Concepts and Controversies in OCD is a winner. This is a must read for discerning clinicians, graduate students and researchers wanting to stay on top of the latest information and clinical disagreements about OCD. Experts formally debate the important issues about symptom subtypes, the relationship of OCD and spectrum conditions, biological and psychological models, and cognitive versus behavioral versus pharmacological treatments. This is a cutting edge work likely to catalyze important discoveries about OCD and related problems. Gail Steketee, PhD Professor, Co-Chair of Clinical Practice Boston University School of Social Work "Over the past 30 years, clinical scientists have devoted considerable attention to the experiences of people suffering from obsessive-compulsive disorder (OCD). ... The unique feature of this volume is that it revolves around a series of exchanges or discussions. ... The book's principal value lies in the presentation of information from a number of different fields of study. ... The topics included in the volume are well chosen ... . The editors have done the field a great service ... ." (Thomas F. Oltmanns, PsycCRITIQUES, Vol. 51 (27), July, 2006)
Synopsis
This unique volume gives readers a front-row seat at an exciting and crucial symposium. Recent advances in theory and treatment have significantly increased our understanding of obsessive-compulsive disorder (OCD). Yet research on OCD generally falls in categories of either behavioral or biological, and rarely do the two meet. Concepts and Controversies in Obsessive-Compulsive Disorder bridges this gap admirably. Featuring an international panel of 42 experts, this volume focuses in depth on--and presents opposing viewpoints to --the seven conceptual and practical disputes that characterize the field today: - categorical versus dimensional perspectives on symptoms - animal versus behavioral models - single OCD entity versus OCD spectrum - neuropsychiatric versus cognitive-behavioral models - cognitive therapy versus exposure therapy - self-directed versus therapist-directed treatment - medication versus cognitive-behavioral therapy These issues are presented in a debate format, with each side contributing a position paper on the topic, followed by a rebuttal from the opposite perspective. To further enrich the debate, timely chapters examine special areas such as sexual addictions, body dysmorphic disorder, trichotillomania, Tourette's syndrome, and compulsive shopping in the context of OCD. This level of discussion and argument, with its possibility for collaboration and integration, makes Concepts and Controveries of Obsessive Compulsive Disorder unique and productive reading for students, researchers, and therapists of all orientations as they design the next generation of theory and greater nuances of treatment.
About the Author
Jonathan S. Abramowitz, Ph.D., ABPP, is Associate Professor and Director of the OCD/Anxiety Disorders Program at the Mayo Clinic, Rochester, MN. He conducts research on OCD and other anxiety disorders and has published over 50 journal articles and book chapters. He also maintains an active consultation and clinical practice. He serves on Advisory Boards for the Obsessive Compulsive Foundation and Anxiety Disorders Association of America and has received awards from the American Psychological Association, National Institutes of Health, Obsessive-Compulsive Foundation, and Mayo Clinic. Arthur C. Houts, Ph.D., was Professor and Director of Clinical Training at The University of Memphis until he retired in 2003 to work full time at The West Clinic, a large oncology center in Memphis, TN. He has published broadly in adult and child clinical psychology, as well as in the field of science studies. Dr. Houts is currently developing technology to provide better quality of life assessment in cancer care and is building a research network of oncology practices for clinical trials.
Table of Contents
PART I. PHENOMENOLOGY 1. Symptom Dimensions in OCD: Developmental and Evolutionary Perspectives. James F. Leckman, David Mataix-Cols, and Maria Conceição do Rosario-Campos 2. Dimensional and Subtype Models of OCD Steven Taylor Reply to Taylor. Combined Dimensional and Categorical Perspectives as an Integrative Approach to OCD James F. Leckman, David Mataix-Cols, and Maria Conceição do Rosario-Capos Reply to Leckman et al. Putting the Symptom Dimension Model to the Test Steven Taylor 3. Animal Models of Obsessive Compulsive Disorder: A Neurobiological and Ethological Perspective Nicholas H. Dodman and Louis Shuster 4. Behavioral and Functional Models of OCD Arthur C. Houts Reply to Houts. A Dysfunctional Animal Model of OCD Nicholas H. Dodman Reply to Dodman. Animal Models and Two Traditions in OCD Research Arthur C. Houts 5. The Case for the OCD Spectrum Eric Hollander, Jennifer P. Friedberg, Stacey Wasserman, Chin-Chin Yeh, and Rupa Iyengar 6. Obsessive-Compulsive Disorder: Essential Phenomenology and Overlap with Other Anxiety Disorders Jonathan S. Abramowitz and Brett J. Deacon Reply to Abramowitz and Deacon. Beyond Anxiety: Etiological and Functional Overlaps Between OCD and OC Spectrum Disorders Eric Hollander and Chin-Chin Yeh Reply to Hollander et al. The OC Spectrum: A Closer Look at the Arguments and the Data Jonathan S. Abramowitz and Brett J. Deacon 7. Trichotillomania: An Obsessive-Compulsive Spectrum Disorder Dan J. Stein, Christine Lochner, Sian Hemmings, and Craig Kinnear 8. Overlap of Body Dysmorphic Disorder and Hypochondriasis with OCD Fugen Neziroglu and SonyKhemlani-Patel 9. Contrasting Nonparaphilic Sexual Addictions and OCD Stefanie A. Schwartz and Jonathan S. Abramowitz 10. Compulsive Buying: A Disorder of Compulsivity or Impulsivity Lorraine A. Swan-Kremeir, James E. Mitchell and Ronald J. Faber 11. Contrasting Tourette's Syndrome and Tic Disorders with OCD Kieron O'Connor PART II. ETIOLOGY 12. Neuropsychiatric Models of OCD David R. Rosenberg, Aileen Russell, and Andrea Fougere 13. Cognitive-Behavioral Models of OCD Roz Shafran Reply to Shagran. Biological and Cognitive Models of OCD: Seeking Similarities and Achieving Progress Together David R. Rosenberg, Aileen Russell, and Andrea Fougere Reply to Rosenberg et al. Biological Versus Psychological Approaches to OCD: War or Peace?Roz Shafran and Anne Speckens PART III. TREATMENT 14. Formal Cognitive Therapy: A New Treatment for OCD Jeanne Fama and Sabine Wilhelm 15. Treatment for OCD: Unleashing the Power of Exposure Reply to Kozak and Coles. Expanding the Conceptualization of Cognitive Therapy and its Therapeutic Potential Jeanne Fama and Sabine Wilhelm Reply to Fama and Wilhelm. Cognitive Therapy and Exposure Treatment for OCD: Contrast and Rapprochment Michael J. Kozak and Meredith E. Coles 16. The Role of the Therapist in Behavior Therapy for OCD David F. Tolin and Scott Hannan 17. Self-Directed Exposure in the Treatment of OCD Cheryl N. Carmin, Pamela S. Wiegartz, and Kevin D. Wu Reply to Carmin et al. What's in a Name? The Distinction Between Self-Directed and Self-Conducted Treatment David F. Tolin and Scott Hannan Reply to Tolin and Hannan. Self-Directed Versus Therapist-Directed Treatment: Additional Considerations Cheryl N. Carmin, Pamela S. Wiegartz, and Kevin D. Wu 18. Combining Pharmacotherapy and Cognitive-Behavioral Therapy in the Treatment of OCD H. Blair Simpson and Michael R. Liebowitz 19. Combining Serotonin Medication with Cognitive-Behavior Therapy: Is it Necessary for all OCD Patients? Martin E. Franklin Reply to Franklin. Using Combination Treatments for OCD H. Blair Simpson and Michael R. Liebowitz Reply to Simpson and Liebowitz. Meeting in the Middle, then Moving Forward Together Martin E. Franklin Author Index Subject Index