Cognitive Approaches to Obsessions and Compulsions: Theory, Assessment and Treatment Randy O. Frost and Gail Steketee New York: Pergamon, 2002. pp. 473. £68.12 (hb). ISBN: 0-08-043410-X

Taylor, Tracey

doi:10.1017/s1352465805232290

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“…Cognitive theory of anxiety disorders such as OCD (e.g., Salkovskis, 1999; Taylor, 2002) and panic disorder with agoraphobia (e.g., Austin & Richards, 2001; Beck, 1988; Clark, 1986, 1988, 1996; Taylor, 2000), attributes the cause of these disorders to irrational thinking, whereby patients catastrophically misinterpret harmless stimuli, such as bodily sensations in panic disorder and dirt in OCD. CBT treats these disorders by confronting patients with evidence that is inconsistent with their belief, either through in vivo exposure or cognitive information, which supposedly educates patients to interpret the stimuli rationally (e.g., Beck, 1988; Clark, 1988; Gelder, Clark, & Salkovskis, 1993; Hoffart, 1993; Salkovskis, Hackmann, Wells, Gelder, & Clark, 2006; Taylor, 2000).…”

Section: The Integrative Therapy Model Of Neurosismentioning

confidence: 99%

The rational-choice theory of neurosis: Unawareness and an integrative therapeutic approach.

Rofé¹

2010

Journal of Psychotherapy Integration

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In agreement with Freud (1915aFreud ( , 1915b, patients' unawareness regarding the underlying causes of their behavior seems to be the key to understanding the development and treatment of neurotic disorders. However, Freud's concepts of the unconscious and repression have encountered serious problems that do not allow for their maintenance (see review by Rofe ´, 2008). An additional issue concerns the fact that none of the available theories can integrate the therapeutic effects of various interventions under a single theoretical framework. Both of these issues are addressed in this article by the rational-choice theory of neurosis (RCTN). RCTN maintains that patients consciously and deliberately adopt neurotic disorders when confronted with intolerable levels of stress. Unawareness is created through sophisticated cognitive processes, by which patients forget their own self-involvement. Subsequently, patients develop a self-deceptive belief that rationalizes the neurotic behavior, thereby preserving unawareness. According to this new theory, all therapies exert their effect either by disrupting patients' ability to preserve unawareness, increasing the cost of the symptom, decreasing the patient's emotional distress, or eliminating the stressor.

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Section: The Integrative Therapy Model Of Neurosismentioning

confidence: 99%

The rational-choice theory of neurosis: Unawareness and an integrative therapeutic approach.

Rofé¹

2010

Journal of Psychotherapy Integration

View full text Add to dashboard Cite

show abstract

Cognitive Approaches to Obsessions and Compulsions: Theory, Assessment and Treatment Randy O. Frost and Gail Steketee New York: Pergamon, 2002. pp. 473. £68.12 (hb). ISBN: 0-08-043410-X

Cited by 1 publication

References 0 publications

The rational-choice theory of neurosis: Unawareness and an integrative therapeutic approach.

The rational-choice theory of neurosis: Unawareness and an integrative therapeutic approach.

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