Towards a comprehensive treatment for obsessional thoughts

Robertson, John; Wendiggensen, Paul; Kaplan, Ida

doi:10.1016/0005-7967(83)90003-7

Cited by 13 publications

(5 citation statements)

References 16 publications

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“…Clark [ 1 ] has suggested that thought-stopping as a sole treatment may be useful in patients with distressing thoughts but no overt compulsions. When thought-stopping is taught systematically, the patient acquires a cognitive control technique that disrupts obsessional thoughts and the link between these thoughts and neutralization strategies [ 2 , 15 ]. In contrast, thought suppression is a neutralizing strategy commonly used by patients in a non-systematic fashion.…”

Section: Discussionmentioning

confidence: 99%

“…Exposure to anxiety-arousing situations generates distressing thoughts/images and the urge to carry out neutralization strategies. With repeated exposure, habituation can increase the patient's self-control and ability to resist their familiar neutralizing acts leading to a reduction of such urges [ 15 ]. Therefore, when thought-stopping follows exposure, it acts as a means of response prevention for blocking the neutralizations that prevent habituation [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

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The Combination of Thought-Stopping And Exposure and Response Prevention in the Treatment of Predominant Obsessions: A Case Report

Sinha¹,

Chakrabarti²

2022

Cureus

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The behavioral technique of thought-stopping is no longer used to treat obsessive-compulsive disorder (OCD) because of its ineffectiveness and concerns about the detrimental effects of thought suppression. However, it can be effective when used as a part of exposure and response prevention (ERP) treatment in those with predominant obsessions without overt compulsions. We present the case of a female with longstanding medication-resistant obsessions without compulsions. The combination of thought-stopping, ERP, and simple techniques to address neutralization and dysfunctional cognitions was effective in reducing her symptoms. Treatment gains were maintained for two years. The successful treatment of this patient with a combination of thought-stopping with ERP suggests that it might be worthwhile to examine the effectiveness of this integrated treatment in properly controlled trials of patients with predominant obsessions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Combination of Thought-Stopping And Exposure and Response Prevention in the Treatment of Predominant Obsessions: A Case Report

Sinha¹,

Chakrabarti²

2022

Cureus

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“…Also, Salkovskis and Warwick (1985) outlined a sequential strategy for dealing with overvalued ideation. A key difference between the two types of obsessional disorders proposed by Robertson et al (1983) was that one is essentially "nonsensical" in content while the other is "normal" in content but involves issues that are dwelt on for an excessive amount of time. The current patients clearly fall into the latter category.…”

Section: Assessment Of Obsessional Indecisionmentioning

confidence: 99%

“…Prevalence rates for patients falling within this subgroup have varied between 13% to 25% of the overall OCD population (Ball et al, 1996;Barlow, 1988;Minichiello, Baer, Jenike, & Holland, 1990). Robertson, Wendiggensen, and Kaplan (1983), in an attempt to clarify the nature of pure obsessions, suggested that they could be of two types. The first type comprises an aversive thought, image, or impulse which triggers significant anxiety in the individual and which is followed by a neutralising thought which, superstitiously "puts it right".…”

mentioning

confidence: 99%

Obsessional Indecision: Its Psychological Conceptualisation, Assessment, and Treatment

Dunne¹,

Llamas²

1998

Behav. change

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This paper examines the clinical entity of obsessional indecision. It argues for its conceptualisation as a form of “pure” obsessional disorder and discusses assessment issues and proposed intervention techniques. Data gathered from four patients treated by the authors is used to substarniate the arguments and points made. The paper illustrates the nature of the problem, as well as highlighting its varying topography and elucidating a novel treatment package that appears to show promise.

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“…As early as 1965 Homme emphasized the importance of covert operants or ' coverants' in the reinforcement of beliefs and behaviours. Since then, Cautela (1967Cautela ( , 1971) has used covert sensitization and covert modelling in the treatment of phobias, and various forms of 'thought stopping' are used in the treatment of obsessional ruminations (Kumar & Wilkinson, 1971 ;Robertson et al, 1983).…”

Section: Phenomenologymentioning

confidence: 99%

Existential‐behaviour therapy: A possible paradigm?

Butcher¹

1984

British Journal of Medical Psychology

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A comparative discussion is presented of existential and behavioural psychotherapy, indicating where behavioural theory, empirical research and single case studies can be related to the existential emphasis on phenomenology and personal confrontation with death, freedom, isolation and meaninglessness. The conclusions are that: more recent emphasis on cognitive variables in behaviour therapy has brought the two conceptual systems closer together; and there is improvement in the understanding of aetiology and clinical effectiveness when the therapist incorporates existential-behavioural constructs and methods of working.

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Towards a comprehensive treatment for obsessional thoughts

Cited by 13 publications

References 16 publications

The Combination of Thought-Stopping And Exposure and Response Prevention in the Treatment of Predominant Obsessions: A Case Report

The Combination of Thought-Stopping And Exposure and Response Prevention in the Treatment of Predominant Obsessions: A Case Report

Obsessional Indecision: Its Psychological Conceptualisation, Assessment, and Treatment

Existential‐behaviour therapy: A possible paradigm?

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