This book is the first to bring together new research to offer a
hands-on clinical guide to treating people with all types of
obsessive compulsive disorder (OCD) using an inference-based
therapy (IBT).
* 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
Table of Content
List of Cartoons vii
About the Authors ix
Acknowledgements xi
Introduction xiii
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
Index 325
About the author
Dr Kieron O’Connor is currently the Director of the Centre for Research on Tic and Obsessional Disorders at the Fernand Seguin Research Center, Louis H. Lafontaine hospital affiliated with University of Montreal. He is also affiliated with the University of Quebec in Outaouais. His research focuses on improving understanding and treatment of people suffering from obsessive-compulsive spectrum and related disorders. The current IBT program is a product of this research. Dr O’Connor’s publications include Behavioural Management of Tic Disorders (Wiley, 2005), and Beyond Reasonable Doubt: Reasoning Process in Obsessive Compulsive Disorder (with F. Aardema & M. C. Pélissier; Wiley, 2005).
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).
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