CONTENTS
Preface
SECTION 1 – WHAT IS OCD?
Preface to Section 1
CHAPTER 1 – OCD: SYMPTOMS & DIAGNOSIS
Introduction
1.1 Obsessive Thoughts
1.2 Compulsive Washing
1.3 Compulsive Checking
1.4 Systematic Behaviours & The Arranging of Objects
i. Summary
1.6 Diagnosing OCD
1.7 Chapter Summary
CHAPTER 2 – OCD: PREVALENCE & EPIDEMIOLOGY
2.1 Prevalence & Epidemiology
2.1.1 The Prevalence & Epidemiology of OCD
2.1.2 Cultural Differences
2.2 The Comorbidity of OCD
2.3 OCD Through the Lifespan
2.4 Chapter Summary
CHAPTER 3 – OCD RELATED MENTAL HEALTH PROBLEMS
3.1 Body Dysmorphic Disorder
3.2 Hoarding Disorder
3.3 Trichotillomania (Hair-Pulling Disorder)
3.4 Excoriation (Skin Picking) Disorder
3.5 Onychophagia (Nail Biting)
3.6 Mental Contamination
3.7 Tourette’s & Tic Related Disorders
3.8 Obsessive-Compulsive Personality Disorder (OCPD)
3.9 Chapter Summary
SECTION 2 – WHAT CAUSES OCD?
Preface to Section 2
CHAPTER 4 – COGNITIVE FACTORS
4.1 Cognitive Biases in OCD
4.1.1 Memory Biases
4.1.2 Attentional Biases
4.1.3 Interpretation Biases in OCD
i. Summary
4.2 Cognitive Models of OCD
4.2.1 Memory Deficits
i. Do Individuals with OCD have a General Memory Deficit?
ii. Do individuals with OCD have less confidence in their Memory?
4.2.2 Thought Suppression
i. The Effects of Thought Suppression on Appraisals and Mood
4.2.3 Inflated Responsibility
i. Responsibility and Mood
4.2.4 Perfectionism
i. Perfectionism and ‘Not Just Right Experiences’
4.2.5 Thought Action Fusion
i. The Role of TAF in the Development & Maintenance of OCD
4.2.6 Intolerance of Uncertainty
i. Evidence for the Role of Intolerance of Uncertainty in OCD
4.2.7 Metacognitive Theory
i. Evidence for the Metacognitive Model of OCD
4.3 Chapter Summary
CHAPTER 5 – BEHAVIOURAL, PSYCHODYNAMIC AND SOCIAL FACTORS
5 Behavioural Factors
5.1 Behavioural & Learning Accounts
5.1.2 Safety-Seeking Behaviours
5.1.3 Avoidance Behaviours
5.1.4 Summary
5.2 The psychodynamic approach to understanding psychopathology
i. From hypnosis to repression
ii. Three forces that shape personality
iii. Psychosexual stages of development
5.2.1 Traditional Freudian view of OCD
i. Unconscious Conflicts
ii. Defence Mechanisms
5.2.2 Case Study: Psychoanalysis of the Rat Man
5.2.3 Psychodynamic Summary
5.3 Socio-Cultural Factors
5.3.1 Cross-Cultural Factors
5.3.2 Religion & Disgust
i. Religion
ii. Disgust
5.4 Chapter Summary
CHAPTER 6 – BIOLOGICAL MODELS OF OCD
6.1 Biochemical Factors
6.1.1 The serotonin theory of OCD
6.1.2 The role of dopamine and glutamate
6.1.3 Neurotransmitter summary
6.2 Genetic Factors
6.2.1 Family Studies
6.2.2 Twin Studies
6.2.3 Adoption Studies
6.2.4 Candidate Gene Analyses
6.2.5 Genome-wide Linkage Studies
6.2.6 Genetics summary
6.3 Neurocircuitry
6.3.1 Functional abnormalities
6.3.2 Structural abnormalities
6.3.3 Neurocircuitry summary
6.4 Auto-immune Accounts of Child-Onset OCD
6.5 Evolutionary Accounts of OCD
6.6 Chapter summary
Section 2 Summary
SECTION 3 – HOW DO WE TREAT OCD?
Preface to Section 3
CHAPTER 7 – PSYCHOLOGICAL TREATMENTS
7.1 Exposure & Response Prevention (ERP)
i. ERP: What’s the Evidence?
ii. New Approaches to ERP
7.2 Cognitive behaviour Therapy (CBT)
i. CBT: What’s the Evidence?
ii. CBT: Future Directions
7.3 Metacognitive Therapy
i. Metacognitive Therapy: What’s the Evidence?
7.4 E-Therapy
i. CCBT: What’s the Evidence?
7.5 Psychodynamic Therapy
i. Psychodynamic Therapy for OCD: What’s the Evidence?
7.6 Chapter Summary
CHAPTER 8 – BIOLOGICAL AND PHARMACOLOGICAL TREATMENTS
8.1 How do we determine whether a treatment for OCD ‘works’?
8.2 Antidepressants
8.3 Augmenting Antipsychotics
8.4 NICE guidance on prescribing medication for adults with OCD
8.4.1 Adults
8.4.2 Prescribing medication for children and adolescents with OCD
8.5 Non-drug physical interventions
8.5.1 Neurosurgery
i. Anterior Cingulotomy
8.5.2 Electroconvulsive Therapy (ECT)
8.5.3 Repetitive Transcranial Magnetic Stimulation (rTMS)
8.5.4 Deep Brain Stimulation (DBS)
8.6 Chapter Summary
EPILOGUE
References
Glossary
Index
Preface
SECTION 1 – WHAT IS OCD?
Preface to Section 1
CHAPTER 1 – OCD: SYMPTOMS & DIAGNOSIS
Introduction
1.1 Obsessive Thoughts
1.2 Compulsive Washing
1.3 Compulsive Checking
1.4 Systematic Behaviours & The Arranging of Objects
i. Summary
1.6 Diagnosing OCD
1.7 Chapter Summary
CHAPTER 2 – OCD: PREVALENCE & EPIDEMIOLOGY
2.1 Prevalence & Epidemiology
2.1.1 The Prevalence & Epidemiology of OCD
2.1.2 Cultural Differences
2.2 The Comorbidity of OCD
2.3 OCD Through the Lifespan
2.4 Chapter Summary
CHAPTER 3 – OCD RELATED MENTAL HEALTH PROBLEMS
3.1 Body Dysmorphic Disorder
3.2 Hoarding Disorder
3.3 Trichotillomania (Hair-Pulling Disorder)
3.4 Excoriation (Skin Picking) Disorder
3.5 Onychophagia (Nail Biting)
3.6 Mental Contamination
3.7 Tourette’s & Tic Related Disorders
3.8 Obsessive-Compulsive Personality Disorder (OCPD)
3.9 Chapter Summary
SECTION 2 – WHAT CAUSES OCD?
Preface to Section 2
CHAPTER 4 – COGNITIVE FACTORS
4.1 Cognitive Biases in OCD
4.1.1 Memory Biases
4.1.2 Attentional Biases
4.1.3 Interpretation Biases in OCD
i. Summary
4.2 Cognitive Models of OCD
4.2.1 Memory Deficits
i. Do Individuals with OCD have a General Memory Deficit?
ii. Do individuals with OCD have less confidence in their Memory?
4.2.2 Thought Suppression
i. The Effects of Thought Suppression on Appraisals and Mood
4.2.3 Inflated Responsibility
i. Responsibility and Mood
4.2.4 Perfectionism
i. Perfectionism and ‘Not Just Right Experiences’
4.2.5 Thought Action Fusion
i. The Role of TAF in the Development & Maintenance of OCD
4.2.6 Intolerance of Uncertainty
i. Evidence for the Role of Intolerance of Uncertainty in OCD
4.2.7 Metacognitive Theory
i. Evidence for the Metacognitive Model of OCD
4.3 Chapter Summary
CHAPTER 5 – BEHAVIOURAL, PSYCHODYNAMIC AND SOCIAL FACTORS
5 Behavioural Factors
5.1 Behavioural & Learning Accounts
5.1.2 Safety-Seeking Behaviours
5.1.3 Avoidance Behaviours
5.1.4 Summary
5.2 The psychodynamic approach to understanding psychopathology
i. From hypnosis to repression
ii. Three forces that shape personality
iii. Psychosexual stages of development
5.2.1 Traditional Freudian view of OCD
i. Unconscious Conflicts
ii. Defence Mechanisms
5.2.2 Case Study: Psychoanalysis of the Rat Man
5.2.3 Psychodynamic Summary
5.3 Socio-Cultural Factors
5.3.1 Cross-Cultural Factors
5.3.2 Religion & Disgust
i. Religion
ii. Disgust
5.4 Chapter Summary
CHAPTER 6 – BIOLOGICAL MODELS OF OCD
6.1 Biochemical Factors
6.1.1 The serotonin theory of OCD
6.1.2 The role of dopamine and glutamate
6.1.3 Neurotransmitter summary
6.2 Genetic Factors
6.2.1 Family Studies
6.2.2 Twin Studies
6.2.3 Adoption Studies
6.2.4 Candidate Gene Analyses
6.2.5 Genome-wide Linkage Studies
6.2.6 Genetics summary
6.3 Neurocircuitry
6.3.1 Functional abnormalities
6.3.2 Structural abnormalities
6.3.3 Neurocircuitry summary
6.4 Auto-immune Accounts of Child-Onset OCD
6.5 Evolutionary Accounts of OCD
6.6 Chapter summary
Section 2 Summary
SECTION 3 – HOW DO WE TREAT OCD?
Preface to Section 3
CHAPTER 7 – PSYCHOLOGICAL TREATMENTS
7.1 Exposure & Response Prevention (ERP)
i. ERP: What’s the Evidence?
ii. New Approaches to ERP
7.2 Cognitive behaviour Therapy (CBT)
i. CBT: What’s the Evidence?
ii. CBT: Future Directions
7.3 Metacognitive Therapy
i. Metacognitive Therapy: What’s the Evidence?
7.4 E-Therapy
i. CCBT: What’s the Evidence?
7.5 Psychodynamic Therapy
i. Psychodynamic Therapy for OCD: What’s the Evidence?
7.6 Chapter Summary
CHAPTER 8 – BIOLOGICAL AND PHARMACOLOGICAL TREATMENTS
8.1 How do we determine whether a treatment for OCD ‘works’?
8.2 Antidepressants
8.3 Augmenting Antipsychotics
8.4 NICE guidance on prescribing medication for adults with OCD
8.4.1 Adults
8.4.2 Prescribing medication for children and adolescents with OCD
8.5 Non-drug physical interventions
8.5.1 Neurosurgery
i. Anterior Cingulotomy
8.5.2 Electroconvulsive Therapy (ECT)
8.5.3 Repetitive Transcranial Magnetic Stimulation (rTMS)
8.5.4 Deep Brain Stimulation (DBS)
8.6 Chapter Summary
EPILOGUE
References
Glossary
Index