J.S. Abramowitz, A.C. Houts (Eds.)
Concepts and Controversies in Obsessive-Compulsive Disorder
Series: Series in Anxiety and Related Disorders
▶ Compares and contrasts different viewpoints on OCD by experts in
the field
2005, XVIII, 438 p.
Printed book
Hardcover
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Few syndromes in psychopathology generate as much popular curiosity and clinical
exploration as does obsessive-compulsive disorder (OCD). Since the 1970s, research
on OCD has increased exponentially. Speci?c advances include an improved grasp of
the heterogeneity of the disorder, identi?cation of putative subtyping schemes, and
the development of increasingly sophisticated theoretical models of the etiology and
maintenance. Perhaps most importantly, research has led to advances in treatment;
andwhereasthe?rstlinetherapies(cognitive-behaviortherapyandserotonergicm- ication)
are not entirely effective for every sufferer, they have transformed OCD from an
unmanageable lifetime af?iction into a treatable problem that need not reduce quality
of life. Despite the aforementioned advances, there have emerged a number of sharp
disagreements concerning OCD. Differences have surfaced over phenomenological
issues, etiological models, and approaches to treatment, and often occur (but not
exclusively) along disciplinary lines between biologically oriented and cognitibehaviorally oriented authorities. For example, medical approaches posit that abnmal biological processes cause OCD, whereas psychosocial formulations emphasize
the role of learning and dysfunctional cognitions. Yet because theoretical conjecture
andempirical?ndingsfromwithineachtraditionaretypicallyaddressedtowardd- tinct and
narrow audiences, clinicians, researchers, and students with broad interests are hindered
from gaining a clear grasp of the diverse (and sometimes polarized) perspectives.
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