[xmca] FW: SQiP, New PCSP Case Studies of CBT with OCD Symptoms in Complex Contexts

[Peter Smagorinsky <smago@uga.edu>]

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PRAGMATIC CASE STUDIES IN PSYCHOTHERAPY (PCSP)
http://pcsp.libraries.rutgers.edu
***a peer-reviewed, multi-theoretical, freely available e-journal of systematic case studies & case study method articles***

FROM: Dan Fishman, Editor (dfish96198@aol.com<mailto:dfish96198@aol.com>) --

RE: Announcing the publication of our first 2013 issue (Vol. 9, Issue 1):

COGNITIVE-BEHAVIOR THERAPY WITH OBSESSIVE-COMPULSIVE DISORDER IN COMPLEX CONTEXTS

Treating a Mother's Accommodation Behaviors of Her Adult Son's OCD: The Case of "Brianne" and "Charlie"
*** by James Marinchak, Rutgers-The State University of New Jersey

With a Commentary by:
*** William Gordon, Private Practice, Montclair, NJ

Values-Focused Exposure and Response Prevention in the Treatment of Comorbid Schizophrenia and Obsessive-Compulsive Disorder: The Case of "Mr. H"
*** by Ashleigh Golden & Robert Holaway, PGSP-Stanford Psy.D. Consortium

"Functional," Sub-Clinical Obsessive-Compulsive Symptoms and Their Challenges: The Case of "Angela"
*** by Livia Pontes & Rodrigo Pereira, University of São Paulo Medical School, Brazil

With a Commentary by:
*** David Austern, Tanya Farber, & James Marinchak, Rutgers-The State University of New Jersey

"Standard" cognitive-behavioral therapy (CBT) with obsessive-compulsive disorder (OCD) calls for employing manualized procedures of exposure and response prevention (ERP). The present issue of PCSP explores successful modifications of-or alternatives to-this standard approach necessitated by complexities in the context in which OCD presents to the therapist. In the first article, James Marinchak describes successful CBT-designed treatment with "Brianne," mother of "Charlie," who has been accommodating Charlie's OCD symptoms as he lives at home with her, her husband, "Jack," and her older son, "Shane." It becomes clear that Brianne's accommodation of Charlie is not only detrimental to him, but also to Brianne herself, to Jack, and to Shane.

In the second article, Ashleigh Golden and Robert Holaway describe Golden's therapy with Mr. H, a veteran of the U.S. military presenting with OCD comorbid with schizophrenia. Using the concept of "values-focused" treatment from acceptance and commitment therapy (ACT), these authors applied this approach to incentivize Mr. H to engage in ERP in order to work towards his valued goals, as expressed in his schizophrenic delusions. He believed that "the FBI had implanted a machine in his brain and that famous movie directors had filmed him in the past, ... [and that] he was destined for a career as a Hollywood movie star and would require the help of relationships with two well-known movie actresses to follow his calling."

In the third article, Livia Pontes and Rodrigo Pereira describe the case of "Angela," who manifests sub-clinical OCD maintained by complex behavior patterns that pervade her life. The therapy was complicated by Angela's depressive life style, with the therapy sessions as one of the few structured and socially positive times in her life. Successfully addressing the "secondary gain" of continuing in therapy was a crucial part of the treatment.

Perceptive commentaries that elaborate on themes in the case studies are written by William Gordon for the case of Brianne and Charlie, and by David Austern, Tanya Farber, and James Marinchak, for the cases of Mr. H and Angela.





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