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KMID : 0981220070070010017
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Congnitive Behavior Therapy in Korea
2007 Volume.7 No. 1 p.17 ~ p.40
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Cognitive Behavior Therapy for Obsessive-Compulsive Disorder
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Shin Min-Sup
Seol Soon-Ho
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Abstract
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Cognitive models for obsessive-compulsive disorder(OCD) have focused particularly on the importance of patients’ appraisals of intrusions related to responsibility and overimportance of thoughts. This interpretation results in attempts to both suppress and to neutralize the thoughts, and as a consequence of neutralizing activity, intrusive cognitions become more salient and frequent, they evoke more discomfort, and the probability of further neutralizing increases. A large group of researchers who have studied OCD extensively outlined several types of negative appraisals and dysfunctional beliefs they considered important for the development and persistence of OCD: inflated responsibility, overimportance of thought, importance of controlling one’s thoughts, fear of uncertainty, perfectionism, and threat overestimation. Neutralizing is
defined as voluntarily initiated activity which is intended to have the effect of reducing discomforts and preventing negative consequences of intrusions. Recently, it suggested that cognitive appraisals and control strategies differ to the types of obsessions. The primary principals of cognitive behavior therapy(CBT) for OCD therefore aims to stop the loop of neutralizing responses and avoidance through exposure and response prevention(ERP), and to modify cognitive errors and displace the maladaptive beliefs to more flexible and reasonable ones using cognitive strategies. Finally, the authors propose the possibility of relapse and considerations.
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KEYWORD
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obsessive-compulsive disorder(OCD), cognitive behavior therapy(CBT), cognitive appraisal, neutralizing response, exposure and response prevention(ERP)
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