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Towards a comprehensive treatment for obsessional thoughts
Authors:John Robertson  Paul Wendiggensen  Ida Kaplan
Institution:Horton Hospital, Epsom, Surrey KT19 8PZ, England;Department of Psychiatry, University of Melbourne, Austin Hospital, Heidelberg, Victoria, Australia
Abstract:A systematic treatment approach for obsessional thoughts is proposed. It is based upon an analysis of the chain of convert events and incorporates the distinction between the obsessional idea or fear and the cognitive rituals which follow. Systematic Disruption of covert rituals and Cognitive Restructuring of obsessional ideas are included within the treatment programme. The application of this approach is demonstrated with three cases treated for severe obsessional thoughts and followed up after 2 years.
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