I am in the process of writing up my discussion in my dissertation where i used a semi-idiographic approach (George Kelley's rep grids) to see if OCD symptom groups due truly differ from nonOCD sx groups and the nonanxious in their use of metacognitive strategies re to the appraisal of unwanted thoughts. The popular CT theory proposed is that OCDers apply dysfunctional appraisals to what are eitherwise normal, fleeting unwanted thoughts, and this appraisal strategy initiates and maintains OCD pathology. In other words, if we could get OCDrs to not take their thoughts so seriously, as nonseriously as supposedly nonOCD and nonanxious folks do, OCD'rs could be treated!(see Rachman, Salkovskis for more) My dissertation did not corroborate the appraisal model and suggests there is simply a direct pathway between the intrusive thoughts and obsessive-compulsive features, regardless of the appraisal process used by any of the three groups. If this findings are accurate (my hope) and replicable:
is CT useless in treating OCD unless it is incorporate with the C"B"T.. the behavioral exposure and response prevention? And shouldn't we continue to use CT as simply an adjunct in this type of therapy? thanx.
geoff
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