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Behavior Modification
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Cognitive-Behavioral Treatment of Obsessions

Robert Cladouceur

Mark H. Freeston

Universite Laval, Quebec

Fabien Gagnon

Nicole Cthibodeau

Centre Hospitalier de l'Universit Laval, Quebec

Jilda Dumont

Universite Laval, Quebec

Three patients with obsessive-compulsive disorder whose major complaints were obsessional thoughts with cognitive neutralization as opposed to overt rituals were treated with a cognitive-behavioral package. Cognitive neutralization involves both cognitive rituals and a variety of less ritualized coping strategies all designed to remove the thought and decrease discomfort. In a departure from earlier case studies, the patients were treated in a multiple baseline design across subjects. All three patients reported decreased discomfort and improved theirprofessional and/or interpersonal functioning. Gains were maintained at follow-up (8 to 11 months).

Behavior Modification, Vol. 19, No. 2, 247-257 (1995)
DOI: 10.1177/01454455950192006
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