Behavioral treatment of obsessive-compulsive disorder in African Americans: clinical issues.
African Americans with obessive-compulsive disorder are underrepresented in behavioral treatment outcome studies. This paper consists of a clinical discussion of issues arising during the treatment with exposure plus response prevention of two African-American women with obessive-compulsive disorder. Clinical issues, such as excessive shame, insanity fears, and a sense of uniqueness, complicated the treatment process. However, both clients made significant improvement as assessed by behavioral testing, target ratings and the Yale-Brown Obsessive-Compulsive Scale.
Williams
K E
KE
American University, Washington, D.C., USA. kewpsych@aol.com
Chambless
D L
DL
Steketee
G
G
D000328:Adult; D001741:Black or African American / Q000523:psychology*; D001294:Attitude to Health / Q000208:ethnology*; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000208:ethnology / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome