Cognitive-behavioral treatment of repugnant obsessions.
Obsessions often occur in the form of repugnant sexual, aggressive, or blasphemous thoughts, images, impulses, or doubts. This article describes the phenomenon of repugnant obsessions and reviews the cognitive-behavioral model of obsessive-compulsive disorder (OCD). Caveats and recommendations are provided and a case illustration is presented. Repugnant obsessions are highly amenable to treatment; but developing an idiographic conceptualization of the client's obsessive-compulsive cycle is important. Treatment resources are presented throughout.
Purdon
Christine
C
University of Waterloo, Department of Psychology, Ontario, Canada. cpurdon@uwaterloo.ca
D000374:Aggression / Q000523:psychology; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003887:Desensitization, Psychologic / Q000379:methods; D006185:Habituation, Psychophysiologic; D006708:Homicide / Q000523:psychology; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D012725:Sexual Behavior; D013850:Thinking; D014754:Violence / Q000523:psychology