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5 - Obsessions and Compulsions

Published online by Cambridge University Press:  16 March 2023

By
Dean McKay
Edited by
Stephen Hupp  and
Cara L. Santa Maria
Stephen Hupp
Affiliation:
Southern Illinois University Edwardsville
Cara L. Santa Maria
Affiliation:
Fielding Graduate University, California
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Summary

This chapter describes pseudoscience and questionable ideas related to obsessive-compulsive disorder and other related disorders. The chapter opens by discussing controversies such as the assumptions of pseudoscientific medical interventions. Dubious treatments include energy therapies, neurofeedback, thought stopping, psychodynamic therapy, ketamine, magnetic stimulation, and new age wellness remedies. The chapter closes by reviewing research-supported approaches.

Keywords

obsessive-compulsive disorderenergy therapiesneurofeedbackthought stoppingpsychodynamic therapyketaminemagnetic stimulationnew age wellness remediesexposure with response prevention
Type
Chapter
Information
Pseudoscience in Therapy
A Skeptical Field Guide
 , pp. 53 - 68
Publisher: Cambridge University Press
Print publication year: 2023

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References

Abramowitz, J. S., McKay, D., & Storch, E. A. (Eds.) (2017). Wiley handbook of obsessive compulsive disorders: Vol. 1: Obsessive-compulsive disorder across the lifespan. Wiley.Google Scholar
Ahmari, S. E., Spellman, T., Douglass, N. L., Kheirbek, M. A., Simpson, H. B., Diesseroth, K., Gordon, J.A., & Hen, R. (2013). Repeated cortico-striatal stimulation generates persistent OCD-like behavior. Science, 340, 1234–1239.Google Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Author.Google Scholar
Ayati, Z., Sarris, J., Chang, D., Emami, S. A., & Rahimi, R. (2020). Herbal medicines and phytochemicals for obsessive-compulsive disorder. Phytotherapy Research, 34, 1889–1901.CrossRefGoogle ScholarPubMed
Bate, K. S., Malouff, J. M., Thorseteinsson, E. T., & Bhullar, N. (2011). The efficacy of habit reversal therapy for tics, habit disorders, and stuttering: A meta-analytic review. Clinical Psychology Review, 31, 865–871.Google Scholar
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. Plume.Google Scholar
Calamari, J. E., Cohen, R. J., Rector, N. A., Szacun-Shimizu, K., Riemann, B. C., & Norberg, M. M. (2006). Dysfunctional belief-based obsessive-compulsive disorder subgroups. Behaviour Research and Therapy, 44, 1347–1360.CrossRefGoogle ScholarPubMed
Cautela, J. R., & Wisocki, P. A. (1977). The thought stopping procedure: Description, applications, and learning theory interpretations. Psychological Record, 27, 255–264.CrossRefGoogle Scholar
Clond, M. (2016). Emotional freedom techniques for anxiety: A systematic review with meta-analysis. Journal of Nervous and Mental Disease, 204, 388–395.Google Scholar
Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research & Therapy, 58, 10–23.Google Scholar
Dubiel, S. M., Zablotna-Rypien, B., Mackey, J. B., & Williams, J. M. (1999). Magnetic properties of human liver and brain ferritin. European Biophysics Journal, 28, 263–267.CrossRefGoogle ScholarPubMed
Frank, B., & McKay, D. (2019). The suitability of an inhibitory learning approach in exposure when habituation fails: A clinical application to misophonia. Cognitive and Behavioral Practice, 26, 130–142.Google Scholar
Franklin, M. S., Dingfelder, H. E., Freeman, J. B., Ivarsson, T., Heyman, I., Sookman, D., McKay, D., Storch, E.A., & March, J. (2015). Cognitive behavioral therapy for pediatric Obsessive-Compulsive Disorder: Empirical review and clinical recommendations. Psychiatry Research, 227, 78–92.CrossRefGoogle ScholarPubMed
Freud, S. (1909/1997). Theoretical (from “Notes upon a case of obsessional neurosis”). In Stein, D. J. & Stone, M. H. (Eds.), Essential papers on obsessive-compulsive disorder (pp. 45–64). New York University Press.Google Scholar
Glazier, K., Swing, M., & McGinn, L. K. (2015). Half of obsessive-compulsive disorder cases misdiagnosed: Vignette-based survey of primary care physicians. Journal of Clinical Psychiatry, 76, 761–767.CrossRefGoogle ScholarPubMed
Gray, J. A., & McNaughton, N. (1982). The neuropsychology of anxiety: An inquiry into the septo-hippocampal system. Oxford University Press.Google Scholar
Homan, S., Muscat, W., Joanlanne, A., Marousis, N., Cecere, G., Hofmann, L., Ji, E., Neumeier, M., Vetter, S., Seifritz, E., Dierks, T., & Homan, P. (2012). Treatment effect variability in brain stimulation across psychiatric disorders: A meta-analysis of variance. Neuroscience and Biobehavioral Reviews, 124, 54–62.Google Scholar
Kendler, K. S. (2008). Explanatory models for psychiatric illness. American Journal of Psychiatry, 165, 695–702.Google Scholar
Kendler, K. S. (2013). Decision making in the pathway from genes for psychiatric and substance use disorders. Molecular Psychiatry, 18, 640–645.CrossRefGoogle ScholarPubMed
Kim, S. K., McKay, D., Taylor, S., Tolin, D., Olatunji, B., Timpano, K., & Abramowitz, J. (2016). The structure of obsessive compulsive symptoms and beliefs: A correspondence and biplot analysis. Journal of Anxiety Disorders, 38, 79–87.Google Scholar
Kringlen, E. (1965). Obsessional neurotics: A long-term follow-up. British Journal of Psychiatry, 111, 709–722.Google Scholar
Krystal, J. H., Abdallah, C. G., Sanacora, G., Charney, D. S., & Duman, R. S. (2019). Ketamine: A paradigm shift for depression research and treatment. Neuron, 101, 774–778.Google Scholar
Lattie, E. G., & Stamatis, C. A. (2022). Focusing on accessibility of evidence-based treatments for obsessive-compulsive disorder. JAMA Open Network, 5, e221978.Google Scholar
Lazarov, A., Cohen, T., Liberman, N., & Dar, R. (2015). Can doubt attenuate access to internal states? Implications for obsessive-compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 49 (Part B), 150–156.Google Scholar
Lindsay, M., Crino, R., & Andrews, G. (1997). Controlled trial of exposure and response prevention in obsessive-compulsive disorder. British Journal of Psychiatry, 171, 135–139.Google Scholar
Markarian, Y., Larson, M. J., Aldea, M. A., Baldwin, S. A., Good, D., Berkeljon, A., Murphy, T. K., Storch, E. A., & McKay, D. (2010). Multiple pathways to functional impairment in obsessive-compulsive disorder. Clinical Psychology Review, 30, 78–88.Google Scholar
McKay, D., Abramowitz, J. S., & Storch, E. A. (2021). Mechanisms of harmful treatments for obsessive-compulsive disorder. Clinical Psychology: Science & Practice, 28, 52–59.Google Scholar
McKay, D., & Leone, L. (under review). Trauma and obsessive-compulsive disorder: Cognitive-behavioral complications and considerations for treatment.Google Scholar
McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D., Kyrios, M., Mathews, K., & Veale, D. (2015). Efficacy of cognitive-behavior therapy for obsessive-compulsive disorder. Psychiatry Research, 227, 104–113.CrossRefGoogle ScholarPubMed
Meyer, V. (1966). Modification of expectations in cases with obsessional rituals. Behavior Research and Therapy, 4, 273–280.CrossRefGoogle ScholarPubMed
Moritz, S., Kempke, S., Luyten, P., Randjbar, S., & Jelinek, L. (2012). Was Freud partly right on obsessive-compulsive disorder (OCD)? Investigation of latent aggression in OCD. Psychiatry Research, 187, 2–15.Google Scholar
Newson, J. J., & Thiagarajan, T. C. (2019). EEG frequency bands in psychiatric disorders; A review of resting state studies. Frontiers in Human Neuroscience, 12, 521.Google Scholar
Pauling, L., & Coryell, C. D. (1936). The magnetic properties and structure of hemoglobin, oxyhemoglobin, and carbonoxyhemoglobin. Proceedings of the National Academy of Sciences, 22, 210–216.CrossRefGoogle Scholar
Purdon, C., Rowa, K., & Antony, M. M. (2005). Thought suppression and its effects on thought frequency, appraisal and mood state in individuals with obsessive-compulsive disorder. Behaviour Research and Therapy, 43, 93–108.Google Scholar
Rasgon, A., Lee, W. H., Leibu, E., Laird, A., Glahn, D., Goodman, W., & Frangou, S. (2017). Neural correlates of affective and non-affective cognition in obsessive compulsive disorder: A meta-analysis of functional imaging studies. European Psychiatry, 46, 25–32.Google Scholar
Riesel, A. (2019). The erring brain: Error-related negativity as an endophenotype for OCD – A review and meta-analysis. Psychophysiology, 56, e13348.Google Scholar
Rogers, A. (2017). Star neuroscientist Tom Insel leaves the Google-Spawned Verily for … a startup? Wired Magazine. www.wired.com/2017/05/star-neuroscientist-tom-insel-leaves-google-spawned-verily-startup/?mbid=social_twitter_onsiteshare.Google Scholar
Stahnke, B. (2021). A systematic review of misdiagnosis in those with obsessive-compulsive disorder. Journal of Affective Disorder Reports, 6, 100231.Google Scholar
Stein, D. J., Costa, D. L., Lochner, C., Miguel, E. C., Reddy, Y. J. C., Shavitt, R. G., van den Heuvel, O. A., & Simpson, H. B. (2019). Obsessive-compulsive disorder. Nature Review Disease Primers, 5, 52.Google Scholar
Storch, E. A., Abramowitz, J. S., & McKay, D. (Eds.) (2017). Wiley handbook of obsessive compulsive disorders: Vol. 2: Obsessive-compulsive related disorders. Wiley.Google Scholar
Szymanski, J. (2012). Using direct-to-consumer marketing strategies with obsessive-compulsive disorder in the nonprofit sector. Behavior Therapy, 41, 251–256.Google Scholar
Taylor, S., McKay, D., & Abramowitz, J. S. (2005). Hierarchical structure of dysfunctional beliefs in obsessive-compulsive disorder. Cognitive Behaviour Therapy, 34, 216–228.Google Scholar
Taylor, S., McKay, D., & Abramowitz, J. S. (2010). More on the brain disease model of mental disorders. The Behavior Therapist, 33, 16–17.Google Scholar
Teachman, B. A., McKay, D., Barch, D. M., Prinstein, M. J., Hollon, S. D., & Chambless, D. L. (2019). How psychosocial research can help the National Institute of Mental Health achieve its grand challenge to reduce the burden of mental illnesses and psychological disorders. American Psychologist, 74, 415–431.CrossRefGoogle ScholarPubMed
Ting, J., & Feng, G. (2011). Neurobiology of obsessive-compulsive disorder: Insights in neural circuitry dysfunction through mouse genetics. Current Opinion in Neurobiology, 21, 842–848.Google Scholar
Vlček, P., Polák, J., Brunovsky, M., & Horáček, J. (2018). Role of glutamergic system in obsessive-compulsive disorder with possible therapeutic implications. Pharmacopsychiatry, 51, 229–242.Google Scholar
Weber, L. A., Ethofer, T., & Ehlis, A. C. (2020). Predictors of neurofeedback training outcome: A systematic review. NeuroImage: Clinical, 27, 102301.CrossRefGoogle ScholarPubMed
Welter, M. L., Burbaud, P., Fernandez-Vidal, S., Bardinet, E., Coste, J., Piallat, B., Besnard, S., Sauleau, P., Devaux, B., Pidoux, B., Chaynes, P., Tézenas du Montcel, S., Bastian, A., Langbour, N., Teillant, A., Haynes, W., Yelnik, J., Karachi, C., & Mallet, L. (2011). Basal ganglia dysfunction in OCD: Subthalamic neuronal activity correlates with symptoms severity and predicts high-frequency stimulation efficacy. Translational Psychiatry, 1, e5.Google Scholar
Wilhelm, S., & Steketee, G. S. (2006). Cognitive therapy for obsessive compulsive disorder: A guide for professionals. New Harbinger.Google Scholar
Wu, K. D., Clark, L. A., & Watson, D. (2006). Relations between obsessive-compulsive disorder and personality: Beyond Axis I–Axis II comorbidity. Journal of Anxiety Disorders, 20, 695–717.CrossRefGoogle ScholarPubMed

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