Published online by Cambridge University Press: 06 October 2014
It is argued that earlier models of obsessive-compulsive behaviour have failed to take adequate account of the role of cognitions. A new model is therefore presented, highlighting the major stages of an obsessive-compulsive episode and thereby allowing identification of the point at which cognitive interventions may be made. It is concluded that cognitive techniques may be most useful in assisting patients to “self-expose” and voluntarily instigate response prevention in the absence of the therapist. There is a need for further research in the area, particularly to clarify which cognitive interventions are being used and at which points in the episode.