Obsessive compulsive disorder is identified as a psychological dysfunction where a person experiences elaborated thoughts that intrude with their normative functioning ( ). These thoughts are typically rational however their constant recurrence can make it difficult for a person to accomplish tasks that are important in daily functioning. The manifestations of these thoughts are also observable though ritualized actions. Actions are also interfering and exhibit the OCD individual's constant struggle to neutralize their mood and reduce negative thinking (Ferrier & Brewin, 2004). Cognitive Behavioral Therapy has been the most popular method of treatment among clinicians treating OCD however it is important to address the affects of Cognitive Behavioral Therapy from a developmental perspective because children with OCD posses many age-related differences from OCD adults (Piacentini, 1999). The majority of OCD cases have been studied primarily within the adult population however similarities exist and CBT remains the most successful treatment application for continued normal functioning. The reason that CBT is the most successful operation of prevention is because its places the responsibility on the person to change their mental wellbeing. CBT challenges the patient to reorganize their recurring thoughts into a less obsessive pattern of thinking. However this demanding cognitive elaboration might be difficult for a child to abstractly comprehend. This presents implications of treatment that are alien to the systematic process of CBT. Since children aren't developmentally mature to comprehend abstract concepts it can be difficult for a clinician to provide the proper insight toward the child's cognitive reorganization. Children are also more present-oriented than adults (Piacentini, Bergman, Jacobs, McCracken, & Kretchman, 2000). Failure to properly treat this can result in a reemergence of the same problems later in development. Geffken, Sajid, and MacNaughton...
References: Ferrier, S., Brewin, C.R. (2005) Feared identity and obsessive--Compulsive disorder Behaviour Research and Therapy, 43, 1363-1374
Geffken, G., Sajid, M., & MacNaughton, K. (2005). The Course of Childhood OCD, Its Antecedents, Onset, Comorbidities, Remission, and Reemergence: A 12-Year Case Report. Clinical Case Studies, 4, 380-394
Mansueto, C.S., Keuler, D.J. (2005) Tic or Compulsion?: It 's Tourettic OCD. Behavior Modification, 29, 784-799.
Piacentini, J. (1999). Cognitive behavioral therapy of childhood OCD. Child Psychiatric Clinics of North America, 8, 599-618.
Piacentini, J., Bergman, R. L., Jacobs, C., McCracken, J.T., Kretchman, J. (2002) Open trial of cognitive behavior therapy for childhood obsessive-compulsive disorder. Journal of Anxiety Disorders, 6, 207-219
Westbrook, D. Kirk, J. (2005) The clinical effectiveness of cognitive behaviour therapy: Outcome for a large sample of adults treated in routine practice. Behaviour Research and Therapy, 43, 1243-1261.
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