SlideShare a Scribd company logo
1 of 19
THE FAMILY & OCD THE INFLUENCE OF FAMILY FACTORS ON THE DEVELOPMENT, MAINTENANCE, AND TREATMENT OF PEDITRAIC OCD
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],II. Explore the Role of the Family in the : I.  Brief Introduction to OCD III. Summary & Clinical Recommendations IV. Future Directions
OCD Defined ,[object Object],[object Object],[object Object],[object Object]
“ Counting really bogged me down. I would wash my hair three times as opposed to once because three was a good luck number and one wasn’t. When I set my alarm at night, I had to set it to a number that wouldn’t add up to a ’bad’ number. ” “ Getting dressed in the morning was tough, because if I didn’t follow my routine, I’d get anxious and would have to get dressed again. I always worried that if I didn’t do something, my parents were going to die. I’d have these terrible thoughts of harming them. It was completely irrational, but the thoughts triggered more anxiety and more senseless behavior. B/c of the time I spent on rituals, I was unable to do a lot of things.”
II (A). Role of Family in the Development of OCD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
II (B). Role of Family in the Maintenance   of OCD   ,[object Object],[object Object],Member w/OCD Family
II (B). Role of Family in the Maintenance of OCD   (cont).   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Alternative hypothesis:  OCD is exaggerated +/or maintained through parental/sibling involvement and accommodation, and/or overly negative family interactions. *Emotional over-   involvement Accommodation Sp lit Antagonism Note : Accommodation is analogous to emotional over-involvement. Note : Antagonism is analogous to high EE in family interactions.
Family Distress, Accommodation, & Participation Renshaw et al., 2005
Family Accommodation (FA) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Family Interaction Style ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],II (C). Role of Family in the Treatment of OCD
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Summary: Reasons for a Family-Based Tx Approach Summary Slide
[object Object],[object Object],[object Object],[object Object],A Primer for the Treatment of OCD
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Family-Based CBT for Children
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Preliminary Evidence of Effectiveness of FB-CBT
Summary & Clinical Recommendations   ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Some Future Directions
references Allsopp, M., & Verduyn, C. (1990). Adolescents with obsessive compulsive disorder: A case note review of consecutive patients referred to a provincial regional adolescent psychiatry unit.  Journal of Adolescence, 13 , 157-169. Amir, N., Freshman, M., & Foa, E. B. (2000). Family distress and involvement in relatives of obsessive-compulsive disorder patients.  Journal of Anxiety Disorders, 14(3),  209-217. Barrett, P. M., Shortt, A., & Healy, L. (2002). Do parent and child behaviours differentiate families whose children have obsessive-compulsive disorder from other clinic and non-clinic families?  Journal of Child Psychology and Psychiatry, 43 , 597–607. Black, D. W., Gaffney, G., Schlosser, S., & Gabel, J. (1998). The impact of obsessive-compulsive disorder on the family: Preliminary findings.  Journal of Nervous and Mental Disease, 186,  440-442. Calvocoressi, L., Mazure, C., Kasl, S. V., Skolnick, J., Fisk, D., Vegso, S. J., et al. (1999). Family accommodation of obsessive-compulsive symptoms: Instrument development and assessment of family behavior.  Journal of Nervous and Mental Disease, 187 , 636-642. Chambless, D. L., & Steketee, G. (1999). Expressed emotion and behavior therapy outcome: A prospective study with obsessive-compulsive and agoraphobic outpatients.  Journal of Consulting and Clinical Psychology, 67 (5), 658-665. Farrell, L. J., & Barrett, P. M. (2007). The function of the family in childhood obsessive-compulsive disorder: Family interactions and accommodation. Mahwah, NJ: Lawrence Erlbaum Associates. Ferrão, Y. A., Shavitt, R. G., Bedin, N. R., de Mathis, M. E., Carlos, L. A., Fontenelle, L. F., et al. (2006). Clinical features associated to refractory obsessive-compulsive disorder.  Journal of Affective Disorders, 94 (1-3), 199-209. Grunes, M. S., Neziroglu, F., & McKay, D. (2001).  Family involvement in the behavioral treatment of obsessive-compulsive disorder: A preliminary investigation.  Behavior Therapy, 32 , 803-820. Hibbs, E. D., Hamburger, S. D., Lenane, M., Rapoport, J. L., Kruesi, M. J. P., Keysor, C. S., et al.  (1991). Determinants of expressed emotion in families of disturbed and normal children.  Journal of Child Psychology and Psychiatry, 32 (5), 757-770. Knox, L. S., Albano, A. M., & Barlow, D. H. (1996). Parental involvement in the treatment of childhood compulsive disorder: A multiple baseline examination incorporating parents.  Behavior Therapy, 27 (1), 93-114. Renshaw, K. D., Steketee, G., & Chambless, D. L. (2005). Involving family members in the treatment of OCD.  Cognitive Behaviour Therapy, 34 (3), 164-175. Rufer, M., Grothusen, A., Mass, R., Peter, H., & Hand, I. (2005).  Temporal stability of symptom dimensions in adult patients with obsessive-compulsive disorder.  Journal of Affective Disorders, 88 , 99-102. Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., et al. (2007). Family accommodation in pediatric obsessive-compulsive disorder.  Journal of Clinical Child and Adolescent Psychology, 36 (2), 207-216. Storch, E. A., Merlo, L. J., Lehmkuhl, H., Geffken, G. R., Jacob, M., Ricketts, E., et al.  (2008). Cognitive-behavioral therapy for obsessive--compulsive disorder: A non-randomized comparison of intensive and weekly approaches.  Journal of Anxiety Disorders, 22 (7), 1146-1158. Van Noppen, B., & Steketee, G. (2003). Family approaches to treatment for obsessive compulsive disorder.  Revista brasileira de psiquiatria, 25  (1), 43-50. Waters, T. L., & Barrett, P. M. (2000). The role of the family in childhood obsessive-compulsive disorder.  Clinical Child and Family Psychology Review, 3 (3), 173-184. Zohar, A. H. The epidemiology of obsessive-compulsive disorder in children and adolescents.  Child and Adolescent Psychiatric Clinics of North America, 8 , 445-460.
 

More Related Content

What's hot

Strategic Family Therapy
Strategic Family TherapyStrategic Family Therapy
Strategic Family TherapyV Jane Rosser
 
Family Therapy PPT.pptx
Family Therapy PPT.pptxFamily Therapy PPT.pptx
Family Therapy PPT.pptxprachirlaxkar
 
Family therapy boo
Family therapy   booFamily therapy   boo
Family therapy booBoomi Nathan
 
Schema focused therapy
Schema focused therapySchema focused therapy
Schema focused therapyPragyaMitra
 
Sherlyn's dialectical behavior therapy
Sherlyn's dialectical behavior therapySherlyn's dialectical behavior therapy
Sherlyn's dialectical behavior therapysherelizabeth
 
Castlewood eating disorder treatment center brochure
Castlewood eating disorder treatment center brochureCastlewood eating disorder treatment center brochure
Castlewood eating disorder treatment center brochureCastlewood Treatment Center
 
Family Therapy
Family TherapyFamily Therapy
Family TherapyClaudia L
 
Putting dbt into your practice for notes revision 2 02 06 2013
Putting dbt into your practice for notes revision 2 02 06 2013Putting dbt into your practice for notes revision 2 02 06 2013
Putting dbt into your practice for notes revision 2 02 06 2013GreenWood Mentors Ltd
 
Obsessive-Compulsive and Related Disorders (DSM-V)
Obsessive-Compulsive and Related Disorders (DSM-V)Obsessive-Compulsive and Related Disorders (DSM-V)
Obsessive-Compulsive and Related Disorders (DSM-V)Adesh Agrawal
 
Treatment resistant schizophrenia
Treatment resistant schizophreniaTreatment resistant schizophrenia
Treatment resistant schizophreniaTejaswi Tp
 
The Role of Mental Health Professionals in Adoption
The Role of Mental Health Professionals in Adoption The Role of Mental Health Professionals in Adoption
The Role of Mental Health Professionals in Adoption Ashutosh Ratnam
 

What's hot (20)

Strategic Family Therapy
Strategic Family TherapyStrategic Family Therapy
Strategic Family Therapy
 
Structural-Strategic Family Therapy
Structural-Strategic Family TherapyStructural-Strategic Family Therapy
Structural-Strategic Family Therapy
 
Family Therapy PPT.pptx
Family Therapy PPT.pptxFamily Therapy PPT.pptx
Family Therapy PPT.pptx
 
Lecture 1 introduction to systemic therapy
Lecture 1 introduction to systemic therapyLecture 1 introduction to systemic therapy
Lecture 1 introduction to systemic therapy
 
Bowen Family Systems Theory Sept 2017
Bowen Family Systems Theory Sept 2017Bowen Family Systems Theory Sept 2017
Bowen Family Systems Theory Sept 2017
 
Cbt. depression
Cbt. depressionCbt. depression
Cbt. depression
 
Lecture 4 strategic family therapy
Lecture 4 strategic family therapyLecture 4 strategic family therapy
Lecture 4 strategic family therapy
 
Bowenian Family Systems
Bowenian Family SystemsBowenian Family Systems
Bowenian Family Systems
 
Lecture 5 social constructionist family therapy: Milan school
Lecture 5 social constructionist family therapy: Milan schoolLecture 5 social constructionist family therapy: Milan school
Lecture 5 social constructionist family therapy: Milan school
 
Family therapy boo
Family therapy   booFamily therapy   boo
Family therapy boo
 
Schema focused therapy
Schema focused therapySchema focused therapy
Schema focused therapy
 
Sherlyn's dialectical behavior therapy
Sherlyn's dialectical behavior therapySherlyn's dialectical behavior therapy
Sherlyn's dialectical behavior therapy
 
Castlewood eating disorder treatment center brochure
Castlewood eating disorder treatment center brochureCastlewood eating disorder treatment center brochure
Castlewood eating disorder treatment center brochure
 
Theories of sz
Theories of szTheories of sz
Theories of sz
 
Family Therapy
Family TherapyFamily Therapy
Family Therapy
 
Putting dbt into your practice for notes revision 2 02 06 2013
Putting dbt into your practice for notes revision 2 02 06 2013Putting dbt into your practice for notes revision 2 02 06 2013
Putting dbt into your practice for notes revision 2 02 06 2013
 
Family therapy concepts
Family therapy conceptsFamily therapy concepts
Family therapy concepts
 
Obsessive-Compulsive and Related Disorders (DSM-V)
Obsessive-Compulsive and Related Disorders (DSM-V)Obsessive-Compulsive and Related Disorders (DSM-V)
Obsessive-Compulsive and Related Disorders (DSM-V)
 
Treatment resistant schizophrenia
Treatment resistant schizophreniaTreatment resistant schizophrenia
Treatment resistant schizophrenia
 
The Role of Mental Health Professionals in Adoption
The Role of Mental Health Professionals in Adoption The Role of Mental Health Professionals in Adoption
The Role of Mental Health Professionals in Adoption
 

Viewers also liked

Family involvement in Treatment – Katie d’Ath Ocd presentation-katie-d ath
Family involvement in Treatment – Katie d’Ath Ocd presentation-katie-d athFamily involvement in Treatment – Katie d’Ath Ocd presentation-katie-d ath
Family involvement in Treatment – Katie d’Ath Ocd presentation-katie-d athjoelocdaction
 
OCD Action - Support Groups – Satwant Singh
OCD Action - Support Groups – Satwant SinghOCD Action - Support Groups – Satwant Singh
OCD Action - Support Groups – Satwant Singhjoelocdaction
 
OCD Action - Guided Self Help – Karina Lovell
OCD Action - Guided Self Help – Karina LovellOCD Action - Guided Self Help – Karina Lovell
OCD Action - Guided Self Help – Karina Lovelljoelocdaction
 
Obsessive–compulsive disorder symptoms and treatment of compulsive behavior...
Obsessive–compulsive disorder   symptoms and treatment of compulsive behavior...Obsessive–compulsive disorder   symptoms and treatment of compulsive behavior...
Obsessive–compulsive disorder symptoms and treatment of compulsive behavior...HoneymoonSwami.com
 
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'Fundación Ramón Areces
 
Stacey Conroy - Treating OCD and SUD Tools for Effective Treatment
Stacey Conroy - Treating OCD and SUD Tools for Effective TreatmentStacey Conroy - Treating OCD and SUD Tools for Effective Treatment
Stacey Conroy - Treating OCD and SUD Tools for Effective TreatmentIOCDF
 
Parc v. pennsylvania 1971
Parc v. pennsylvania 1971Parc v. pennsylvania 1971
Parc v. pennsylvania 1971Carlos Sandoval
 
Professor Peter Fonagy - CYP IAPT National Clinical Lead
Professor Peter Fonagy - CYP IAPT National Clinical LeadProfessor Peter Fonagy - CYP IAPT National Clinical Lead
Professor Peter Fonagy - CYP IAPT National Clinical LeadCYP MH
 
Obsessive Compulsive Disorder
Obsessive Compulsive DisorderObsessive Compulsive Disorder
Obsessive Compulsive DisorderRicky Bobby
 
Transformation to a Recovery Focused Mental Health Center
Transformation to a Recovery Focused Mental Health CenterTransformation to a Recovery Focused Mental Health Center
Transformation to a Recovery Focused Mental Health Centerlaganga
 
OBSSESIVE-COMPULSIVE DISORDER
OBSSESIVE-COMPULSIVE DISORDEROBSSESIVE-COMPULSIVE DISORDER
OBSSESIVE-COMPULSIVE DISORDERDebra Byrd
 
Obsessive Compulsive Disorder in The Aviator film
Obsessive Compulsive Disorder in The Aviator filmObsessive Compulsive Disorder in The Aviator film
Obsessive Compulsive Disorder in The Aviator filmarijumiati dwirahayu
 
Obsessive Compulsive Disorder
Obsessive Compulsive DisorderObsessive Compulsive Disorder
Obsessive Compulsive Disorderdestridge
 
OCD Biological explanations A2
OCD Biological explanations A2OCD Biological explanations A2
OCD Biological explanations A2Jill Jan
 

Viewers also liked (20)

Family involvement in Treatment – Katie d’Ath Ocd presentation-katie-d ath
Family involvement in Treatment – Katie d’Ath Ocd presentation-katie-d athFamily involvement in Treatment – Katie d’Ath Ocd presentation-katie-d ath
Family involvement in Treatment – Katie d’Ath Ocd presentation-katie-d ath
 
OCD Action - Support Groups – Satwant Singh
OCD Action - Support Groups – Satwant SinghOCD Action - Support Groups – Satwant Singh
OCD Action - Support Groups – Satwant Singh
 
OCD Action - Guided Self Help – Karina Lovell
OCD Action - Guided Self Help – Karina LovellOCD Action - Guided Self Help – Karina Lovell
OCD Action - Guided Self Help – Karina Lovell
 
Obsessive–compulsive disorder symptoms and treatment of compulsive behavior...
Obsessive–compulsive disorder   symptoms and treatment of compulsive behavior...Obsessive–compulsive disorder   symptoms and treatment of compulsive behavior...
Obsessive–compulsive disorder symptoms and treatment of compulsive behavior...
 
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
 
Stacey Conroy - Treating OCD and SUD Tools for Effective Treatment
Stacey Conroy - Treating OCD and SUD Tools for Effective TreatmentStacey Conroy - Treating OCD and SUD Tools for Effective Treatment
Stacey Conroy - Treating OCD and SUD Tools for Effective Treatment
 
Parc v. pennsylvania 1971
Parc v. pennsylvania 1971Parc v. pennsylvania 1971
Parc v. pennsylvania 1971
 
Professor Peter Fonagy - CYP IAPT National Clinical Lead
Professor Peter Fonagy - CYP IAPT National Clinical LeadProfessor Peter Fonagy - CYP IAPT National Clinical Lead
Professor Peter Fonagy - CYP IAPT National Clinical Lead
 
Obsessive Compulsive Disorder
Obsessive Compulsive DisorderObsessive Compulsive Disorder
Obsessive Compulsive Disorder
 
Transformation to a Recovery Focused Mental Health Center
Transformation to a Recovery Focused Mental Health CenterTransformation to a Recovery Focused Mental Health Center
Transformation to a Recovery Focused Mental Health Center
 
OBSSESIVE-COMPULSIVE DISORDER
OBSSESIVE-COMPULSIVE DISORDEROBSSESIVE-COMPULSIVE DISORDER
OBSSESIVE-COMPULSIVE DISORDER
 
Obsessive Compulsive Disorder in The Aviator film
Obsessive Compulsive Disorder in The Aviator filmObsessive Compulsive Disorder in The Aviator film
Obsessive Compulsive Disorder in The Aviator film
 
Obsessive Compulsive Disorder
Obsessive Compulsive DisorderObsessive Compulsive Disorder
Obsessive Compulsive Disorder
 
Obsessive Compulsive Disorder
Obsessive Compulsive DisorderObsessive Compulsive Disorder
Obsessive Compulsive Disorder
 
Ocd
OcdOcd
Ocd
 
OCD Biological explanations A2
OCD Biological explanations A2OCD Biological explanations A2
OCD Biological explanations A2
 
Ocd
 Ocd  Ocd
Ocd
 
Cbt -Ocd
Cbt -OcdCbt -Ocd
Cbt -Ocd
 
Ocd
OcdOcd
Ocd
 
Communication with patients
Communication with patientsCommunication with patients
Communication with patients
 

Similar to The Family & OCD

DEPRESSION AND ANXIETY 311018–1025 (2014)Research Article.docx
DEPRESSION AND ANXIETY 311018–1025 (2014)Research Article.docxDEPRESSION AND ANXIETY 311018–1025 (2014)Research Article.docx
DEPRESSION AND ANXIETY 311018–1025 (2014)Research Article.docxsimonithomas47935
 
family-therapy-working-with-challenging-family-dynamics-in-effective-manner.pdf
family-therapy-working-with-challenging-family-dynamics-in-effective-manner.pdffamily-therapy-working-with-challenging-family-dynamics-in-effective-manner.pdf
family-therapy-working-with-challenging-family-dynamics-in-effective-manner.pdfdandrea2
 
Family interventions for substance use diorders
Family interventions for substance use diordersFamily interventions for substance use diorders
Family interventions for substance use diordersJOBIN JOHN
 
Eating-Behaviour.pptx
Eating-Behaviour.pptxEating-Behaviour.pptx
Eating-Behaviour.pptxphweb
 
Powerpoint Presentation J Hanley Odd2008
Powerpoint Presentation J Hanley Odd2008Powerpoint Presentation J Hanley Odd2008
Powerpoint Presentation J Hanley Odd2008flyfishlake
 
Early occuring maternal deppression and maternal negativity in predicting you...
Early occuring maternal deppression and maternal negativity in predicting you...Early occuring maternal deppression and maternal negativity in predicting you...
Early occuring maternal deppression and maternal negativity in predicting you...hamsulbasri
 
Perrie Merlin - Working With Fristrated Families
Perrie Merlin - Working With Fristrated FamiliesPerrie Merlin - Working With Fristrated Families
Perrie Merlin - Working With Fristrated FamiliesIOCDF
 
Effects of trauma on implicit emotion regulation within a family system a res...
Effects of trauma on implicit emotion regulation within a family system a res...Effects of trauma on implicit emotion regulation within a family system a res...
Effects of trauma on implicit emotion regulation within a family system a res...Michael Changaris
 
De Generating Parents (Capstone)
De Generating Parents (Capstone)De Generating Parents (Capstone)
De Generating Parents (Capstone)sc32blue
 
Personality Factors as Related to Stresses among Parents of Mentally Sub-Norm...
Personality Factors as Related to Stresses among Parents of Mentally Sub-Norm...Personality Factors as Related to Stresses among Parents of Mentally Sub-Norm...
Personality Factors as Related to Stresses among Parents of Mentally Sub-Norm...inventionjournals
 
Group presentation Nutrition G and C..pptx
Group presentation Nutrition G and C..pptxGroup presentation Nutrition G and C..pptx
Group presentation Nutrition G and C..pptxyakemichael
 
Family Centered Treatment Ohio 5 19 10 For Printing
Family Centered Treatment Ohio 5 19 10 For PrintingFamily Centered Treatment Ohio 5 19 10 For Printing
Family Centered Treatment Ohio 5 19 10 For Printingdebwerner
 
Annotated Bibliography
Annotated BibliographyAnnotated Bibliography
Annotated BibliographyTaylor Panzer
 

Similar to The Family & OCD (20)

Review
ReviewReview
Review
 
DEPRESSION AND ANXIETY 311018–1025 (2014)Research Article.docx
DEPRESSION AND ANXIETY 311018–1025 (2014)Research Article.docxDEPRESSION AND ANXIETY 311018–1025 (2014)Research Article.docx
DEPRESSION AND ANXIETY 311018–1025 (2014)Research Article.docx
 
family-therapy-working-with-challenging-family-dynamics-in-effective-manner.pdf
family-therapy-working-with-challenging-family-dynamics-in-effective-manner.pdffamily-therapy-working-with-challenging-family-dynamics-in-effective-manner.pdf
family-therapy-working-with-challenging-family-dynamics-in-effective-manner.pdf
 
Family interventions for substance use diorders
Family interventions for substance use diordersFamily interventions for substance use diorders
Family interventions for substance use diorders
 
Eating-Behaviour.pptx
Eating-Behaviour.pptxEating-Behaviour.pptx
Eating-Behaviour.pptx
 
Family system
Family systemFamily system
Family system
 
Powerpoint Presentation J Hanley Odd2008
Powerpoint Presentation J Hanley Odd2008Powerpoint Presentation J Hanley Odd2008
Powerpoint Presentation J Hanley Odd2008
 
Autistic Children
Autistic ChildrenAutistic Children
Autistic Children
 
Ob m
Ob mOb m
Ob m
 
Early occuring maternal deppression and maternal negativity in predicting you...
Early occuring maternal deppression and maternal negativity in predicting you...Early occuring maternal deppression and maternal negativity in predicting you...
Early occuring maternal deppression and maternal negativity in predicting you...
 
Perrie Merlin - Working With Fristrated Families
Perrie Merlin - Working With Fristrated FamiliesPerrie Merlin - Working With Fristrated Families
Perrie Merlin - Working With Fristrated Families
 
Effects of trauma on implicit emotion regulation within a family system a res...
Effects of trauma on implicit emotion regulation within a family system a res...Effects of trauma on implicit emotion regulation within a family system a res...
Effects of trauma on implicit emotion regulation within a family system a res...
 
De Generating Parents (Capstone)
De Generating Parents (Capstone)De Generating Parents (Capstone)
De Generating Parents (Capstone)
 
Expressed Emotions.ppt
Expressed Emotions.pptExpressed Emotions.ppt
Expressed Emotions.ppt
 
Personality Factors as Related to Stresses among Parents of Mentally Sub-Norm...
Personality Factors as Related to Stresses among Parents of Mentally Sub-Norm...Personality Factors as Related to Stresses among Parents of Mentally Sub-Norm...
Personality Factors as Related to Stresses among Parents of Mentally Sub-Norm...
 
SA 201 3-1
SA 201 3-1SA 201 3-1
SA 201 3-1
 
Family therapy
Family therapyFamily therapy
Family therapy
 
Group presentation Nutrition G and C..pptx
Group presentation Nutrition G and C..pptxGroup presentation Nutrition G and C..pptx
Group presentation Nutrition G and C..pptx
 
Family Centered Treatment Ohio 5 19 10 For Printing
Family Centered Treatment Ohio 5 19 10 For PrintingFamily Centered Treatment Ohio 5 19 10 For Printing
Family Centered Treatment Ohio 5 19 10 For Printing
 
Annotated Bibliography
Annotated BibliographyAnnotated Bibliography
Annotated Bibliography
 

Recently uploaded

The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxheathfieldcps1
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfciinovamais
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphThiyagu K
 
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...christianmathematics
 
Sanyam Choudhary Chemistry practical.pdf
Sanyam Choudhary Chemistry practical.pdfSanyam Choudhary Chemistry practical.pdf
Sanyam Choudhary Chemistry practical.pdfsanyamsingh5019
 
BASLIQ CURRENT LOOKBOOK LOOKBOOK(1) (1).pdf
BASLIQ CURRENT LOOKBOOK  LOOKBOOK(1) (1).pdfBASLIQ CURRENT LOOKBOOK  LOOKBOOK(1) (1).pdf
BASLIQ CURRENT LOOKBOOK LOOKBOOK(1) (1).pdfSoniaTolstoy
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsTechSoup
 
Measures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDMeasures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDThiyagu K
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introductionMaksud Ahmed
 
9548086042 for call girls in Indira Nagar with room service
9548086042  for call girls in Indira Nagar  with room service9548086042  for call girls in Indira Nagar  with room service
9548086042 for call girls in Indira Nagar with room servicediscovermytutordmt
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactPECB
 
General AI for Medical Educators April 2024
General AI for Medical Educators April 2024General AI for Medical Educators April 2024
General AI for Medical Educators April 2024Janet Corral
 
Student login on Anyboli platform.helpin
Student login on Anyboli platform.helpinStudent login on Anyboli platform.helpin
Student login on Anyboli platform.helpinRaunakKeshri1
 
Class 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdfClass 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdfAyushMahapatra5
 
Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfAdmir Softic
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhikauryashika82
 
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...Sapna Thakur
 

Recently uploaded (20)

The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot Graph
 
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
 
Sanyam Choudhary Chemistry practical.pdf
Sanyam Choudhary Chemistry practical.pdfSanyam Choudhary Chemistry practical.pdf
Sanyam Choudhary Chemistry practical.pdf
 
BASLIQ CURRENT LOOKBOOK LOOKBOOK(1) (1).pdf
BASLIQ CURRENT LOOKBOOK  LOOKBOOK(1) (1).pdfBASLIQ CURRENT LOOKBOOK  LOOKBOOK(1) (1).pdf
BASLIQ CURRENT LOOKBOOK LOOKBOOK(1) (1).pdf
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The Basics
 
Advance Mobile Application Development class 07
Advance Mobile Application Development class 07Advance Mobile Application Development class 07
Advance Mobile Application Development class 07
 
Measures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDMeasures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SD
 
Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introduction
 
9548086042 for call girls in Indira Nagar with room service
9548086042  for call girls in Indira Nagar  with room service9548086042  for call girls in Indira Nagar  with room service
9548086042 for call girls in Indira Nagar with room service
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
 
General AI for Medical Educators April 2024
General AI for Medical Educators April 2024General AI for Medical Educators April 2024
General AI for Medical Educators April 2024
 
Student login on Anyboli platform.helpin
Student login on Anyboli platform.helpinStudent login on Anyboli platform.helpin
Student login on Anyboli platform.helpin
 
Class 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdfClass 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdf
 
Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdf
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
 
Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"
 
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
 

The Family & OCD

  • 1. THE FAMILY & OCD THE INFLUENCE OF FAMILY FACTORS ON THE DEVELOPMENT, MAINTENANCE, AND TREATMENT OF PEDITRAIC OCD
  • 2.
  • 3.
  • 4. “ Counting really bogged me down. I would wash my hair three times as opposed to once because three was a good luck number and one wasn’t. When I set my alarm at night, I had to set it to a number that wouldn’t add up to a ’bad’ number. ” “ Getting dressed in the morning was tough, because if I didn’t follow my routine, I’d get anxious and would have to get dressed again. I always worried that if I didn’t do something, my parents were going to die. I’d have these terrible thoughts of harming them. It was completely irrational, but the thoughts triggered more anxiety and more senseless behavior. B/c of the time I spent on rituals, I was unable to do a lot of things.”
  • 5.
  • 6.
  • 7.
  • 8. Family Distress, Accommodation, & Participation Renshaw et al., 2005
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. references Allsopp, M., & Verduyn, C. (1990). Adolescents with obsessive compulsive disorder: A case note review of consecutive patients referred to a provincial regional adolescent psychiatry unit. Journal of Adolescence, 13 , 157-169. Amir, N., Freshman, M., & Foa, E. B. (2000). Family distress and involvement in relatives of obsessive-compulsive disorder patients. Journal of Anxiety Disorders, 14(3), 209-217. Barrett, P. M., Shortt, A., & Healy, L. (2002). Do parent and child behaviours differentiate families whose children have obsessive-compulsive disorder from other clinic and non-clinic families? Journal of Child Psychology and Psychiatry, 43 , 597–607. Black, D. W., Gaffney, G., Schlosser, S., & Gabel, J. (1998). The impact of obsessive-compulsive disorder on the family: Preliminary findings. Journal of Nervous and Mental Disease, 186, 440-442. Calvocoressi, L., Mazure, C., Kasl, S. V., Skolnick, J., Fisk, D., Vegso, S. J., et al. (1999). Family accommodation of obsessive-compulsive symptoms: Instrument development and assessment of family behavior. Journal of Nervous and Mental Disease, 187 , 636-642. Chambless, D. L., & Steketee, G. (1999). Expressed emotion and behavior therapy outcome: A prospective study with obsessive-compulsive and agoraphobic outpatients. Journal of Consulting and Clinical Psychology, 67 (5), 658-665. Farrell, L. J., & Barrett, P. M. (2007). The function of the family in childhood obsessive-compulsive disorder: Family interactions and accommodation. Mahwah, NJ: Lawrence Erlbaum Associates. Ferrão, Y. A., Shavitt, R. G., Bedin, N. R., de Mathis, M. E., Carlos, L. A., Fontenelle, L. F., et al. (2006). Clinical features associated to refractory obsessive-compulsive disorder. Journal of Affective Disorders, 94 (1-3), 199-209. Grunes, M. S., Neziroglu, F., & McKay, D. (2001). Family involvement in the behavioral treatment of obsessive-compulsive disorder: A preliminary investigation. Behavior Therapy, 32 , 803-820. Hibbs, E. D., Hamburger, S. D., Lenane, M., Rapoport, J. L., Kruesi, M. J. P., Keysor, C. S., et al. (1991). Determinants of expressed emotion in families of disturbed and normal children. Journal of Child Psychology and Psychiatry, 32 (5), 757-770. Knox, L. S., Albano, A. M., & Barlow, D. H. (1996). Parental involvement in the treatment of childhood compulsive disorder: A multiple baseline examination incorporating parents. Behavior Therapy, 27 (1), 93-114. Renshaw, K. D., Steketee, G., & Chambless, D. L. (2005). Involving family members in the treatment of OCD. Cognitive Behaviour Therapy, 34 (3), 164-175. Rufer, M., Grothusen, A., Mass, R., Peter, H., & Hand, I. (2005). Temporal stability of symptom dimensions in adult patients with obsessive-compulsive disorder. Journal of Affective Disorders, 88 , 99-102. Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., et al. (2007). Family accommodation in pediatric obsessive-compulsive disorder. Journal of Clinical Child and Adolescent Psychology, 36 (2), 207-216. Storch, E. A., Merlo, L. J., Lehmkuhl, H., Geffken, G. R., Jacob, M., Ricketts, E., et al. (2008). Cognitive-behavioral therapy for obsessive--compulsive disorder: A non-randomized comparison of intensive and weekly approaches. Journal of Anxiety Disorders, 22 (7), 1146-1158. Van Noppen, B., & Steketee, G. (2003). Family approaches to treatment for obsessive compulsive disorder. Revista brasileira de psiquiatria, 25 (1), 43-50. Waters, T. L., & Barrett, P. M. (2000). The role of the family in childhood obsessive-compulsive disorder. Clinical Child and Family Psychology Review, 3 (3), 173-184. Zohar, A. H. The epidemiology of obsessive-compulsive disorder in children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 8 , 445-460.
  • 19.