- Oxford Library Of Psychology
- The Oxford Handbook of Obsessive Compulsive and Spectrum Disorders
- Short Contents
- Oxford Library of Psychology
- About the Editor
- Phenomenology and Epidemiology of Obsessive Compulsive Disorder
- Phenomenology and Epidemiology of Body Dysmorphic Disorder
- Phenomenology and Characteristics of Compulsive Hoarding
- Phenomenology and Epidemiology of Tic Disorders and Trichotillomania
- Genetic Understanding of OCD and Spectrum Disorders
- Neuroanatomy of Obsessive Compulsive and Related Disorders
- Information Processing in Obsessive Compulsive Disorder and Related Problems
- The Role of Family and Social Relationships in OCD and Spectrum Conditions
- Personality Features of OCD and Spectrum Conditions
- Psychological Models of Obsessive Compulsive and Spectrum Disorders: <i>From Psychoanalytic to Behavioral Conceptualizations</i>
- Cognitive Approaches to Understanding Obsessive Compulsive and Related Disorders
- Assessing OCD Symptoms and Severity
- Assessing Comorbidity, Insight, Family and Functioning in OCD
- Pharmacological Treatments for Obsessive Compulsive Disorder
- Other Biological Approaches to OCD
- Exposure-Based Treatment for Obsessive Compulsive Disorder
- Cognitive Treatment for OCD
- Combining Pharmacotherapy and Psychological Treatments for OCD
- Additive and Alternative Approaches to Treating Obsessive Compulsive Disorder
- Treatment of Body Dysmorphic Disorder
- Treatment of Compulsive Hoarding
- Treatment of Tic Disorders and Trichotillomania
- OCD and Spectrum Conditions in Older Adults
- Obsessive Compulsive Spectrum Disorders in Children and Adolescents
- Cultural Issues in Understanding and Treating Obsessive Compulsive and Spectrum Disorders
- Future Research on Obsessive Compulsive and Spectrum Conditions
Abstract and Keywords
Exposure and response prevention (ERP) is one of the oldest and most effective treatments for obsessive compulsive disorder. The present chapter describes the empirical foundations, development, delivery, and latest research on ERP. Commonly used methods and procedural variants of ERP are described, along with findings concerning the underlying mechanisms of action. The efficacy of ERP in relation to other treatments is discussed, in addition to research on the long-term effects of ERP and its effects in non-research settings. Pretreatment predictors of the outcome of treatments using ERP are also considered. Efforts to improve treatment outcome are discussed, including research into the benefits of combining ERP with other psychosocial interventions such as cognitive therapy, or with particular medications. The chapter concludes by considering important future research directions for improving the outcome of treatment packages that include ERP.
Jonathan S. Abramowitz is Professor and Associate Chair of Psychology at the University of North Carolina (UNC) at Chapel Hill, where he trains clinical psychologists and conducts research on OCD/anxiety disorders.
Steven Taylor is a professor in the Department of Psychiatry at the University of British Columbia in Vancouver, British Columbia.
Dean McKay is a professor in the Department of Psychology at Fordham University in Bronx, NY.
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