This book is the first to bring together new research to offer a hands-on clinical guide to treating people with all types of obsessive compulsive disorder (OCD) using an inference-based therapy (IBT). * Provides clinical examples from the full range of OCD subtypes * Coverage integrates theory and application * Decribes case management in detail - from initial assessment to terminating therapy and follow-up * Shows how IBT can also be generalized and applied to other serious psychiatric disorders

Dr Kieron O'Connor is currently the director of the Centre for research on tic and obsessional disorders at the Fernand Seguin Research Center , Louis H. Lafontaine hospital affiliated with University of Montreal. He is also professor at the University of Quebec in Outaouais. His research focuses on improving understanding and treatment of people suffering from obsessive-compulsive spectrum and related disorders. The current IBT program is a product of this research . Dr. O'Connor's publications include Behavioural Management of Tic Disorders (Wiley, 2005), and Beyond Reasonable Doubt: Reasoning Process in Obsessive Compulsive Disorder (with F. Aardema & M. C. Pélissier, Wiley, 2005). Dr Frederick Aardema is a clinical researcher at the Fernand Seguin Research Center, Louis H. Lafontaine hospital affiliated with the University of Montreal. He played a vital role in the development of the inference based approach to the treatment of OCD and his work on reasoning led to the development of an innovative theoretical approach to pure obsessional ruminations. Dr. Aardema has published widely on obsessive-compulsive and related disorders. His books include Beyond Reasonable Doubt: Reasoning Process in Obsessive Compulsive Disorder (with K. P. O'Connor & M. C. Pélissier , Wiley, 2005).

List of Cartoons vii About the Authors ix Acknowledgements xi Introduction xiii Chapter One: Overview of the IBT Programme 1 Chapter Two: IBT: Evaluation Tools 9 Part I: Education and Foundation 21 Chapter Three: When OCD Begins 23 Chapter Four: The 'Logic' behind OCD 43 Chapter Five: The Obsessional Story 57 Chapter Six: The Vulnerable Self-Theme 73 Part II: Intervention 89 Chapter Seven: OCD Doubt is 100% Imaginary 91 Chapter Eight: OCD Doubt is 100% Irrelevant 115 Chapter Nine: The OCD Bubble 129 Chapter Ten: Reality Sensing 143 Part III: Consolidation 157 Chapter Eleven: A Different Story 159 Chapter Twelve: Tricks and Cheats of the OCD Con Artist 175 Chapter Thirteen: The Real Self 189 Chapter Fourteen: Knowing and Doing: Moving On and Preventing Relapse 205 Chapter Fifteen: Trouble-Shooting 221 Case Illustrations 231 Case Illustrations: Clinical Data 257 Answers to Common Queries from Clients 277 Therapist Queries 283 Quiz Answers Sheet 289 Appendix 1: Inferential Confusion Questionnaire (ICQ-EV) 291 Appendix 2: IBT Clinical Scales 293 Appendix 3: Therapy Evaluation Form and Scale 299 Appendix 4: Avoidance and Situational Profile Scale 307 Appendix 5: Diary 311 Bibliography: Key IBA Publications and Other References 321 Index 325