Developmental Trauma in Obsessive-Compulsive Disorder

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cityu.schoolSchool of Health and Social Sciences
cityu.siteVancouver, BC
cityu.site.countryCanada
dc.contributor.authorMiller, Devin
dc.date.accessioned2021-12-07T01:20:13Z
dc.date.available2021-12-07T01:20:13Z
dc.date.issued2021-11
dc.description.abstractSome individuals with obsessive-compulsive disorder (OCD) have histories of childhood traumatic experiences (CTEs). Historically, there has been relatively little focus on developmental and interpersonal factors in OCD, which are relevant in examining CTEs. Cognitive, core belief, emotion regulation, and self-concept factors have been found to mediate the CTE-OCD link, but no conclusions about causality have been possible from studies to date. Importantly, treatment resistance to first-line cognitive-behavioural therapy (CBT) is common in OCD, and poor treatment outcomes may occur as a result of negative cognitive schemas derived from CTEs. Accordingly, in this capstone, I ask: What does recent research have to say about the association between CTEs and OCD and the resulting implications for addressing treatment-resistance? Schema therapy (ST), a multimodal approach that combines experiential, cognitive-behavioural, and developmental perspectives, has been identified as a promising candidate for addressing both CTEs and OCD in parallel. By highlighting an OCD case conceptualization through a schema theory lens, I show that ST is a practical modality to explore for individuals who have failed to respond to CBT.
dc.identifier.urihttp://hdl.handle.net/20.500.11803/1592
dc.language.isoen
dc.publisher.institutionCity University of Seattle (CityU)
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States
dc.rightsopenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/
dc.subjectobsessive-compulsive disorder
dc.subjectchildhood traumatic experiences
dc.subjectattachment trauma
dc.subjectschema therapy
dc.subjectearly maladaptive schemas
dc.titleDevelopmental Trauma in Obsessive-Compulsive Disorder
dc.typeCapstone
thesis.degree.disciplineCounselling
thesis.degree.grantorCity University of Seattle
thesis.degree.levelMasters
thesis.degree.nameMaster of Counselling
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