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Cognitive Behavioural Therapy for Obsessive Compulsive Symptoms Affected by Past Psychotic Experience of Schizophrenia: A Case Report

  • Osamu Kobori (a1), Hirotoshi Sato (a2), Rieko Katsukura (a3) and Seiichi Harada (a3)

Abstract

Obsessive-compulsive symptoms (OCS) have been observed in a substantial proportion of patients with schizophrenia. Although several studies have investigated the comorbidity associated with OCS in schizophrenia, few case studies are available regarding cognitive behavioural therapy (CBT) for the treatment of OCS of patients within this group. This paper describes a case report in which OCS emerged gradually after the remission of positive symptoms of schizophrenia. The CBT involved psycho education and case formulation, cognitive restructuring, exposure and response prevention (EPR), and behavioural experiments. Improvement in the compulsive behaviours led to a greater insight regarding the relationship between OCS and past experience of positive symptoms (e.g. hallucinations). The cognitive characteristics of the patient were discussed in light of current cognitive models of OCD.

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Corresponding author

Reprint requests to Osamu Kobori, Department of Psychology, PO Box 077, Institute of Psychiatry, King's College London, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. E-mail: osamu.kobori@iop.kcl.ac.uk An extended version is also available online in the table of contents for this issue: http://journals.cambridge.org/jid_BCP.

References

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Cognitive Behavioural Therapy for Obsessive Compulsive Symptoms Affected by Past Psychotic Experience of Schizophrenia: A Case Report

  • Osamu Kobori (a1), Hirotoshi Sato (a2), Rieko Katsukura (a3) and Seiichi Harada (a3)

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Cognitive Behavioural Therapy for Obsessive Compulsive Symptoms Affected by Past Psychotic Experience of Schizophrenia: A Case Report

  • Osamu Kobori (a1), Hirotoshi Sato (a2), Rieko Katsukura (a3) and Seiichi Harada (a3)
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