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A preliminary investigation of the relationship between the accommodation behaviors of family members of individuals with OCD and treatment outcome

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TitleInfo
Title
A preliminary investigation of the relationship between the accommodation behaviors of family members of individuals with OCD and treatment outcome
TitleInfo (type = alternative)
Title
Family accommodation and OCD
Name (type = personal)
NamePart (type = family)
Marinchak
NamePart (type = given)
James S.
NamePart (type = date)
1983-
DisplayForm
James Marinchak
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Petronko
NamePart (type = given)
Michael R.
DisplayForm
Michael R. Petronko
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Fishman
NamePart (type = given)
Daniel
DisplayForm
Daniel Fishman
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School of Applied and Professional Psychology
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2013
DateOther (qualifier = exact); (type = degree)
2013-10
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Obsessive-compulsive disorder (OCD) is an anxiety disorder in which distress and impairment extend beyond the patient to their immediate family members. Many family members become involved in their loved one’s compulsions by engaging in accommodation behaviors, which ultimately make it easier to perform compulsions or avoid obsession-invoking triggers. Accommodation behaviors can indirectly result in negative consequences for the family member, such as reduced quality-of-life, and the OCD individual in the form of more severe OCD symptoms and decreased motivation to seek treatment. The current study utilized a single, case-study methodology to examine whether providing a brief, ten-session behavioral treatment to an immediate family member living with a non-treatment seeking OCD adult would result in reduced accommodation, improved quality of life, and an increased motivation for the OCD adult to seek help. Individual treatment was provided to the mother of an adult son, living at home and diagnosed with OCD, over a three month period at an outpatient anxiety clinic setting. The therapy focused on providing the mother with psychoeducation regarding the nature of OCD and the negative impact of accommodation behaviors, developing alternative coping behaviors in response to rituals, communication training, and the promotion of self-care behaviors. Results indicated that the treatment was effective in reducing accommodation and improving quality of life within the household, but that more treatment was likely necessary in order to consolidate therapeutic gains. The treatment did not appear to impact OCD treatment-seeking motivation for the OCDdiagnosed son. Factors contributing to the results of the treatment are discussed, and suggestions are presented for future research directions. Family members living with OCD-diagnosed adults not currently seeking treatment can likely derive benefit from brief interventions designed to reduce accommodation behaviors, improve family communication, and promote self-care.
Subject (authority = RUETD)
Topic
Clinical Psychology
Subject (authority = ETD-LCSH)
Topic
Obsessive-compulsive disorder--Treatment
Subject (authority = ETD-LCSH)
Topic
Enabling (Psychology)
Subject (authority = ETD-LCSH)
Topic
Adjustment (Psychology)
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_4720
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
vii, 68 p. : ill.
Note (type = degree)
Psy.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by James S. Marinchak
RelatedItem (type = host)
TitleInfo
Title
Graduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Identifier (type = local)
rucore10001800001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3V69GKR
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Marinchak
GivenName
James
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2013-04-16 15:59:41
AssociatedEntity
Name
James Marinchak
Role
Copyright holder
Affiliation
Rutgers University. Graduate School of Applied and Professional Psychology
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem (VERSION = 5.1)
windows xp
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