Three Types of OCD Cases *

* Published December 2022 Three Types of OCD Cases: Integrating Malan’s Model of OCD with the Core Fear Model As discussed here, an individual’s OCD symptoms are aimed at avoiding a specific form of emotional distress, or Core Fear.  And as discussed here, OCD symptoms are aimed at preventing a loss of attachment. So is […]

Three Types of OCD Cases

Three Types of OCD Cases: Integrating Malan’s Model of OCD with the Core Fear Model As discussed here, an individual’s OCD symptoms are aimed at avoiding a specific form of emotional distress, or Core Fear.  And as discussed here, OCD symptoms are aimed at preventing a loss of attachment. So is the Core Fear always […]

Malan’s Model of OCD *

* Published December 2022 In his book Individual Psychotherapy and the Science of Psychodynamics, Dr. David Malan offered a simple model for conceptualizing the emotional and relational dynamics underlying OCD.   This article presents my simplified version of Malan’s model, largely loyal to the original but filled in and slightly adjusted.  I have found this model […]

Causal Justifications *

* Published December 2022 Causal Justifications Introduction A central component of RF-ERP is challenging the ways in which a person justifies ruminating. In order to argue effectively against a justification, one must first fully understand it. This entails helping the patient to formulate exactly why they think it is important to ruminate. Patients are usually […]

Anatomical Models of Rumination *

* Published December 2022 Anatomical Models of Rumination Rumination as defined in RF-ERP captures all sorts of different thought processes. Taking a closer look at these thought processes can be helpful in various ways. This article presents a few different anatomical models one might use to organize the content of someone’s rumination.  Notably, these models […]

Defining and Demarcating Compulsion *

* Published December 2022 Defining Compulsion In RF-ERP, the defining characteristic of an OCD symptom is the person’s subjective lack of agency, or their feeling that they don’t have a choice about whether they engage in that symptomatic behavior (1). According to this definition, no behavior is ever objectively OCD.  Rather, it is a person’s […]

RF-ERP Order of Operations *

* Published December 2022 Please note that Rumination-Focused ERP is a new and evolving approach to ERP. It has not yet been researched, and therefore to the extent that it differs from classical ERP, it is not evidence-based. RF-ERP Order of Operations Intake Core Fear Psychodynamic Case Formulation Rumination-Focused Case Formulation and Treatment Plan How […]