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perfectionism and - Obsessive-Compulsive Foundation

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6/24/13<br />

8<br />

Learning Processes <br />

Avoidance condi8oning <br />

• Posi8ve reinforcement (posi8ve emo8ons) <br />

• Nega8ve reinforcement (nega8ve emo8ons) <br />

• No opportunity to test beliefs & appraisals <br />

(avoidance) <br />

• No opportunity to develop alterna8ve beliefs <br />

(avoidance) <br />

Developing the Client’s <br />

Conceptualiza8on <br />

• Start with client’s explana8on <br />

• Add features based on interview <strong>and</strong> <br />

experimenta8on <br />

• Connect features to saving/acquiring <strong>and</strong> core <br />

beliefs / vulnerabili8es <br />

• Do func8onal analyses of individual features <br />

• Distress <br />

• Decisions <br />

• AVending to cluVer <br />

• Feelings of loss <br />

• Feelings of vulnerability <br />

• Worries about memory <br />

• Invi8ng people into the <br />

home <br />

• Making mistakes <br />

• Losing opportuni8es <br />

• Losing informa8on <br />

• Depression <br />

• Purng things out of <br />

sight <br />

Client L: 72 year old gr<strong>and</strong>mother <br />

• Lives alone, no visitors for years <br />

• Severe hoarding <br />

– CIR = 8 <br />

– Bruised hips <br />

• Lifelong problem <br />

• Moderate acquisi8on <br />

• Moderate to high squalor <br />

SATURDAY<br />

-140-

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