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(p. 139) Extreme Accommodation of a Child with OCD and Coercive Behaviors 

(p. 139) Extreme Accommodation of a Child with OCD and Coercive Behaviors
Chapter:
(p. 139) Extreme Accommodation of a Child with OCD and Coercive Behaviors
Author(s):

Eli R. Lebowitz

DOI:
10.1093/med-psych/9780190869984.003.0013
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date: 19 August 2019

This chapter illustrates the work of reducing family accommodation of obsessive-compulsive disorder (OCD) in a case of extreme family accommodation with a high level of resistance and coercive behaviors in the child. The chapter presents the case of Cora, a 12-year-old girl with OCD. The chapter introduces the case and the rationale for working only with Cora’s mother. Next the chapter reviews the course of treatment. The chapter exemplifies the challenges of working with the single parent of a highly aggressive adolescent who forcibly demands extreme levels of family accommodation and reacts with aggression to changes in the parental behavior. Transcripts from sessions and email correspondence with the therapist illustrate both the level of difficulty faced in this case as well as the power of a supportive and knowledgeable therapist to guide the parent in overcoming these challenges. The case demonstrates the ability of parent-based treatment to achieve change in an otherwise highly intractable case.

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