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(p. 144) Beyond the fundamentals 

(p. 144) Beyond the fundamentals
(p. 144) Beyond the fundamentals

Victoria Bream

, Fiona Challacombe

, Asmita Palmer

, and Paul Salkovskis

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date: 26 January 2021

This chapter provides guidance on some of the issues of complexity, using a number of examples, including case illustrations of mental contamination, post-traumatic stress disorder, and perfectionism. There is a detailed consideration of incorporating compassionate mind work on shame. As obsessive-compulsive disorder (OCD) has a great impact on others around the individual, we focus on working with the involvement of family members in symptoms. The chapter also covers adaptations of standard treatment (group and intensive treatment). We consider how to make best use of supervision, including a detailed discussion of OCD-specific competences and metacompetences, as part of continued development as a therapist. There is an outline for how we might prevent OCD in the future, including disseminating understanding of OCD.

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