The Development of Effective Treatments for
OCD: From the Laboratory to the Clinic
The Need for an Effective OCD Treatment
Prior to the 1970s and 1980s, treatment for OCD consisted
largely of psychodynamic psychotherapy derived from psychoanalytic
ideas of unconscious motivation. Unfortunately,
there are virtually no scientific studies assessing the efficacy
of such an approach. However, the general consensus among
clinicians of that era was that OCD was an unmanageable condition
with a poor prognosis—which clearly demonstrates
how much confidence (or perhaps how little) clinicians placed
in psychodynamic psychotherapy for treating OCD, Indeed,
available reports suggest that the effects of psychodynamically
oriented therapies are neither robust nor durable
for OCD or for anxiety disorders in general.
By the last quarter ofthe 20th century, however, the prognostic
picture for OCD had improved drastically. This was
largely because of the work of Victor Meyer (5) and other
The Development of Effective Treatments forOCD: From the Laboratory to the ClinicThe Need for an Effective OCD TreatmentPrior to the 1970s and 1980s, treatment for OCD consistedlargely of psychodynamic psychotherapy derived from psychoanalyticideas of unconscious motivation. Unfortunately,there are virtually no scientific studies assessing the efficacyof such an approach. However, the general consensus amongclinicians of that era was that OCD was an unmanageable conditionwith a poor prognosis—which clearly demonstrateshow much confidence (or perhaps how little) clinicians placedin psychodynamic psychotherapy for treating OCD, Indeed,available reports suggest that the effects of psychodynamicallyoriented therapies are neither robust nor durablefor OCD or for anxiety disorders in general.By the last quarter ofthe 20th century, however, the prognosticpicture for OCD had improved drastically. This waslargely because of the work of Victor Meyer (5) and other
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