Abstract
Obsessive-compulsive (OC) beliefs, resistance to the obsession and controllability of urges to ritualise, were examined in OC outpatients at baseline and subsequently in a controlled trial. Patients were randomised to nine weekly sessions of either (a) live plus imaginal exposure plus response prevention (Exi, n = 23) or (b) live exposure alone plus response prevention (Ex, n = 23). Patients were asked to carry out 90 min of daily self-exposure homework corresponding to Exi or Ex. At posttreatment, Exi patients changed less than Ex patients on resistance to obsessions (YBOCS) and on strength and fixity of beliefs. During follow-up, these measures remained more stable in Exi than in Ex and were more reduced than avoidance, though overall percentage of improvement on most measures since week 0 was similar in both treatment conditions. Change in beliefs did not relate to clinical outcome. OC patients may present typical OCD features despite having neither insight into OC beliefs nor resistance to accompanying rituals.
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