Abstract

Background and objectivesThis paper reviews the development of the cognitive-behavioural model of obsessive-compulsive disorder (OCD) through the work of Dr. Jack Rachman and the research his ideas inspired or shaped. MethodsA narrative review of Rachman's work and important developments in related areas was conducted. ResultsRachman was highly responsive to theoretical and empirical developments in the field, and continuously developed his model of OCD over the course of his career. Key developments in his thinking and of those in related areas are described. LimitationsThis is a narrative review that highlights important developments in the cognitive behavioural model of OCD only. ConclusionsThe CBT model of OCD has strong empirical support and CBT treatment is the most effective psychotherapy. Continued development in our understanding of attachment and in the persistence of compulsions is warranted.

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