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Bridging theory and practice: conceptual understanding of treatments for children with attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), autism, and depression.

Serves as an introduction to a special edition of the journal on bridging theory and clinical practice for childhood disorders. Issues concerning the current trend of developing and evaluating new treatments devoid of a theoretical perspective are discussed. A conceptual model of child psychopathology is presented to illustrate the relevance and interplay between theory and the design and evaluation of treatments with particular emphasis on the selection and measurement of target behaviors. The means by which theory and empirical evidence interact and their relevance to understanding particular childhood disorders are discussed and emphasize the need for theoretical and conceptual models that describe the linkages among hypothesized brain substrates, cognitive function, behavior, and the environment to augment the development of potent biological and psychological interventions.

Attention Deficit Disorder with Hyperactivity↗

OCD patients and non-patient groups reporting obsessions and compulsions: phenomenology, help-seeking, and access to treatment.

This article offers a preliminary examination of factors that may be important to seeking help and receiving treatment for obsessive-compulsive symptoms. Community studies typically reveal individuals who display significant obsessive-compulsive symptomatology. Such individuals are often used in analogue research that attempts to understand various symptom dimensions and associated characteristics relevant to clinical obsessional states. This article questions why, if these non-patient groups are sufficiently similar to patients in terms of phenomenology, there should exist a disparity in treatment status. This question is addressed in the following way: first, obsessive-compulsive symptoms and associated features that may be central to help-seeking are considered in both patient and non-patient groups. A central argument in this part of the article is that cross-study phenomenological comparisons are hindered by diversity in research selection criteria. Secondly, general factors that may be considered important to help-seeking for psychological distress are considered, as too are those factors that may be applied to the consideration of help-seeking for obsessive-compulsive problems specifically. Finally, the implications of these issues in the literature for research and clinical practice are considered.

Cognitive Behavioral Therapy↗

Combined therapies in OCD.

1. A supportive and therapeutic approach, including implementing "combined" therapies, has been important in achieving recovery of obsessive-compulsive disorder in a community setting. 2. Helping the patient maintain independence after professional community support has been discontinued was a primary objective of the initial treatment plan. 3. The combination of behavioral, cognitive, and pharmacological therapies has been successful in achieving ongoing maintenance of independence and desensitization to the anxiety and phobias within the patient's home environment and community and has prevented further hospitalizations.

Activities of Daily Living↗