Dr. Jack Rachman's contributions to our understanding and treatment of obsessive-compulsive disorder

Abstract

Background and objectives: This 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.

Methods: A narrative review of Rachman's work and important developments in related areas was conducted.

Results: Rachman 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.

Limitations: This is a narrative review that highlights important developments in the cognitive behavioural model of OCD only.

Conclusions: The 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.

Keywords: Cognitive behaviour therapy; Compulsions; OCD; Obsessions.