{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T21:19:02Z","timestamp":1774905542532,"version":"3.50.1"},"reference-count":35,"publisher":"Guilford Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bulletin of the Menninger Clinic"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Background: Exposure and response prevention (ERP) is the gold standard psychological treatment for obsessive-compulsive disorder (OCD). This study assessed if participants' response to a client with OCD, who is seeking reassurance, would follow ERP principles. Methods: 2,550 American Psychological Association members were randomized to one of three OCD vignettes: contamination, sexual, and harm. Participants selected how they would respond to a client with OCD who was seeking reassurance. Results: 499 participants completed the survey. Across the vignettes, participants (1) were least likely to select the ERP response (harm: 3.0%; sexual: 3.1%; contamination: 7.1%), (2) rated the ERP response as Very Non-Therapeutic or Non-Therapeutic (sexual: 89.6%; harm: 82.7%; contamination: 58.9%), and (3) did not agree that the ERP response (e.g., \u201cYou may have stabbed someone\u201d) was reflective of the theory and practice of ERP. Conclusions: Greater training and education regarding ERP for OCD among mental health professionals is needed.<\/jats:p>","DOI":"10.1521\/bumc.2026.90.1.58","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T20:37:27Z","timestamp":1774903047000},"page":"58-77","source":"Crossref","is-referenced-by-count":0,"title":["Clinician use of ERP principles in conceptualization and response to OCD clients seeking reassurance"],"prefix":"10.1521","volume":"90","author":[{"given":"Alexandra C.","family":"Volpacchio","sequence":"first","affiliation":[{"name":"Clinical Psychology Department, William James College, Newton, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly Glazier","family":"Leonte","sequence":"additional","affiliation":[{"name":"Clearview Horizons, North Andover, Massachusetts, and Break The Cycle, North Andover."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia","family":"Hardy","sequence":"additional","affiliation":[{"name":"Department of Psychology, Memorial University of Newfoundland, St. John's, Newfoundland, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian D.","family":"Ott","sequence":"additional","affiliation":[{"name":"Department of Psychology, Memorial University of Newfoundland, St. John's, Newfoundland, Canada, and the Department of Psychiatry, Massachusetts General Hospital\/Harvard Medical School, Boston, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(96)80045-1"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/9781118877142.ch6"},{"key":"ref3","volume-title":"Exposure therapy for anxiety: Principles and practice.","author":"Abramowitz J. 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M.","year":"2019","journal-title":"Indian Journal of Psychiatry"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.333.7565.424"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1177\/0145445512458794"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1891\/JCPSY-D-20-00005"},{"issue":"1","key":"ref26","first-page":"14","volume":"33","author":"McKay D.","year":"2019","journal-title":"OCD Newsletter"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.06.003"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"Philip, J. & Cherian, V. (2021). Acceptance and commitment therapy in the treatment of obsessive-compulsive disorder: A systematic review. Journal of Obsessive-Compulsive and Related Disorders, 28, Article 100603. https:\/\/doi.org\/10.1016\/j.jocrd.2020.100603","DOI":"10.1016\/j.jocrd.2020.100603"},{"key":"ref29","unstructured":"Quick, S. (2022). Why using logic to tackle OCD won't work. NOCD. 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