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One important way treatment was complicated was that the client frequently attempted to manage her mother's emotions by underreporting her own distress at times. The other implication of the mother's diagnosis was that it became difficult to involve her in the treatment of her daughter and reduce her accommodation of her daughter's symptoms. The manner in which these complicating factors were addressed in the successful treatment of this client by adapting evidence-based practice will be presented as a guide for clinicians facing similar challenges.<\/jats:p>","DOI":"10.1891\/0889-8391.33.3.242","type":"journal-article","created":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T18:59:07Z","timestamp":1562612347000},"page":"242-255","source":"Crossref","is-referenced-by-count":3,"title":["Comorbidity, Parental Psychopathology, and Accommodation in the Treatment of Pediatric Obsessive-Compulsive Disorder: A Case Study"],"prefix":"10.1891","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5502-1376","authenticated-orcid":false,"given":"Melanie J.","family":"Wadkins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5935-2463","authenticated-orcid":false,"given":"Elizabeth","family":"Gordon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2019,7,8]]},"reference":[{"key":"2019091721154615000_33.3.242.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-6653.2011.02021.x"},{"key":"2019091721154615000_33.3.242.2","doi-asserted-by":"publisher","DOI":"10.2217\/npy.12.40"},{"key":"2019091721154615000_33.3.242.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(01)00070-5"},{"key":"2019091721154615000_33.3.242.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2013.12.007"},{"key":"2019091721154615000_33.3.242.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2005.08.001"},{"key":"2019091721154615000_33.3.242.6","doi-asserted-by":"publisher","DOI":"10.1080\/15374410903258975"},{"issue":"Suppl. 1","key":"2019091721154615000_33.3.242.7","first-page":"13","article-title":"Mental contamination in OCD: Its role in the relationship between disgust propensity and fear of contamination","volume":"10","year":"2013","journal-title":"Clinical Neuropsychiatry: Journal of Treatment Evaluation"},{"key":"2019091721154615000_33.3.242.8","doi-asserted-by":"publisher","DOI":"10.1097\/01.CHI.0000046898.27264.A2"},{"key":"2019091721154615000_33.3.242.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2012.07.006"},{"key":"2019091721154615000_33.3.242.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.03.007"},{"key":"2019091721154615000_33.3.242.11","doi-asserted-by":"publisher","DOI":"10.1097\/CHI.0b013e31816765f9"},{"key":"2019091721154615000_33.3.242.12","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1001\/jamapsychiatry.2014.170","article-title":"Family-based treatment of early childhood obsessive-compulsive disorder: The pediatric obsessive-compulsive disorder treatment study for young children (POTS Jr.), a randomized clinical trial","volume":"71","year":"2014","journal-title":"JAMA Psychiatry"},{"key":"2019091721154615000_33.3.242.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2010.06.013"},{"key":"2019091721154615000_33.3.242.14","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200301000-00008"},{"key":"2019091721154615000_33.3.242.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2013.08.003"},{"key":"2019091721154615000_33.3.242.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.07.010"},{"issue":"11","key":"2019091721154615000_33.3.242.17","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1002\/jclp.22393","article-title":"Managing family accomodation of OCD in the context of adolescent treatment refusal: A case example","volume":"72","year":"2016","journal-title":"Journal of Clinical Psychology"},{"key":"2019091721154615000_33.3.242.18","first-page":"231","volume-title":"APA handbook of psychopathology: Child and adolescent psychopathology","volume":"2","year":"2018"},{"key":"2019091721154615000_33.3.242.19","doi-asserted-by":"publisher","DOI":"10.1002\/da.22251"},{"key":"2019091721154615000_33.3.242.20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2009.02181.x"},{"key":"2019091721154615000_33.3.242.21","unstructured":"Lewin, A. 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