{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T17:54:24Z","timestamp":1792518864489,"version":"4.5.0"},"reference-count":12,"publisher":"Springer Publishing Company","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cogn Psychother"],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:p>In 2018, a graduate level student filed a complaint regarding the use of exposure-based therapy for persons with obsessive-compulsive disorder (OCD) experiencing violent obsessions. In the investigation, the licensing board expressed concern about safety of us of exposure and response prevention (ERP) with children and in public venues. The licensing board also struggled with accurate assessment of a clinician's efficacy in following the gold-standard treatment for OCD. Despite extensive research demonstrating ERP is a safe, effective treatment for OCD, stigma against exposure based treatments remain strong, even among clinicians. This commentary article discusses the specific licensing investigation and implications for change throughout the field of psychotherapy.<\/jats:p>","DOI":"10.1891\/jcpsy-d-20-00005","type":"journal-article","created":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T20:26:57Z","timestamp":1593203217000},"page":"179-184","source":"Crossref","is-referenced-by-count":8,"title":["Fear Over Facts: When Fellow Clinicians Become a Barrier to Dissemination of Exposure and Response Prevention for Obsessive-Compulsive Disorder\u2014A Clinical Response to Licensing Board Investigation of Exposure and Response Prevention"],"prefix":"10.1891","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3580-2607","authenticated-orcid":false,"given":"Laura M.","family":"Lokers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2020,6,26]]},"reference":[{"key":"2020081517200821000_34.3.179.1","unstructured":"Abramowitz, J. S. , Deacon, B. J. , & Whiteside, S. P. H. (2019). Exposure therapy for anxiety: Principles and practice; Chapter 23 risk-benefit analysis of exposure therapy (2nd ed.). New York, NY: The Guilford Press."},{"key":"2020081517200821000_34.3.179.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2013.04.006"},{"key":"2020081517200821000_34.3.179.3","doi-asserted-by":"publisher","DOI":"10.1002\/da.21998"},{"key":"2020081517200821000_34.3.179.4","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.brat.2015.12.015","article-title":"Facets of clinicians' anxiety and the delivery of cognitive behavioral therapy","volume":"77","year":"2016","journal-title":"Behavior Research and Therapy"},{"issue":"1","key":"2020081517200821000_34.3.179.5","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.psychres.2015.02.004","article-title":"Efficacy of cognitive-behavioral therapy for obsessive\u2013compulsive disorder","volume":"227","year":"2015","journal-title":"Psychiatry Research"},{"key":"2020081517200821000_34.3.179.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.01.004"},{"key":"2020081517200821000_34.3.179.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.07.010"},{"key":"2020081517200821000_34.3.179.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2008.07.003"},{"key":"2020081517200821000_34.3.179.9","unstructured":"Reid, A. M. , Flores, C. , Olsen, B. , Barthle, M. A. , Rahmani, M. , Rakhshani, A. C. , & Nguyen, M. (2016). Treatment of sexual obsessive-compulsive symptoms during exposure and response prevention. In E. Storch & A. Lewin (Eds.), Clinical Handbook of Obsessive-Compulsive and Related Disorders . New York, NY: Springer Publishing."},{"key":"2020081517200821000_34.3.179.10","unstructured":"Richard, D. C. S. , & Gloster, A. T. (2007). Exposure therapy has a public relations problem: A dearth of litigation amid a wealth of concern. In D. C. S. Richard & D. Lauterbach (Eds.), Handbook of Exposure Therapies (pp. 409\u2013425). New York, NY: Academic Press."},{"issue":"5","key":"2020081517200821000_34.3.179.11","first-page":"1","article-title":"Serious negative consequences associated with exposure and response prevention for obsessive-compulsive disorder: A survey of therapist attitudes and experiences","volume":"37","year":"2020","journal-title":"Depression and Anxiety"},{"key":"2020081517200821000_34.3.179.12","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.107.004705"}],"container-title":["Journal of Cognitive Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/JCPSY-D-20-00005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,16]],"date-time":"2020-08-16T00:20:19Z","timestamp":1597537219000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/JCPSY-D-20-00005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,26]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,8,15]]},"published-print":{"date-parts":[[2020,8,1]]}},"alternative-id":["10.1891\/JCPSY-D-20-00005"],"URL":"https:\/\/doi.org\/10.1891\/jcpsy-d-20-00005","relation":{},"ISSN":["0889-8391","1938-887X"],"issn-type":[{"value":"0889-8391","type":"print"},{"value":"1938-887X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,26]]}}}