[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-204196-105":59,"doc-detail-204196-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","thematic-experiences-of-cbt-struggle-for-individuals-with-ocd","Thematic Experiences of CBT - Struggle for Individuals with OCD","","Cognitive-behavioral therapy is widely used for obsessive-compulsive disorder, yet many individuals report dissatisfaction or limited benefit. Prior research suggests schema therapy may offer an alternative, but evidence is needed on its potential for CBT non-responders. An embedded mixed-methods study surveyed 30 participants with OCD and examined their experiences with CBT treatment. Findings identified fear of failure, vulnerability, and helplessness, overlapping with the most frequently elevated early maladaptive schemas.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/thematic-experiences-of-cbt-struggle-for-individuals-with-ocd/204196/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/thematic-experiences-of-cbt-struggle-for-individuals-with-ocd/204196.png","ImageObject",300,407,{"name":92,"@type":93},"Violet","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-17","2026-09-05",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why do some people with OCD feel dissatisfied with cognitive-behavioral therapy (CBT)?","Question",{"text":113,"@type":114},"The abstract explains that despite CBT’s popularity for OCD, many people reported being unsatisfied or not benefiting from the treatment.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What alternative approach does the study consider for CBT non-responders?",{"text":118,"@type":114},"The study highlights schema therapy as a possible avenue and focuses on whether it could address difficulties experienced by CBT non-responders.",{"name":120,"@type":111,"acceptedAnswer":121},"What did the embedded mixed-methods study find about participants’ experiences with CBT?",{"text":122,"@type":114},"Analysis showed that many participants experienced fear of failure, vulnerability, and helplessness, which overlapped with the most frequently elevated early maladaptive schemas.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},204196,1788571594,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":130,"read_time":145,"preview_page_count":4},4398048950312,"https://ap-avatar.wpscdn.com/avatar/400002538284de19e3c?_k=1778320343897328908","Thematic Experiences of CBT  \nStruggle for Individuals with OCD  \nCitation  \nKhalluf, Laurie Lynn. 2026. Thematic Experiences of CBT Struggle for Individuals with OCD. Masters Thesis, Harvard University Division of Continuing Education.  \nLink  \n[https://dash.harvard.edu/handle/1/42736739](https://dash.harvard.edu/handle/1/42736739)  \nTerms of use  \nThis article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material (LAA), as set forth at  \n[https://harvardwiki.atlassian.net/wiki/external/NGY5NDE4ZjgzNTc5NDQzMGIzZWZhMGFlOWI2M2EwYTg](https://harvardwiki.atlassian.net/wiki/external/NGY5NDE4ZjgzNTc5NDQzMGIzZWZhMGFlOWI2M2EwYTg)  \nAccessibility  \n[https://accessibility.huit.harvard.edu/digital-accessibility-policy](https://accessibility.huit.harvard.edu/digital-accessibility-policy)  \nShare Your Story  \nThe Harvard community has made this article openly available. Please share how this access benefits you. Submit a story  \nThematic Experiences of CBT Struggle for Individuals with OCD  \nLaurie Khalluf  \nA Thesis in the Field of Psychology for the Degree of Master of Liberal Arts in Extension Studies  \nHarvard University  \nMay 2026  \nCopyright 2026 Laurie Khalluf  \nAbstract  \nDespite the popularity of cognitive-behavioral therapy treatment for obsessivecompulsive disorder, many people who have OCD have reported that they were unsatisfied or did not benefit from the treatment. Research has shown that schema therapy could be a possible avenue for these patients, but further insight into its ability to treat CBT non-responders is needed. An embedded mixed-methods study design was utilized to survey 30 participants with OCD and investigate their experiences with CBT. The analysis determined that most participants experienced a fear of failure, a sense of vulnerability, and a sense of helplessness, all of which overlapped with the most frequently elevated EMS.  \nDedication  \nThis work is dedicated to my family, including my father, mother, and sister. I am grateful for their support and advice throughout the process of developing this project and carrying it out. This work is the product of their guidance, both as a psychology researcher and as a person.  \nAcknowledgments  \nThank you to Dr. Richard Martin, my thesis director, for teaching me about the research methods that this work uses, as well as guiding me throughout the process of structuring, writing, and refining this thesis. Thank you for your essential and thorough guidance.  \nI would also like to say thank you to Dr. Christina Wood Baker, my research advisor, who was with me every step of the way during the thesis process, and gave me crucial support on how to conduct this study realistically and ethically. Thank you for always responding to my questions or concerns whenever I had them.  \nI am also grateful to Trudi Goldberg Pires, for helping to perfect this project down to its smallest details. I really appreciate your careful instruction.  \nTable of Contents  \nDedication .......................................................................................................................... iv  \nAcknowledgments................................................................................................................v  \nList of Tables ..................................................................................................................... ix  \nList of Figures ......................................................................................................................x  \nChapter I. Introduction ........................................................................................................ 1  \nObsessive-Compulsive Disorder..............................................................................2  \nTreatment of OCD ...................................................................................................2  \nLimitations of CBT for OCD ......","cbCaicEiJTJIiWtp","https://ap.wps.com/l/cbCaicEiJTJIiWtp","pdf",741870,71,"English","# Dedication\n# Acknowledgments\n# List of Tables\n# List of Figures\n# Chapter I. Introduction\n## Obsessive-Compulsive Disorder\n## Treatment of OCD\n## Limitations of CBT for OCD\n## Schema Therapy as an Alternative\n## Schema Therapy Applied to OCD\n## Current Research on Schema Therapy vs. CBT\n## Future Research Needed\n## Current Need for Qualitative Research\n## Current Study\n# Chapter II. Methods\n## Participants\n## Measures\n## OCD\n## Early Maladaptive Schemas\n## Qualitative Assessment\n## Procedure\n## Analysis Tools\n## Statistical Analysis\n## Hypothesis Testing\n## Qualitative Analysis","[{\"question\":\"Why do some people with OCD feel dissatisfied with cognitive-behavioral therapy (CBT)?\",\"answer\":\"The abstract explains that despite CBT’s popularity for OCD, many people reported being unsatisfied or not benefiting from the treatment.\"},{\"question\":\"What alternative approach does the study consider for CBT non-responders?\",\"answer\":\"The study highlights schema therapy as a possible avenue and focuses on whether it could address difficulties experienced by CBT non-responders.\"},{\"question\":\"What did the embedded mixed-methods study find about participants’ experiences with CBT?\",\"answer\":\"Analysis showed that many participants experienced fear of failure, vulnerability, and helplessness, which overlapped with the most frequently elevated early maladaptive schemas.\"}]","Thematic Experiences of CBT - Struggle for Individuals with OCD | PDF",179]