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.

中文翻译：

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对事实的恐惧：当其他临床医生成为传播强迫症暴露和反应预防的障碍时——对许可委员会暴露和反应预防调查的临床反应。

2018 年，一名研究生就使用基于暴露的疗法治疗遭受暴力困扰的强迫症 (OCD) 患者提出投诉。在调查中，许可委员会对我们与儿童和公共场所接触和反应预防 (ERP) 的安全性表示担忧。许可委员会还难以准确评估临床医生在遵循 OCD 黄金标准治疗方面的疗效。尽管广泛的研究表明 ERP 是一种安全、有效的强迫症治疗方法，但即使在临床医生中，对基于暴露的治疗的耻辱感仍然强烈。这篇评论文章讨论了特定的许可调查以及对整个心理治疗领域变化的影响。