Treatment Refusal and Family Accommodation


  • William M. Gordon



obsessive-compulsive disorder (OCD), accommodation, treatment refusal, high emotionality, case study, clinical case study


This commentary discusses a case study by James Marinchak (2013), who treated a mother’s accommodation of her adult son’s obsessive-compulsive disorder (OCD). A  variety of issues raised by the case are considered. These include: the relationship between dependency and OCD, the presence of rituals without apparent obsessions, the pros and cons of treating one primary relative versus the family, ways of handling treatment refusal, methodological issues, and the relationship between stress, high emotionality and severity of OCD. The main topic of helping families cope with OCD when the person manifesting it refuses treatment is an overlooked and important area of research.

Author Biography

William M. Gordon

Wan Fishman, Ph.D. Editor-in-Chief, Pragmatic Case Studies in Psychotherapy Professor of Clinical and Organizational Psychology Graduate School of Applied and Professional Psychology Rutgers University Mailing address: 57 Jaffray Court Irvington, NY 10533 914-693-8549 fax: 603-917-2567 email:




How to Cite

Gordon, W. M. (2013). Treatment Refusal and Family Accommodation. Pragmatic Case Studies in Psychotherapy, 9(1), 58–64.



Cognitive-Behavior Therapy with Obsessive-Compulsive Disorder in Complex Contexts