Dismantle or Defuse?
A Comparative Guide to I-CBT and ACT for Treating OCD and Obsessional ThinkingBy Mable Jacquard McGowan
Length2h 36m
About this audiobook
Dismantle or Defuse? shows how two evidence-based approaches— Inference-based Cognitive Behavioral Therapy (I-CBT) and Acceptance and Commitment Therapy (ACT)—tackle obsessive doubt, mental rituals, and the “what-if” loop in OCD and obsessional thinking.
Part One: I-CBT explains inferential confusion, the feared-self theme, and reality-sensing steps that help you spot when imagination is posing as fact.
Part Two: ACT teaches defusion, values, and committed action so you can change how you relate to sticky thoughts without arguing with them.
Side-by-Side Tools: clear checklists to decide when to use I-CBT dismantling and when to use ACT defusion, plus sample scripts, tracking sheets, and relapse-prevention plans.
Everyday Examples: contamination, checking, harm doubts, relationship doubts, and “not-just-right” sensations, with practical exercises you can try at your own pace.
By the end, you’ll have a simple method to choose the right tool for the moment: dismantle doubtful stories with I-CBT or defuse sticky thoughts with ACT—then return to meaningful action.
Who it’s for: adults, students, and clinicians seeking a plain-English, step-by-step guide that respects science and focuses on usable skills.
Key topics: I-CBT, ACT, inferential confusion, cognitive fusion, mental rituals, reassurance seeking, values-based action, reality-sensing, obsessional doubt, self-help for OCD.
Audiobook details
GenreOther
Length2 hrs 36 mins
Narrated byListen with 1,000+ voices
FormateBook with Audio
Publish dateFeb 2, 2026
LanguageEnglish
Table of contents
1Dismantle or Defuse?
2Preface
3The Evolving Landscape of Cognitive Therapy
4The Post-CBT World
5Moving Beyond ERP
Show all chaptersShow less
6Dismantle or Defuse?
7The I-CBT Approach
8The ACT Approach
9Chapter 1: Foundational Principles of I-CBT
10A Paradigm Shift
11Core Concept — Inferential Confusion
12Why Exposure is Logically Unnecessary
13Chapter 2: The I-CBT Formulation in Practice
14Deconstructing the Obsessional Narrative
15Case Study: Sarah's Story of Contamination
16Your Personal Blueprint
17Chapter 3: The I-CBT Toolkit
18Reality-Sensing Exercises
19Clinical Pitfalls
20Differentiating Doubts
21Using the I-CBT Modules
22Chapter 4: Foundational Principles of ACT
23The Goal of Psychological Flexibility
24The Role of Values
25Acceptance, Not Resignation
26Chapter 5: The ACT Formulation in Practice
27Creative Hopelessness
28Introducing the Hexaflex
29Case Study: Sarah's Story Through an ACT Lens
30The ACT Path for Sarah:
31Chapter 6: The ACT Toolkit
32Mindfulness and Present-Moment Awareness
33Cognitive Defusion Techniques
34Values Clarification Exercises
35Committed Action
36Chapter 7: Philosophical Underpinnings — Truth vs. Workability
37The Stance on Thoughts
38The Approach to Reality
39The Role of Anxiety
40Chapter 8: Mechanisms of Change and The Clinician's Stance
41How They Work
42The Therapist's Role
43I-CBT Homework
44Different Ways of Working
45Chapter 9: A Clinician's Decision Guide: When to Dismantle, When to Defuse
46Indications for I-CBT
47Indications for ACT
48A Decision-Making Tree
49Choosing Your Path
50Chapter 10: An Integrative Approach
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