NOTE: I received a free copy of this book to review for the web site Metapsychology Online; a more complete version of my review can be found on that site.
This book, subtitled An OCD-Inspired Approach to Living with Uncertainty, is a follow-up to author Jeff Bell's fascinating memoir about his struggles with Obsessive-Compulsive Disorder (OCD), Rewind, Replay, Repeat. In When in Doubt, Make Belief, Bell presents the specific strategies which he found to be most helpful in confronting the fears and uncertainties produced by his OCD, sometimes referred to as the "doubting disease."
In the first part of the book, Bell provides an excellent feel for the experience of living with OCD. He distinguishes healthy vs. unhealthy doubt, reviews some of the hallmarks of obsessional thinking, and finally, discusses the most common compulsions, for which he utilizes the useful metaphor of trapdoors--he identifies the most frequent trapdoors as checking, reassurance-seeking, ruminating, protecting, fixing, and avoiding. In Part 2, the "Making Belief" section of the book, Bell presents ten specific steps for getting out of doubt, a model which he developed based on the "Structure of Belief" pyramid that he first shared in Rewind, Replay, Repeat. Bell focuses on the four levels of the pyramid--reverence, resolve, investment, and surrender--and he offers several principles associated with each tier.The concept of investment most directly addresses motivation, with Bell encouraging readers to exercise freedom to choose, including choosing to direct one's attention and choosing to act for the Greater Good. The Greater Good then becomes the central focus in the final part of the book. Bell argues that what is missing in traditional OCD treatment models is the motivational component; he maintains that professionals need to give patients a reason to confront their worst fears.
Bell concludes the book with interviews of several famous figures, including Patty Duke. He also weaves both personal stories and highlights of his interviews with OCD experts and others throughout. Overall, this is an extremely hopeful and encouraging work, not only for OCD sufferers, but also for anyone who has been plagued by the anxieties, fears, and worries which stem from doubt.