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Therapy for OCD is rooted in the principles of behaviorism—a school of thought that focuses on how people learn from their environment. Emerging in the early 20th century, behaviorism became a dominant force in psychology. Edward Thorndike was among the first to explore behavior modification, with the goal of reinforcing desirable behaviors and eliminating unwanted ones. Behavioral therapy assumes that problematic behaviors develop through the same learning processes as other behaviors, making them modifiable through structured intervention.

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