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DIFFERENCES IN THE APPRAISAL OF INTRUSIVE THOUGHTS AND CONTAMINATION FEARS IN OBSESSIVE-COMPULSIVE DISORDER

Published online by Cambridge University Press:  16 April 2004

Christian Ryan
Christian Ryan
Affiliation:
Nottinghamshire Healthcare NHS Trust, UK
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Abstract

A number of studies have shown that patients with obsessive-compulsive disorder do not universally regard their obsessions as either senseless or unlikely to happen. This is of particular significance for the current cognitive-behavioural model of OCD, which is based on the notion that obsessions are ego-dystonic. This study examined the appraisal of obsessions by a group of OCD patients (n=63). Participants completed a paper and pencil task in which they had to appraise a range of intrusive thoughts and contamination fears on two variables: senselessness and likelihood to happen. The results suggest that the appraisals may vary according to the content of the obsessive thought. Contamination obsessions were judged less senseless and more likely to happen than obsessions concerning aggressive and sexual themes. A number of variables, which may play a role in these appraisals, are discussed and the methodological limitations of the study are examined.

Keywords

OCDcontaminationintrusive thoughtscognitive-behaviour therapyappraisal
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 32 , Issue 2 , April 2004 , pp. 235 - 238
Copyright
2004 British Association for Behavioural and Cognitive Psychotherapies

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