A cognitive model of obsessive-compulsive disorder.
DOI:
https://doi.org/10.33898/rdp.v11i42-43.516Keywords:
obsessive-compulsive disorder, cognitive therapy, fear of guilt, irresponsability, ideal of selfAbstract
“A strictly cognitive model of OCD is presented. In this model, obsessions and compulsions are goal directed activities. The goal is represented in the patient mind as the prevention of guilt of an irresponsible behaviour. Patients are extremely afraid of this kind of guilt. Evidences are presented and discussed. I propose that obsessions and compulsions are often egodystonic because patient strongly criticizes them. Patient tries to control his obsessional activities, but for different reasons the control fails and more often obsessions and compulsions encrease. Fear of guilt is so strong because actual self and ideal self are focused around constructs like “responsible, scropulous, careful”. This is, presumably, the consequence of frequent and rude experiences of moral criticism.”
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