Sensitive domains of self-concept in obsessive–compulsive disorder (OCD): Further evidence for a multidimensional model of OCD
Section snippets
OC phenomenon and the multidimensional self
Current research suggests that the self-concept is a multidimensional construct, where some domains are valued more than others, and where perceived competence in these valued domains is strongly related to feelings of self-worth (e.g., Harter, 1982; Messer & Harter, 1986; Neemann & Harter, 1986; also for a review, see Harter, 1998). Evidence also indicates that self-evaluation may be context sensitive (e.g., Harter & Whitesell, 2003), that some individuals show greater sensitivity of
Participants
This study included 198 participants all of whom were first year undergraduate psychology students who completed the research for course credit. Preliminary screening indicated that 10 participants did not complete all the measures. These individuals were excluded, leaving a total of 188 participants (mean age = 19.7 years; S.D. = 5.05; range = 17–57) with 29 males (mean age = 19.4; S.D. = 2.6) and 158 females (mean age = 19.8; S.D. = 5.4).1 The majority of
Results
In order to test our hypotheses, individuals were classified as sensitive or not sensitive in each domain. “Sensitive” was operationalized as those who reported on average that the particular domain was important (i.e., greater than the midpoint on the importance items of the subscale), while they were not competent in this domain (less or equal to the midpoint of the competence items of the subscale).2
Discussion
In this study, we investigated whether particular structures of self-concept are related to OC-related beliefs and OC symptom severity. Consistent with hypotheses, individuals with sensitivity in the self-domains of morality, job competence, scholastic competence, and social acceptability held higher levels of OC-related beliefs. Further, sensitivity in morality, job competence and social acceptability related to higher OC symptom severity. Finally, sensitivity in the moral and job competence
References (41)
- et al.
Revision of the Padua Inventory of obsessive–compulsive disorder symptoms: distinctions between worry, obsessions, and compulsions
Behaviour Research and Therapy
(1996) - et al.
“Not just right experiences”: perfectionism, obsessive–compulsive features and general psychopathology
Behaviour Research and Therapy
(2003) - et al.
Obsessive–compulsive disorder: a review of possible specific internal representations within a broader cognitive theory
Clinical Psychology Review
(2005) - et al.
Feared identity and obsessive–compulsive disorder
Behaviour Research and Therapy
(2005) - et al.
Two different types of obsession: autogenous obsessions and reactive obsessions
Behaviour Research and Therapy
(2003) - et al.
A critical evaluation of obsessive–compulsive disorder subtypes: symptoms versus mechanisms
Clinical Psychology Review
(2004) - et al.
The concealment of obsessions
Behaviour Research and Therapy
(2001) Appraisal of obsessional thought recurrences: Impact on anxiety and mood state
Behavior Therapy
(2001)A cognitive theory of obsessions
Behaviour Research and Therapy
(1997)A cognitive theory of obsessions: elaborations
Behaviour Research and Therapy
(1998)
Abnormal and normal obsessions
Behaviour Research and Therapy
Why are some obsessions more upsetting than others?
Behaviour Research and Therapy
Obsessional-compulsive problems: a cognitive-behavioural analysis
Behaviour Research and Therapy
Understanding and treating obsessive–compulsive disorder
Behaviour Research and Therapy
Abnormal and normal obsessions: a replication
Behaviour Research and Therapy
Multiple pathways to inflated responsibility beliefs in obsessional problems: possible origins and implications for therapy and research
Behaviour Research and Therapy
Disgust sensitivity and obsessive–compulsive symptoms in a non-clinical sample
Journal of Behavior Therapy and Experimental Psychiatry. Special Issue: Disgust Sensitivity in Anxiety Disorders
Cognitive personality styles associated with depressive and obsessive–compulsive phenomena in a non-clinical sample
Behavioural & Cognitive Psychotherapy
Cited by (87)
Can immorality be contracted? Appraisals of moral disgust and contamination fear
2023, Behaviour Research and TherapyCo-occurring depression and obsessive-compulsive disorder: A dimensional network approach
2022, Journal of Affective DisordersCitation Excerpt :Thus, our results suggest the unacceptable nature of mental content may be an important factor that links harm-related OCD to depression. Relatedly, obsessive beliefs related to responsibility have been shown to be driven, in part, by high personal values regarding morality, competence, and social acceptability (Doron et al., 2007). As such, some harm-related fears (e.g., concerns about preventing mistakes or rituals used to protect loved ones) may feel aligned with one's values and, thus, not significantly activate depressive symptoms.
An examination of the fear of self and religiosity as either related or independent vulnerability factors for mental contamination
2022, Journal of Obsessive-Compulsive and Related DisordersA systematic review of obsessive-compulsive disorder and self: Self-esteem, feared self, self-ambivalence, egodystonicity, early maladaptive schemas, and self concealment
2021, Journal of Obsessive-Compulsive and Related DisordersA cognitive dissonance perspective on threats to self-concept in obsessive-compulsive disorder
2021, Journal of Obsessive-Compulsive and Related DisordersCitation Excerpt :There may be particular themes (e.g., competence) where they place a high degree of importance yet feels inadequate. Doron and colleagues termed these vulnerable aspects of the self: “sensitive self-domains” (Doron & Kyrios, 2005; Doron et al., 2007). Threats in these domains risk confirming awful truths about the self in which morality is often a prominent theme (Doron et al., 2008; Doron, Sar-El, & Mikulincer, 2012; Abramovitch, Doron, Sar-El, & Altenburger, 2013).
The role of feared self and inferential confusion in obsessive compulsive symptoms
2021, Journal of Obsessive-Compulsive and Related DisordersCitation Excerpt :These results indicate that people with low feared self-discrepancy are motivated to avoid and escape cues related to their feared self which leads to increased agitation, while when people's self-views are distant from their feared self, they are motivated to move towards more positive traits. As the notion of feared and negative self-views is frequently implicated in cognitive theories of OCD (e.g., Bhar & Kyrios, 2007; Ferrier & Brewin, 2005) as well as with respect to specific obsessional themes that are personally significant (e.g., Doron et al., 2007; Rachman, 2004, 2006), feared self-discrepancy could help to explain why individuals with OCD may interpret certain intrusive thoughts as personally significant and narratives related to such thoughts. Feared self has been investigated with respect to OCD.