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The Relationship Between Obsessional Problems and Intrusive Thoughts

Published online by Cambridge University Press:  16 June 2009

Paul M. Salkovskis ,
H. Candida Richards  and
Elizabeth Forrester
Paul M. Salkovskis
Affiliation:
University of Oxford
H. Candida Richards
Affiliation:
University of Oxford
Elizabeth Forrester
Affiliation:
University of Oxford
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Abstract

According to the cognitive theory, obsessional problems occur when the occurrence and/or content of intrusive thoughts are interpreted as a sign of increased personal responsibility for some harmful outcome to oneself or others. The link between normal intrusive thoughts and obsessional thoughts is outlined. Current definitions of “neutralizing” and “responsibility” within the cognitive framework are examined and clarified. Responsibility-driven attempts to control cognitive activity explain obsessional and compulsive phenomena better than generalized deficit models. Recent descriptions of “meta-cognitive” factors in obsessions echo the existing cognitive model and have similar implications. An extension of the cognitive-behavioural model suggests a link between thought suppression and the perception of responsibility and to concerns about failure to act (omissions).

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 23 , Issue 3 , July 1995 , pp. 281 - 299
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1995

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References

Beck, A.T. (1976). Cognitive Therapy and the Emotional Disorders. New York: International University Press.Google Scholar
Brown, H.D., Kosslyn, S.M., Breiter, H.C., Baer, L. and Jenike, M.A. (1994). Can patients with obsessive-compulsive disorder discriminate between precepts and mental images? A signal detection analysis. Journal of Abnormal Psychology 103, 445–454.CrossRefGoogle Scholar
Burns, G.L., Formea, G.M., Keortge, S. and Sternberger, L.G. (1995). The utilization of nonpatient samples in the study of obsessive-compulsive disorder. Behaviour Research and Therapy 33, 133–144.CrossRefGoogle Scholar
Butler, G. and Mathews, A.M. (1983). Cognitive processes in anxiety. Advances in Behaviour Research and Therapy 5, 51–63.CrossRefGoogle Scholar
Clark, D.M. (1986). A cognitive approach to panic. Behaviour Research and Therapy 24, 461–470.CrossRefGoogle Scholar
Clark, D.M. (1986). Cognitive therapy for anxiety. Behavioural Psychotherapy 14, 283–294.CrossRefGoogle Scholar
Clark, D.M., Ball, S. and Pape, D. (1991). An experimental investigation of thought suppression. Behaviour Research and Therapy 29, 253–257.CrossRefGoogle ScholarPubMed
Clark, D.M., Winton, E. and Thynn, L. (1993). A further experimental investigation of thought suppression. Behaviour Research and Therapy 31, 207–210.CrossRefGoogle ScholarPubMed
Edwards, S. and Dickerson, M. (1987a). Intrusive unwanted thoughts: a two stage model of control. British Journal of Medical Psychology 60, 317–328.CrossRefGoogle ScholarPubMed
Edwards, S. and Dickerson, M. (1987b). On the similarity of positive and negative intrusions. Behaviour Research and Therapy 25, 207–211.CrossRefGoogle ScholarPubMed
Ehlers, A. and Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: a cognitive approach. Behavioural and Cognitive Psychotherapy 23, 217–249.CrossRefGoogle ScholarPubMed
England, S.L. and Dickerson, M. (1988). Intrusive thoughts: unpleasantness not the major cause of uncontrollability. Behaviour Research and Therapy 26, 269–277.CrossRefGoogle Scholar
Enright, (in press). Schizotypy and obsessive-compulsive disorder. In Rapee, R. (Ed). Current Controversies in the Anxiety Disorders. New York: Guilford Press.Google Scholar
Freeston, M.J., Ladouceur, R., Gagnon, F. and Thibodeau, N. (1991). Cognitive intrusions in a non-clinical population. I Response style, subjective experience and appraisal. Behaviour Research and Therapy 29, 285–297.CrossRefGoogle Scholar
Lavy, E. and van den Hout, M. (1990). Thought suppression induces intrusions. Behavioural Psychotherapy 18, 251–258.CrossRefGoogle Scholar
McNally, R.J. and Kohlbeck, P.A. (1993). Reality monitoring in obsessive compulsive disorder. Behaviour Research and Therapy 31, 249–253.CrossRefGoogle ScholarPubMed
Merckelbach, H., Muris, P., van den Hout, M.A. and de Jong, P. (1991). Rebound effects of thought suppression: instruction-dependent. Behavioural Psychotherapy 19, 225–238.CrossRefGoogle Scholar
Rachman, S.J. (1971). Obsessional ruminations. Behaviour Research and Therapy 9, 229–235.CrossRefGoogle ScholarPubMed
Rachman, S.J. (1976). The modification of obsessions; a new formulation. Behaviour Research and Therapy 14, 437–443.CrossRefGoogle ScholarPubMed
Rachman, S.J. (1978). Anatomy of obsessions. Behaviour Analysis and Modification 2, 253–278.Google Scholar
Rachman, S.J. (1983). Irrational thinking, with special reference to cognitive therapy. Advances in Behaviour Research and Therapy 5, 63–88.CrossRefGoogle Scholar
Rachman, S.J. (1993). Obsessions, responsibility and guilt. Behaviour Research and Therapy 31, 149–154.CrossRefGoogle ScholarPubMed
Rachman, S.J. and de Silva, P. (1978). Abnormal and normal obsessions. Behaviour Research and Therapy 16, 233–238.CrossRefGoogle ScholarPubMed
Reed, G.F. (1985). Obsessional Experience and Compulsive Behaviour. London: Academic Press.Google Scholar
Rheaume, J., Ladouceur, R., Freeston, M.H. and Letarte, H. (1995). Inflated responsibility in obsessive compulsive disorder: validation of an operational definition. Behaviour Research and Therapy 33, 159–170.CrossRefGoogle ScholarPubMed
Salkovskis, P.M. (1985). Obsessional-compulsive problems: a cognitive-behavioural analysis. Behaviour Research and Therapy 25, 571–583.CrossRefGoogle Scholar
Salkovskis, P.M. (1988). Phenomenology, assessment and the cognitive model of panic. In Rachman, S. and Maser, J. (Eds). Panic: Psychological Perspectives. New Jersey: Erlbaum.Google Scholar
Salkovskis, P.M. (1989). Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behaviour Research and Therapy 27, 677–682.CrossRefGoogle ScholarPubMed
Salkovskis, P.M. (1991). The importance of behaviour in the maintenance of anxiety and panic: a cognitive account. Behavioural Psychotherapy 19, 6–19.CrossRefGoogle Scholar
Salkovskis, P.M. (in press). Cognitive factors in obsessional problems. In Rapee, R. (Ed). Current Controversies in the Anxiety Disorders. New York: Guilford Press.Google Scholar
Salkovskis, P.M. and Campbell, P. (1994). Thought suppression in naturally occurring negative intrusive thoughts. Behaviour Research and Therapy 32, 1–8.CrossRefGoogle ScholarPubMed
Salkovskis, P.M. and Harrison, J. (1984). Abnormal and normal obsessions: a replication. Behaviour Research and Therapy 22, 549–552.CrossRefGoogle ScholarPubMed
Salkovskis, P.M. and Kirk, J. (1989). Obsessional disorders. In Hawton, K., Salkovskis, P.M., Kirk, J. and Clark, D.M. (Eds). Cognitive-behavioural Treatment for Psychiatric Disorders: A Practical Guide. Oxford: Oxford University Press.Google Scholar
Salkovskis, P.M., Rachman, S.J., Ladouceur, R. and Freeston, M. (1992). Proceedings of the Toronto Cafeteria. Unpublished.Google Scholar
Salkovskis, P.M. and Westbrook, D. (1989). Behaviour therapy and obsessional ruminations: can failure be turned into success? Behaviour Research and Therapy 27, 149–160.CrossRefGoogle ScholarPubMed
Spranca, M., Minsk, E. and Baron, J. (1991). Omission and comission in judgment and choice. Journal of Experimental Social Psychology 27, 76–105.CrossRefGoogle Scholar
Teasdale, J.D. (1983). Negative thinking in depression: cause, effect or reciprocal relationship? Advances in Behaviour Research and Therapy 5, 3–25.CrossRefGoogle Scholar
Trinder, H. and Salkovskis, P.M. (1994). Personally relevant intrusions outside the laboratory: long term suppression increases intrusion. Behaviour Research and Therapy 32, 833–842.CrossRefGoogle ScholarPubMed
van Oppen, p. and Arntz, A. (1994). Cognitive therapy for obsessive compulsive disorder. Behaviour Research and Therapy 32, 79–87.CrossRefGoogle ScholarPubMed
Wegner, D.M. (1989). White Bears and Other Unwanted Thoughts: Suppression, Obsession and the Psychology of Mental Control. New York: Viking.Google Scholar
Wells, A. (1985). Meta-cognition and worry: a cognitive model of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy 23, 301–320.CrossRefGoogle Scholar
Wells, A. and Matthews, G. (1994). Attention and Emotion: A Clinical Perspective. Hove, UK: Lawrence Erlbaum.Google Scholar
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