Distinguishing features of intrusive images in obsessive–compulsive disorder

Lipton, Michelle; Brewin, Chris R.; Linke, Stuart; Halperin, Jeff

doi:10.1016/j.janxdis.2010.06.003

Cited by 67 publications

(43 citation statements)

References 36 publications

(61 reference statements)

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“…Whilst these attributes manifest differently for each individual, studies have found that the feared self of individuals with OCD is more likely to consist of a self that is bad, immoral or insane, in comparison to the feared self of individuals with generalised anxiety disorder and nonclinical controls (Ferrier & Brewin, 2005). Similarly, Lipton, Brewin, Linke, and Halperin (2010) found that individuals with OCD were more likely than individuals with other anxiety disorders to infer from their intrusive-images that they possess a 'dangerous self'. This is consistent with other self-related concepts thought to play a role in OCD such as self-ambivalence, which is characterised by polarised views of oneself e simultaneously holding a view of oneself as both good and bad.…”

Section: The Feared Selfmentioning

confidence: 99%

Fear of self, doubt and obsessive compulsive symptoms

Nikodijevic

Moulding

Anglim

et al. 2015

Journal of Behavior Therapy and Experimental Psychiatry

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Section: The Feared Selfmentioning

confidence: 99%

Fear of self, doubt and obsessive compulsive symptoms

Nikodijevic

Moulding

Anglim

et al. 2015

Journal of Behavior Therapy and Experimental Psychiatry

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“…By contrast, people with obsessive compulsive disorder (OCD) report more first-person autobiographical memories (Lipton et al, 2010), and more first-person images of dirt and contamination situations compared to a non-clinical control group (Coughtrey et al, 2013). …”

Section: Introductionmentioning

confidence: 99%

The Impact of Perspective Change As a Cognitive Reappraisal Strategy on Affect: A Systematic Review

Wallace-Hadrill

Kamboj

2016

Front. Psychol.

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The strategic or deliberate adoption of a cognitively distanced, third-person perspective is proposed to adaptively regulate emotions. However, studies of psychological disorders suggest spontaneous adoption of a third-person perspective reflects counter-productive avoidance. Here, we review studies that investigate the deliberate adoption of a third- or first-person vantage perspective and its impact on affect in healthy people, “sub-clinical” populations and those with psychological disorders. A systematic search was conducted across four databases. After exclusion criteria were applied, 38 studies were identified that investigated the impact of both imagery and verbal instructions designed to encourage adoption of a third-person perspective on self-reported affect. The identified studies examined a variety of outcomes related to recalling memories, imagining scenarios and mood induction. These were associated with specific negative emotions or mood states (dysphoria/sadness, anxiety, anger), mixed or neutral affect autobiographical memories, and self-conscious affect (e.g., guilt). Engaging a third-person perspective was generally associated with a reduction in the intensity of positive and negative affect. Studies that included measures of semantic change, suggested that this is a key mediator in reduction of affect following perspective change. Strategically adopting a “distanced,” third-person perspective is linked to a reduction in affect intensity across valence, but in addition has the potential to introduce new information that regulates emotion via semantic change. Such reappraisal distinguishes deliberate adoption of a distanced perspective from the habitual and/or spontaneous shift in perspective that occurs in psychopathology.

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“…Intrusive imagery with an aversive memory is experienced in a variety of other anxiety disorders, including social phobia (Hackmann, Clark & McManus, 2000), body dysmorphic disorder (Osman, Cooper, Hackmann & Veale, 2004), agoraphobia (Day, Holmes & Hackmann 2004), specific phobia of vomiting (Price, Veale & Brewin, 2012), health anxiety (Muse, McManus, Hackmann, Williams & Williams, 2010) and OCD (Coughtrey, Shafran, Rachman, 2013;Lipton, Brewin, Linke, & Halperin, 2010;Speckens, Hackman, Ehlers & Cuthbert, 2007). Thus, Speckens et al (2007) found that 81% (29/37) of participants with severe OCD reported intrusive mental imagery.…”

Section: Introductionmentioning

confidence: 99%