4.1.4 - OCD Flashcards
What are the 3 types of characteristics of OCD
- cognitive
- behavioural
- emotional
What are the cognitive characteristics
- obsessive thoughts (irrational)
- cognitive coping strategies( performed to temporarily remove anxiety)
- selective attention
What are the emotional characteristics
- accompanying depression
- guilt and disgust
- anxiety and distress
What are the behavioural characteristics
- avoidance
- compulsive behaviour
Describe obsessive thoughts
- for 90% of OCD sufferers, the major feature is obsessive thoughts
- the thoughts are always unpleasant although they differ in nature
- obsessive thoughts recur over and over again
Eg: fear of cross contamination
Describe cognitive strategies to deal with obsessions
- cognitive coping strategies are used to reduce the obsessive thoughts. They help to reduce anxiety but makes them appear abnormal and distracts everyday tasks
- eg: religious people tormented by guilt may pray or meditate
Describe insight into excessive anxiety
- ocd sufferers are aware that their compulsions and thoughts are irrational (irrationality is part of diagnosis’)
- sufferers have catastrophic thoughts about worse case scenarios that could occur is their anxieties were justified
- sufferers are hyper vigilant, have constant anxiety and focus on potential hazards
Describe accompanying depression
- ocd is comorbid with depression so anxiety can be accompanied by low mood and a lack of enjoyment when participating in activities
- compulsive behaviours only provide a temporary relief from the anxiety
Describe anxiety and distress
- ocd is regarded as a particularly unpleasant emotional experience because of the powerful anxiety that accompanies both the compulsions and obsessions
- obsessive thoughts are unpleasant and frightening, and the anxiety that goes with these can be overwhelming
- the urge to repeat a behaviour ( a compulsion) is what creates the anxiety
Describe guilt and disgust
- ocd can also involve other negative emotions such as irrational guilt over minor moral issues for example
- discuss can also be present which is directed against something external or themselves.
Describe compulsive behaviour
- ritualistic behaviours
- compulsions are repetitive: typically sufferers with ocd feel compelled to repeat a behaviour.
- compulsions also reduce anxiety: around 10% of ocd sufferers show compulsive behaviour alone, they would have no obsessions just a general ensue of irrational anxiety
- however the vast majority of compulsive behaviours are performed in an attempt to manage anxiety that is produces by obsessions.
Describe avoidance
- behaviour of ocd sufferers may also be characterised by their avoidance as they attempt to reduce anxiety by keeping away from situations that trigger it. (Negative reinforcement)
- this avoidance can lead to ocd sufferers avoiding very ordinary situations, making it more difficult to live a ‘normal’ life.
What are the 3 biological explanations of OCD
- genetic (inheritance)
- chemical ( neurotransmitters)
- structural (brain)
What is the genetic basis of ocd
- ocd tends to run in families which suggests there may be a genetic link
- ocd may be a disorder that is inherited via the genes across generations in families
- research to support this argument has come from family and twin studies
What type of research is used to support genetic arguments
Concordance rate: the % similarity between 2 people for a trait
-the higher the % Concordance rate, the more likely an inherited trait is
How do family studies explain ocd
- Lewis(1936) found that the concordance rate of ocd in:
-> parents and children is 37%
-> between siblings is 21%