Goal-directed vs. habit in compulsions

Question 1

Goal-directed behaviour in

Answer 1

Suggested by DSM and in line with the cognitive theory of OCD:

The interpretation of the obsession/intrusion causes fear/distress. These dysfunctional thoughts lead to compulsions to avoid consequences of the obsession, where the temporary relief forms a negative reinforcer.

Question 2

Compulsive checking cognitive theory (Rachman)

Answer 2

3 multipliers:
- High perceived responsibility
- High perceived probability of harm
- High perceived seriousness of harm

Together equal the intense/prolonged checking

Question 3

Cognitive theory of OCD

Answer 3

Compulsive acts are goal directed aimed at preventing feared events/neutralizing fear, arising from obsession/bias

The compulsion is a consequence of obsessions, so therapy should focus first on addressing the obsessions/bias

Question 4

Habit theory of OCD

Answer 4

Temporary relief caused by performance of compulsions may lead to reinforcement of habitual rituals associated with antecedent triggers.

Therefore, compulsions are driven by strong habits (law of effect)