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Two different types of obsession: autogenous obsessions and reactive obsessions
1Department of Psychology, Seoul National University, San 56-1, Sillim-Dong, Kwanak-Gu, Seoul 151 742, South Korea. hjlee75@chollian.net
Behaviour Research and Therapy
|December 19, 2002
Summary
Obsessions are classified into autogenous (unprovoked) and reactive (stimulus-evoked) types. These subtypes differ in triggers, experiences, and cognitive strategies used to manage intrusive thoughts, aiding in understanding obsessive-compulsive disorder.
Area of Science:
- Psychology
- Psychiatry
- Cognitive Neuroscience
Background:
- Obsessive-compulsive disorder (OCD) presents with heterogeneous phenomena.
- Current classifications may not fully capture the nuances of obsessional intrusions.
Purpose of the Study:
- To propose and empirically validate a two-subtype categorization of obsessions: autogenous and reactive.
- To elucidate the distinct characteristics and cognitive processes associated with each subtype.
Main Methods:
- Three empirical studies were conducted to investigate the proposed subtypes.
- Data collection focused on frequency, subjective experiences, appraisal, and control strategies related to obsessions.
Main Results:
- Autogenous obsessions arise without clear triggers, are ego-dystonic, and include sexual, aggressive, or immoral thoughts.
- Reactive obsessions are triggered by external stimuli, perceived as realistic, and involve concerns like contamination or mistakes.
- Autogenous obsessions correlate with high appraisal of thought control/importance and avoidant strategies; reactive obsessions correlate with high appraisal of responsibility and confrontational strategies.
Conclusions:
- The distinction between autogenous and reactive obsessions provides a framework for understanding OCD heterogeneity.
- This classification may inform more targeted diagnostic and therapeutic approaches for obsessive-compulsive disorder.