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Phenomenological validity of an OCD-memory model and the remember/know distinction
Marcel van den Hout1, Merel Kindt
1Maastricht University, Postbus 616, 6200 MD Maastricht, The Netherlands. ma.vandenHout@dep.unimaas.nl
Behaviour Research and Therapy
|February 26, 2003
Summary
Repeated checking behavior in a model of obsessive-compulsive disorder (OCD) undermines memory confidence and vividness, shifting recall from specific remembering to general knowing. This checking behavior paradoxically increases memory distrust, trapping individuals in a cycle.
Area of Science:
- Cognitive Psychology
- Neuroscience
- Clinical Psychology
Background:
- Compulsive-like checking behavior in healthy individuals affects meta-memory, reducing recollection vividness and confidence.
- This experimental paradigm models obsessive-compulsive disorder (OCD) checking, suggesting checking is counterproductive for memory distrust.
Purpose of the Study:
- To investigate the phenomenological quality of memory distrust after checking behavior.
- To determine if repeated checking shifts memory retrieval from 'remembering' to 'knowing'.
Main Methods:
- Utilized interactive computer animation to simulate compulsive-like checking behavior in healthy subjects.
- Replicated previous findings on memory vividness, detail, and confidence.
- Assessed participants' endorsement of statements reflecting memory ambivalence characteristic of OCD patients.
Main Results:
- Replicated earlier findings on decreased memory vividness, detail, and confidence.
- Participants exposed to checking behavior endorsed statements expressing memory ambivalence, validating the experimental model.
- Post-checking, participants relied on 'knowing' (general memory) rather than 'remembering' (specific memory) to assess outcomes.
Conclusions:
- Repeated checking increases memory distrust, rather than alleviating it, creating a detrimental cycle.
- OCD checkers may have high standards for memory certainty, leading to distrust of episodic memory.
- Clinical issues in OCD may stem from attempting to combat memory distrust through counterproductive checking behaviors.