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Updated: Aug 15, 2025

Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
Published on: March 14, 2025
Obsessive-Compulsive Disorder from an Embodied Cognition Perspective
Orhan Murat Koçak1, Selvi Ceran1, Pelin Kutlutürk Üney1
1Başkent University Faculty of Medicine, Department of Psychiatry, Ankara, Turkey.
Embodied Cognition (EC) offers a new framework for understanding Obsessive Compulsive Disorder (OCD). This perspective suggests that issues in low-level sensory-motor processes, particularly with efference copies, may underlie the control deficits seen in OCD.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Psychiatry
Background:
- Obsessive Compulsive Disorder (OCD) is characterized by impaired behavioral and cognitive control.
- Current models primarily focus on fronto-striatal dysfunction but fail to fully explain OCD's clinical course.
- A more comprehensive understanding is needed to address the multifaceted nature of OCD pathogenesis.
Purpose of the Study:
- To explore the potential of the Embodied Cognition (EC) perspective in understanding OCD.
- To investigate how alterations in low-level sensory-motor processes may contribute to high-level cognitive dysfunctions in OCD.
- To integrate EC principles into existing models of OCD etiopathogenesis.
Main Methods:
- Theoretical integration of Embodied Cognition (EC) principles with current neuroscientific models of OCD.
- Focus on the role of fronto-striatal circuits in feed-forward motor control (FFMC) and efference copies.
- Hypothesizing the link between efference copy processing failures and the loss of control experienced in compulsive behaviors.
Main Results:
- The EC perspective offers a holistic explanation for OCD by linking sensory-motor deficits to cognitive control issues.
- Dysfunction in efference copy generation or processing within FFMC may be a key mechanism in OCD.
- This framework suggests that impaired efference copies could disrupt the sense of agency, contributing to compulsive behaviors.
Conclusions:
- Embodied Cognition (EC) provides a valuable biological basis for computational theories of OCD.
- Integrating EC offers a novel approach to understanding the neuroscientific underpinnings of OCD.
- This perspective enhances current models by incorporating low-level sensory-motor functions into the explanation of OCD.
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