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What do patients do with their obsessive thoughts?

M H Freeston1, R Ladouceur

  • 1Ecole de Psychologie, Univesité Lava, Québec, Canada.

Behaviour Research and Therapy
|April 1, 1997
PubMed
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This study explored cognitive strategies used by Obsessive-Compulsive Disorder (OCD) patients to manage obsessional thoughts. Many strategies were ineffective, suggesting a broader definition of neutralization is needed for effective OCD treatment.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Cognitive Neuroscience

Background:

  • Obsessive-Compulsive Disorder (OCD) models emphasize neutralization's role in maintaining obsessional thoughts.
  • Overt compulsions are well-documented, but cognitive equivalents remain underexplored.

Purpose of the Study:

  • To systematically describe the range of cognitive strategies used by OCD patients with prominent obsessional thoughts.
  • To evaluate the efficacy of these cognitive strategies in reducing obsessional thoughts.

Main Methods:

  • Systematic description of cognitive strategies employed by 29 OCD patients.
  • Assessment of the reported efficacy of these strategies in thought removal.

Main Results:

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  • Patients reported extensive repertoires of cognitive strategies.
  • These strategies demonstrated low to moderate efficacy in removing obsessional thoughts.
  • Most strategies were not traditional cognitive rituals or narrow-sense neutralization, despite being intentional and strategic.

    • Conclusions:

    • A broader definition of neutralization, encompassing coping strategies, is necessary.
    • Current treatment approaches may need to be expanded to address the full spectrum of cognitive strategies used by patients.
    • Comprehensive response prevention is recommended for treating obsessive thoughts in OCD.