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Clinical Psychology

Obsessive-compulsive disorder: symptoms and explanations

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Overview

Recall questions on obsessions, unwanted thoughts and harm doubts, washing, counting and mental-ritual compulsions and how negative reinforcement maintains them, the serotonin hypothesis, orbitofrontal and caudate abnormalities, and the cognitive-behavioural account of intrusive thoughts.

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Key term

What are harm or safety doubts in OCD?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What are obsessions in OCD?

    Model answer

    Recurrent intrusive thoughts that cause anxiety and distress.

  2. 2

    What are unwanted thoughts in OCD?

    Model answer

    Intrusive aggressive, sexual, or blasphemous thoughts that are distressing and contrary to the person's values.

  3. 3

    What are washing and cleaning compulsions?

    Model answer

    Repetitive behaviours involving excessive handwashing, showering, or cleaning of objects to reduce contamination fears.

  4. 4

    What are counting compulsions?

    Model answer

    Repetitive counting behaviours, often to a specific number or in particular patterns, performed to reduce anxiety.

  5. 5

    How are compulsions maintained according to behavioural principles?

    Model answer

    Through negative reinforcement, as compulsions temporarily reduce anxiety caused by obsessions, creating a self-perpetuating cycle.

  6. 6

    What are compulsions in OCD?

    Model answer

    Repetitive behaviours or mental acts performed in response to obsessions.

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