Background/Aims: Using a cognitive framework, this paper examined self-perceptions as a vulnerability to phenomena in obsessive-compulsive disorder. Specifically, Guidano and Liotti's model of self-ambivalence (from 1983) and the notion of self-worth contingent upon moral standards were investigated as possible mechanisms to explain how individuals come to notice their unwanted intrusions. Method: Using an analogue framework, participants were first-year undergraduate psychology students (95 females, mean age = 22.49 years, SD = 7.96, and 25 males, mean age = 21.64 years, SD = 7.26) who were administered a battery of self-report questionnaires. Results: Results indicated that self-ambivalence moderated the relationship between high moral standards and obsessive-compulsive (OC) phenomena; individuals who had high moral standards and high self-ambivalence showed increased OC vulnerability. Conclusions: The findings suggest that ambivalence about moral self-worth may constitute a particular vulnerability to OC symptoms. Directions for future research are discussed and implications of the findings explored.

Keywords:
Self-ambivalence, Obsessive-compulsive disorder, Moral self-worth, Beliefs, Self-concept
1.
Salkovskis P, Forrester E, Richards C: Cognitive-behavioural approach to understanding obsessional thinking. Br J Psychiatry Suppl 1998;35:53-63.
2.
Rachman S: A cognitive theory of obsessions. Behav Res Ther 1997;35:793-802.
3.
Clark DA, Rhyno S: Unwanted intrusive thoughts in nonclinical individuals: implications for clinical disorders; in Clark DA (ed): Intrusive Thoughts in Clinical Disorders: Theory, Research, and Treatment. New York, Guilford Press, 2004.
4.
Clark DA: Intrusive Thoughts in Clinical Disorders: Theory, Research, and Treatment. New York, Guilford Press, 2004.
5.
Newth S, Rachman S: The concealment of obsessions. Behav Res Ther 2001;39:457-464.
6.
Obsessive Compulsive Cognitions Working Group: Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory. 2. Factor analyses and testing of a brief version. Behav Res Ther 2005;43:1527-1542.
7.
Sookman D, Pinard G: Integrative cognitive therapy for obsessive-compulsive disorder: a focus on multiple schemas. Cogn Behav Pract 1999;6:351-362.
8.
Bhar S, Kyrios M: An investigation of self-ambivalence in obsessive-compulsive disorder. Behav Res Ther 2007;45:1845-1857.
9.
Doron G, Kyrios M: Obsessive compulsive disorder: a review of possible specific internal representations within a broader cognitive theory. Clin Psychol Rev 2005;25:415-432.
10.
Moulding R, Aardema F, O'Connor KP: Repugnant obsessions: a review of the phenomenology, theoretical models, and treatment of sexual and aggressive obsessional themes in OCD. J Obsessive Compuls Relat Disord 2014;3:161-168.
11.
Purdon C, Clark DA: Obsessive intrusive thoughts in nonclinical subjects. Part II. Cognitive appraisal, emotional response and thought control strategies. Behav Res Ther 1994;32:403-410.
12.
Rachman S, de Silva P: Abnormal and normal obsessions. Behav Res Ther 1978;16:233-248.
13.
Rowa K, Purdon C, Summerfeldt LJ, Antony MM: Why are some obsessions more upsetting than others? Behav Res Ther 2005;43:1453-1465.
14.
Ahern C, Kyrios M, Meyer D: Exposure to unwanted intrusions, neutralizing and their effects on self-worth and obsessive-compulsive phenomena. J Behav Ther Exp Psychiatry, in press.
15.
Lipton MG, Brewin CR, Linke S, Halperin J: Distinguishing features of intrusive images in obsessive-compulsive disorder. J Anxiety Disord 2010;24:816-822.
16.
Riskind JH, Ayers CR, Wright E: Simulated interpersonal provocation and fears of a loss of impulse control as determinants of aggressive mental intrusions. J Cogn Psychother 2007;21:285-294.
17.
Aardema F, Moulding R, Radomsky AS, Doron G, Allamby J, Souki E: Fear of self and obsessionality: development and validation of the Fear of Self Questionnaire. J Obsessive Compuls Relat Disord 2013;2:306-315.
18.
Guidano V, Liotti G: Cognitive Processes and Emotional Disorders. New York, Guilford Press, 1983.
19.
Guidano V: Complexity of the Self. New York, Guilford Press, 1987.
20.
García-Soriano G, Clark DA, Belloch A, del Palacio A, Castañeiras C: Self-worth contingencies and obsessionality: a promising approach to vulnerability? J Obsessive Compuls Relat Disord 2012;1:196-202.
21.
Harter S, Whitesell NR: Beyond the debate: why some adolescents report stable self-worth over time and situation, whereas others report changes in self-worth. J Pers 2003;71:1027-1058.
22.
Doron G, Szepsenwol O, Karp E, Gal N: Obsessing about intimate-relationships: testing the double relationship-vulnerability hypothesis. J Behav Ther Exp Psychiatry 2013;44:433-440.
23.
García-Soriano G, Belloch A: Exploring the role of obsessive-compulsive relevant self-worth contingencies in obsessive-compulsive disorder patients. Psychiatry Res 2012;198:94-99.
24.
Rassin E, Merckelbach H, Muris P: Paradoxical and less paradoxical effects of thought suppression: a critical review. Clin Psychol Rev 2000;20:973-995.
25.
Ferrier S, Brewin CR: Feared identity and obsessive-compulsive disorder. Behav Res Ther 2005;43:1363-1374.
26.
Doron G, Moulding R, Kyrios M, Nedeljkovic M: Sensitivity of self-beliefs in obsessive compulsive disorder. Depress Anxiety 2008;25:874-884.
27.
Doron G, Kyrios M, Moulding R: Sensitive domains of self-concept in obsessive-compulsive disorder (OCD): further evidence for a multidimensional model of OCD. J Anxiety Disord 2007;21:433-444.
28.
Doron G, Sar-El D, Mikulincer M: Threats to moral self-perceptions trigger obsessive compulsive contamination-related behavioral tendencies. J Behav Ther Exp Psychiatry 2012;43:884-890.
29.
Masellis M, Rector NA, Richter MA: Quality of life in OCD: differential impact of obsessions, compulsions, and depression comorbidity. Can J Psychiatry Rev Can Psychiatrie 2003;48:72-77.
30.
Faull M, Joseph S, Meaden A, Lawrence T: Obsessive beliefs and their relation to obsessive-compulsive symptoms. Clin Psychol Psychother 2004;11:158-167.
31.
Lovibond S, Lovibond P: Manual for the Depression Anxiety Stress Scales, ed 2. Sydney, Psychology Foundation, 1995.
32.
Antony MM, Cox BJ, Enns MW, Bieling PJ, Swinson RP: Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychol Assess 1998;10:176-181.
33.
Crocker J, Luhtanen RK, Lynne Cooper M, Bouvrette A: Contingencies of self-worth in college students: theory and measurement. J Pers Soc Psychol 2003;85:894-908.
34.
Thordarson DS, Radomsky AS, Rachman S, Shafran R, Sawchuk CN, Ralph Hakstian A: The Vancouver Obsessional Compulsive Inventory (VOCI). Behav Res Ther 2004;42:1289-1314.
35.
Hayes AF: Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York, Guilford Press, 2013.
36.
Taylor S, Abramowitz JS, McKay D, Calamari JE, Sookman D, Kyrios M, Wilhelm S, Carmin C: Do dysfunctional beliefs play a role in all types of obsessive-compulsive disorder? J Anxiety Disord 2006;20:85-97.
37.
Nedeljkovic M, Moulding R, Foroughi E, Kyrios M, Doron G: Cultural issues in understanding and treating obsessive compulsive and spectrum disorders; in Steketee G (ed): Oxford Handbook of Obsessive Compulsive and Spectrum Disorders. Oxford, Oxford University Press, 2012, pp 496-517.
38.
Cast AD, Burke PJ: A theory of self-esteem. Soc Forces 2002;80:1041-1068.
39.
Crocker J, Park LE: The costly pursuit of self-esteem. Psychol Bull 2004;130:392-414.
40.
Hallam RS, O'Connor KP: A dialogical approach to obsessions. Psychol Psychother Theory Res Pract 2002;75:333-348.
41.
Moulding R, Kyrios M, Doron G, Nedeljkovic M: Autogenous and reactive obsessions: further evidence for a two-factor model of obsessions. J Anxiety Disord 2007;21:677-690.
42.
Freeston MH, Ladouceur R: The cognitive-behavioural treatment of obsessions; in Cabello VE (ed): International Handbook of Cognitive and Behavioural Treatments for Psychological Disorders. New York, Pergamon Press, 1998.
43.
O'Connor K, Aardema F: The clinician's OCD manual: inference based therapy. Chichester, Wiley, 2012.
44.
Barrera TL, Norton PJ: The appraisal of intrusive thoughts in relation to obsessional-compulsive symptoms. Cogn Behav Ther 2011;40:98-110.
45.
Abramowitz JS, Fabricant LE, Taylor S, Deacon BJ, McKay D, Storch EA: The relevance of analogue studies for understanding obsessions and compulsions. Clin Psychol Rev 2014;34:206-217.
46.
Wilkinson-Ryan T, Westen D: Identity disturbance in borderline personality disorder: an empirical investigation. Am J Psychiatry 2000;157:528-541.
47.
Labuschagne I, Castle DJ, Dunai J, Kyrios M, Rossell SL: An examination of delusional thinking and cognitive styles in body dysmorphic disorder. Aust NZ J Psychiatry 2010;44:706-712.
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2015
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