![]() The label Pure O, in addition to the covert nature of mental compulsions, causes some clients to mistakenly believe they do not carry out their compulsions. Mental Compulsions - Playing by OCD’s Rules He became preoccupied with repetitive doubts, such as “Why did I have that thought?” “Is she not pretty enough for me?” “Can I be happy with her?” “What if I have children with her and then have to leave my family?” “Maybe I shouldn’t have children with her.” “Am I a bad person for having this thought?” “It’s not like I am Brad Pitt.” On the way to work he noticed an attractive female, which triggered more anxiety and subsequent mental questions and answers. The husband glanced at his wife and a thought intruded: “She is not very pretty.” He got chills up his spine and tightened his grip on his coffee cup. ![]() thoughts about normally unnoticed somatic functions, such as blinking, swallowing, or breathing.įor example, a newly married husband and wife were sitting across the table from each other having breakfast.persistent doubt about one’s romantic partner.persistent doubt about one’s sexual orientation.thoughts about abhorrent sexual activity, such as pedophilia or incest.thoughts about harming oneself or others.While obsessions can take on any theme, the following are several categories of obsessions commonly experienced with Pure O: This contributes to the panic and internal resistance that accompanies such thoughts. These mental intrusions are ego-dystonic. Obsessions are intrusive and unwanted thoughts, images, impulses, or sensations. This leads to more value placed on incoming thoughts and relentless overresponding in the form of compulsions. The structures that are impaired in the OCD brain create sensitivity to uncertainty and a decline in one’s ability to feel complete (Grayson, 2003). The difference is that when individuals without OCD experience ego-dystonic thoughts, meaning they are the opposite of an individual’s true nature, desires, values, and self-image, the brain responds differently. A study conducted by Rachman and de Silva (1978) found that healthy college students reported having thoughts with common OCD themes, such as violence, forbidden sexual acts, and urges to do inappropriate things in public. The human brain naturally generates nonsensical and often bizarre thoughts, even for those without OCD. The more time spent seeking certainty, the more confused and realistic the fear seems. Is it possible that I am angry with the her?” and “What makes me different than the mothers in the news who actually harm their children?” This line of mental analysis serves as the compulsion. The anxiety of doing this was painful, and she was plagued with incessant internal questions, such as “Does this thought mean that I could actually harm my child?” “Should I make sure I am never alone with the baby?” “I have been tired from staying up with the baby at night. The mother knew she was the one responsible for the girl’s safety, so she had an overwhelming urge to determine what the thought meant. ![]() She gazed at the baby girl, so delicate and helpless. Something in her mind told her to smother the baby with a pillow. ![]() As a result, an individual often concludes that he or she is internally flawed, evil, or psychotic, and the terror and isolation often experienced with Pure O is compounded.įor example, one evening a new mother was placing her infant in her crib. Pure O is commonly misunderstood by others and, at times, misdiagnosed and mistreated by mental health professionals. Since individuals with Pure O are often unaware they are being plagued by OCD and much of what they experience happens inside the mind, they often suffer in silence. However, there is a form of OCD, sometimes referred to as pure obsessional OCD (Pure O), where obsessions and compulsions take place internally. When most people think about obsessive-compulsive disorder (OCD), they probably imagine the most widely known forms of compulsive behavior, such as repeated hand washing or checking a door to make sure it is locked. Internal obsessions and compulsions are unseen but can be just as ritualistic and disruptive as visible ones. Pure Obsessional OCD - Symptoms and Treatment ![]()
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