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Priming Moral Self-Ambivalence Heightens Deliberative Behaviour in Self-Ambivalent Individuals

Published online by Cambridge University Press:  27 September 2013

Ramesh Perera-Delcourt
Affiliation:
University of Surrey, Guildford, UK
Robert A. Nash*
Affiliation:
University of Surrey, Guildford, UK
Susan J. Thorpe
Affiliation:
Newcastle University, UK
*
Reprint requests to Robert Nash, School of Psychology, University of Surrey, Guildford GU2 7XH, UK. E-mail: r.nash@surrey.ac.uk

Abstract

Background: Recent work on cognitive-behavioural models of obsessive-compulsive disorder has focused on the roles played by various aspects of self-perception. In particular, moral self-ambivalence has been found to be associated with obsessive-compulsive phenomena. Aims: In this study we used an experimental task to investigate whether artificially priming moral self-ambivalence would increase participants’ deliberation on ethical problems, an index that might be analogous to obsessive-compulsive behaviour. Method: Non-clinical participants completed two online tasks designed to prime either moral self-ambivalence, general uncertainty, or neither. All participants then completed a task requiring them to consider solutions to moral dilemmas. We recorded the time participants took to respond to the dilemmas and the length of their responses; we then combined these variables to create a measure of deliberation. Results: Priming moral self-ambivalence led to increases in deliberation, but this was only significant among those participants who scored highly on a baseline measure of moral self-ambivalence. Priming general uncertainty had no significant effect upon deliberation. Conclusions: The results suggest that moral self-ambivalence may play a role in the maintenance of obsessive-compulsive behaviour. We propose that individuals who are morally self-ambivalent might respond to situations in which this ambivalence is made salient by exhibiting behaviour with obsessive-compulsive characteristics. These findings have implications for the incorporation of ideas about self-concept into theories of obsessive-compulsive disorder.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Aardema, F. and O’Connor, K. (2007). The menace within: obsessions and the self. Journal of Cognitive Psychotherapy, 21, 182197.CrossRefGoogle Scholar
Abramowitz, J. S. (2006). The psychological treatment of obsessive-compulsive disorder. Canadian Journal of Psychiatry, 51, 407416.Google Scholar
Arntz, A., Voncken, M. and Goosen, A. C. A. (2007). Responsibility and obsessive-compulsive disorder: an experimental test. Behaviour Research and Therapy, 45, 425435.CrossRefGoogle ScholarPubMed
Bargh, J. A. and Chartrand, T. L. (2000). Studying the mind in the middle: a practical guide to priming and automaticity research. In Reiss, H. and Judd, C. (Eds.), Handbook of Research Methods in Social Psychology. New York: Cambridge University Press.Google Scholar
Bhar, S. S. (2004). Self-Ambivalence in Obsessive-Compulsive Disorder. Unpublished doctoral dissertation, University of Melbourne.Google Scholar
Bhar, S. S. and Kyrios, M. (2007). An investigation of self-ambivalence in obsessive-compulsive disorder. Behaviour Research and Therapy, 45, 18451857.Google Scholar
Clark, D. A. (2004). Cognitive-Behavioral Therapy for OCD. New York: Guilford Press.Google Scholar
Clark, D. A. and Rhyno, S. (2005). Unwanted intrusive thoughts in non-clinical individuals: implications for clinical disorders. In Clark, D. A. (Ed.), Intrusive Thoughts in Clinical Disorders: theory, research, and treatment (pp. 129). New York: Guilford Press.Google Scholar
Doron, G. and Kyrios, M. (2005). Obsessive compulsive disorder: a review of possible specific internal representations within a broader cognitive theory. Clinical Psychology Review, 25, 415432.CrossRefGoogle ScholarPubMed
Doron, G., Kyrios, M. and Moulding, R. (2007). Sensitive domains of self-concept in obsessive-compulsive disorder (OCD): further evidence for a multidimensional model of OCD. Journal of Anxiety Disorders, 21, 433444.CrossRefGoogle ScholarPubMed
Doron, G. and Moulding, R. (2009). Cognitive behavioral treatment of obsessive compulsive disorder: a broader framework. Israel Journal of Psychiatry and Related Sciences, 46, 257263.Google Scholar
Doron, G., Moulding, R., Kyrios, M. and Nedeljkovic, M. (2008). Sensitivity of self-beliefs in obsessive compulsive disorder. Depression and Anxiety, 25, 874884.Google Scholar
Doron, G., Moulding, R., Kyrios, M., Nedeljkovic, M. and Mikulincer, M. (2009). Adult attachment insecurities are related to obsessive compulsive phenomena. Journal of Social and Clinical Psychology, 28, 10251052.Google Scholar
Doron, G., Sar-El, D. and Mikulincer, M. (2012). Threats to moral self-perceptions trigger obsessive compulsive contamination-related behavioral tendencies. Journal of Behavior Therapy and Experimental Psychiatry, 43, 884890.CrossRefGoogle ScholarPubMed
Elliott, C. M. and Radomsky, A. S. (2009). Analyses of mental contamination: Part I, experimental manipulations of morality. Behaviour Research and Therapy, 47, 9951003.Google Scholar
Ferrier, S. and Brewin, C. R. (2005). Feared identity and obsessive-compulsive disorder. Behaviour Research and Therapy, 43, 13631374.Google Scholar
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., et al. (2002). The obsessive-compulsive inventory: development and validation of a short version. Psychological Assessment, 14, 485496.CrossRefGoogle ScholarPubMed
Grant, F. and Hogg, M. A. (2012). Self-uncertainty, social identity prominence and group identification. Journal of Experimental Social Psychology, 48, 538542.Google Scholar
Greene, J. D., Nystrom, L. E., Engell, A. D., Darley, J. M. and Cohen, J. D. (2004). The neural bases of cognitive conflict and control in moral judgment. Neuron, 44, 389400.Google Scholar
Guidano, V. F. and Liotti, G. (1983). Cognitive Processes and Emotional Disorders: a structural approach to psychotherapy. New York: Guilford Press.Google Scholar
Julien, D., O’Connor, K. P. and Aardema, F. (2007). Intrusive thoughts, obsessions, and appraisals in obsessive-compulsive disorder: a critical review. Clinical Psychology Review, 27, 366383.CrossRefGoogle ScholarPubMed
Kempke, S. and Luyten, P. (2007). Psychodynamic and cognitive-behavioral approaches of obsessive-compulsive disorder: is it time to work through our ambivalence? Bulletin of the Menninger Clinic, 71, 291311.Google Scholar
Kroenke, K., Spitzer, R. L. and Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606613.Google Scholar
Marker, C. D., Calamari, J. E., Woodard, J. L. and Riemann, B. C. (2006). Cognitive self-consciousness, implicit learning and obsessive-compulsive disorder. Anxiety Disorders, 20, 389407.Google Scholar
National Institute for Health and Clinical Excellence (2005). Obsessive Compulsive Disorder. Clinical Guideline 31. London: NICE.Google Scholar
Obsessive Compulsive Cognitions Working Group (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 667681.Google Scholar
Olatunji, B. O., Davis, M. L., Powers, M. B. and Smits, J. A. J. (2013). Cognitive-behavioral therapy for obsessive-compulsive disorder: a meta-analysis of treatment outcome and moderators. Journal of Psychiatric Research, 47, 3341.Google Scholar
Purdon, C., Rowa, K. and Antony, M. M. (2005). Thought suppression and its effects on thought frequency, appraisal and mood state in individuals with obsessive-compulsive disorder. Behaviour Research and Therapy, 43, 93108.CrossRefGoogle Scholar
Rowa, K., Purdon, C., Summerfeldt, L. J. and Antony, M. M. (2005). Why are some obsessions more upsetting than others? Behaviour Research and Therapy, 43, 14531465.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. (1999). Understanding and treating obsessive-compulsive disorder. Behaviour Research and Therapy, 37, S2952.Google Scholar
Salkovskis, P., Shafran, R., Rachman, S. and Freeston, M. H. (1999). Multiple pathways to inflated responsibility beliefs in obsessional problems: possible origins and implications for therapy and research. Behaviour Research and Therapy, 37, 10551072.Google Scholar
Sherman, D. K. and Cohen, G. L. (2002). Accepting threatening information: self-affirmation and the reduction of defensive biases. Current Directions in Psychological Science, 11, 119123.Google Scholar
Solem, S., Myers, S. G., Fisher, P. L., Vogel, P. A. and Wells, A. (2010). An empirical test of the metacognitive model of obsessive-compulsive symptoms: replication and extension. Journal of Anxiety Disorders, 24, 7986.Google Scholar
Spitzer, R. L., Kroenke, K., Williams, J. B. and Löwe, B. L. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166, 10921097.CrossRefGoogle ScholarPubMed
Teachman, B. A. and Clerkin, E. M. (2007). Obsessional beliefs and the implicit and explicit morality of intrusive thoughts. Cognition and Emotion, 21, 9991024.Google Scholar
Torres, A. R., Prince, M. J., Bebbington, P. E., Bhugra, D., Farrell, M., Jenkins, R., et al. (2006). Obsessive-compulsive disorder: prevalence, comorbidity, impact, and help-seeking in the British National Psychiatric Morbidity Survey of 2000. American Journal of Psychiatry, 163, 19781985.Google Scholar
World Health Organization (1996). Global Burden of Disease. Harvard: Author.Google Scholar
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