Which is the driver, the obsessions or the compulsions, in OCD?
Nature Publishing Group
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Gillan, C., & Sahakian, B. (2015). Which is the driver, the obsessions or the compulsions, in OCD?. Neuropsychopharmacology, 40 247-248. https://doi.org/10.1038/npp.2014.201
The conventional view is that obsessive-compulsive disorder (OCD) is driven by irrational beliefs, which are a putative basis of obsessions. Compulsions are considered a coping mechanism, which neutralize anxiety or reduce the likelihood that these fears will be realized. Contrary to this view, recent data suggests that compulsions in OCD are a manifestation of a disruption in the neurobiologically well-defined balance between goal-directed action and automatic habits.
MEDICAL RESEARCH COUNCIL (G0001354)
Wellcome Trust (089589/Z/09/Z)
Wellcome Trust (101521/Z/13/Z)
External DOI: https://doi.org/10.1038/npp.2014.201
This record's URL: https://www.repository.cam.ac.uk/handle/1810/246116