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Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
Module 11
The Tricks & Cheats of OCD
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
Module 11
The Tricks & Cheats of OCD
You take your car to a mechanic for new brakes. You are driving home after the repairs, and your brakes give out. You crash into a ditch. You call the mechanic, and he insists that you bring it in again. You bring it in, and they repair the brakes for the second time. As you are on your way home, the brakes give out, and you crash into the car in front of you. When you call the mechanic, he insists that you bring it in a third time to repair the brakes. Are you going to go back to that same mechanic?
No, you wouldn't. It wouldn’t make sense, right? This is like listening to OCD. So far, OCD has been wrong and unreliable most of the time. So why do we keep going back? Let’s take a closer look at the rhetorical devices that keep you returning to your OCD time and time again.
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
OCD is Imaginary & Irrelevant
The Feared Self
Bridging
Neurodivergent Stories
The Obsessional Story
The Logic of OCD
Theory & Inferential Confusion
Review..
Reality Sensing
The Alternative Story
The Monotropic Bubble
Review..
The Tricks & Cheats of OCD
Double Jeopardy
Distrust of the senses
Living The Fear
Testing it out
FACT OUT OF CONTEXT
Reverse reasoning
Mismatching
The Tricks & Cheats of OCD
Out of COntext Fact
Distrust of the senses
Reverse Reasoning
Double Jeopardy
Testing it out
Mismatching
Living The Fear
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
But maybe later...
Let's discuss it..
Blending
But maybe this time...
The Real Self
Next up,
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
Out of COntext Fact
OCD can make you think about certain facts that are true, but these facts might not fit what's really happening around you right now. So, even though the facts themselves are correct, they aren't relevant to your current situation because they are being taken out of context.
People cheat, so my partner could be cheating.
People lose their minds, so I can, too.
Russia has nuclear weapons, so Russia will start a nuclear war with us.
Germs do exist; therefore, I might have germs on my hands.
Out of Context Facts
Mismatching
I saw a woman get a brain-eating tapeworm, so I could too.
I heard about someone getting poisoned once, so I could get poisoned.
Somebody I went to high school with got canceled, so I can get canceled too.
Mismatching
It happened to somebody else, therefore it could happen to me!
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
Living The Fear
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
Mirror touch synesthesiaMirror NeuronsHyper-empathyMonotropism
This is because the story of OCD can be so convincing that you actually begin to experience the story “as if” it were real with all the physical feelings.
A trick that simulates reality as if there were actually sensory information in the here and now.
Living the Fear
Sensations are not symptoms
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
Reverse Reasoning
Reverse reasoning begins with an idea or “fact” (IT’S FLU SEASON) and then creates a conclusion (THEREFORE I’M GOING TO GET SICK).
Typical reasoning starts with an observation in reality (HAVING A COUGH), then leads to a conclusion about that observation. (I MIGHT BE SICK).
Typical reasoning starts with an observation (in reality), then leads to a conclusion about that observation. Reverse reasoning begins with an idea or “fact” and then creates a conclusion.
Reverse Reasoning
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
Testing it out
"Since I sought it out, it must be true."
"I'm going to watch same sex pornographic to test for arousal"
Also known as a “poorly done exposure”
OCD may convince you to test out the behavior and then try to use this as evidence for your doubt.
Testing It Out
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
I gave in and checked my oven to verify it was off. But what if I accidentally hit the “on” button again while checking it?
OCD convinces you to obey it, which then creates new doubt because something bad might happen due to obeying it.
synesthesia
Distrust of the senses
Adapted by Brittany Goff from: O'Connor, K., & Aardema, F. (2012). Clinician's handbook for obsessive compulsive disorder: Inference-based therapy. Chichester: Wiley-Blackwell.
Sensory processing disorder
Vestibular
Proprioceptive
Interoceptive
Just as the name suggests, OCD can make you distrust or second-guess your own senses and yourself.
Without this, inferential confusion wouldn’t be possible
Distrust of the Senses
The Real Self
Next Up,