On the Cognitive Component of Obsessive-Compulsive Psychopathology: A Case Study
Date Issued
2012
Date
2012
Author(s)
Fan-Chiang, Chun-Jaw
Abstract
In order to survey the cognitive monitoring system of OCD and its dysfunctional believe or schema, the present study attempt to utilize the human learning and cognitive system model to construct a psychopathological model of OCD. In this analysis of patients’ emergence and maintaining with OCD, their cognitive functioning and particular beliefs would play critical role. Patients would selectively attentive to outward (perceptual) or inward (cognitive) stimulus, especially focus on intrusive thoughts (IT). The present study systematically analysis OCD patients’ cognition which would distort processing, so that researcher could find out their inability of cognitive monitoring and knowledge structure which generated their dysfunctional belief, particularly the form of dysfunctional belief, that is Thought-Action fusion (TAF). There are two parts in our study (figure-1), one is the process of cognitive operation which focus on “cognitive monitoring” and “attention functioning”, the other is toward “cognitive content”. Researcher adopts case study method to content analysis two OCD patients’ intensive interview data. The research results found that existed two kinds of deficit in patients’ cognitive operation, one of them include problem of attention functioning and cognitive monitoring. The other is deficiency of cognitive content, which include overstate the probability of negative events, traumatized interpretation of IT or TAF, exaggerated personal responsibility, and demanding of perfectionism. Those cognitive operations would influence each other, such as deficit of cognitive function could induce problematic cognitive content (irrational beliefs). On the other hand, OCD patients’ would selectively pay attention to some special stimulus, such as focus on negative and self related information. Although cognitive monitoring would function, they lack of adjusting with monitoring results, or cognitive monitoring strategies are inappropriate.
Subjects
OCD
deficit of cognitive function
problematic cognitive content
content analysis
case study
Type
thesis
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