Role of deontological guilt in obsessive-compulsive disorder–like checking and washing behaviors

Clinical Psychological Science

Volumn 2, Issue 6, 2014, Pages 727-739

  D’Olimpio, Francesca ^a   Mancini, Francesco ^b  

^a SECOND UNIVERSITY OF NAPLES   (Italy)

^b Associazione di Psicologia Cognitiva   (Italy)

Author keywords

Bsessive compulsive disorder; Cognition and emotion; Guilt

Indexed keywords

EID: 84921291046     PISSN: 21677026     EISSN: 21677034     Source Type: Journal    
DOI: 10.1177/2167702614529549     Document Type: Article

References (47)

1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2. Arntz, A., Voncken, M., & Goosen, A. C. A. (2007). Responsibility and obsessive-compulsive disorder: An experimental test. Behaviour Research and Therapy, 45, 425-435. doi:10.1016/j.brat.2006.03.016
3. Basile, B., & Mancini, F. (2011). Eliciting guilty feelings: A preliminary study differentiating deontological and altruistic guilt. Psychology, 2, 98-102. doi:10.4236/ psych.2011.22016
4. Basile, B., Mancini, F., Macaluso, E., Caltagirone, C., & Bozzali, M. (2013). Abnormal processing of deontological guilt in obsessive-compulsive disorder. Brain Structure and Function, 17, 1-11. doi:10.1007/s00429-013-0570-2
5. Basile, B., Mancini, F., Macaluso, E., Caltagirone, C., Frackowiack, R., & Bozzali, M. (2011). Deontological and altruistic guilt: Evidence for distinct neurobiological substrates. Human Brain Mapping, 32, 229-232. doi:10.1002/ hbm.21009
6. Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897. doi:10.1037/0022-006X.56.6.893
7. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York, NY: Guilford. Benedict XVI. (2013, February 6). [General audience]. Paul VI Audience Hall, Vatican, Rome, Italy.
8. Blair, R. J. R. (1995). A cognitive developmental approach to morality: Investigating the psychopath. Cognition, 57, 1-29. doi:10.1016/0010-0277(95)00676-P
9. Bouchard, C., Rhéaume, J., & Ladouceur, R. (1999). Responsibility and perfectionism in OCD: An experimental study. Behaviour Research and Therapy, 37, 239-248. doi:10.1016/S0005-7967(98)00141-7
10. Burns, G. L., Formea, G. M., Keortge, S., & Sternberger, L. G. (1995). The utilization of non-patient samples in the study of obsessive compulsive disorder. Behaviour Research and Therapy, 33, 78-82. doi:10.1016/0005-7967(94)00039-M
11. Ceulemans, K., Karsdorp, P. A., & Vlaeyen, J. W. S. (2013). Effects of responsibility and mood on painful task persistence. Journal of Behavior Therapy and Experimental Psychiatry, 44, 186-193. doi:10.1016/j.jbtep.2012.10.005
12. Cosentino, T., D’Olimpio, F., Perdighe, C., Romano, G., Saliani, A. M., & Mancini, F. (2012). Acceptance of being guilty in the treatment of obsessive-compulsive disorder. Psicoterapia Cognitiva e Comportamentale, Monograph Suppl., 39-56.
13. Cougle, J. R., Goetz, A. R., Hawkins, K. A., & Fitch, K. E. (2012). Guilt and compulsive washing: Experimental tests of interrelationships. Cognitive Therapy and Research, 36, 358-366. doi:10.1007/s10608-011-9359-x
14. D’Olimpio, F., Cosentino, T., Basile, B., Tenore, K., Gragnani, A., & Mancini, F. (2013). Obsessive-compulsive disorder and propensity to guilt feelings and disgust. Clinical Neuropsychiatry, 10(Suppl. 1), 20-39.
15. Doron, G., Sar-El, D., & Mikulincer, M. (2012). Threats to moral self-perceptions trigger obsessive compulsive contamination-related behavioral tendencies. Journal of Behavior Therapy and Experimental Psychiatry, 43, 884-890. doi:10.1016/j.jbtep.2012.01.002
16. Gordon, S. C. (2010). “Sfacciata fortuna”: La Shoah e il caso [“Sfacciata fortuna”: Luck and the Holocaust]. Torino, Italy: Einaudi.
17. Hutcherson, C. A., & Gross, J. J. (2011). The moral emotions: A social-functionalist account of anger, disgust, and contempt. Journal of Personality and Social Psychology, 100, 719-737. doi:10.1037/a0022408
18. Kendall, P. C., Hollon, S. D., Beck, A. T., Hammen, C. L., & Ingram, R. E. (1987). Issues and recommendations regarding the use of the Beck Depression Inventory. Cognitive Therapy and Research, 11, 289-299. doi:10.1007/ BF01186280
19. Ladouceur, R., Rhéaume, J., & Aublet, F. (1997). Excessive responsibility in obsessional concerns: A fine-grained experimental analysis. Behaviour Research and Therapy, 35, 423-427. doi:10.1016/S0005-7967(96)00117-9
20. Ladouceur, R., Rhéaume, J., Freeston, M. H., Aublet, F., Jean, K., Lachance, S., … De Pokomandry-Morin, K. (1995). Experimental manipulation of responsibility: An analogue test for models of obsessive-compulsive disorders. Behaviour Research and Therapy, 33, 937-946. doi:10.1016/0005-7967(95)00024-R
21. Lee, S. W. S., & Schwarz, N. (2011). Wiping the slate clean: Psychological consequences of physical cleansing. Current Directions in Psychological Science, 20, 307-311. doi:10.1177/0963721411422694
22. Lopatka, C., & Rachman, S. (1995). Perceived responsibility and compulsive checking: An experimental analysis. Behaviour Research and Therapy, 33, 673-684. doi:10.1016/0005-7967(94)00089-3
23. MacDonald, C. B., & Davey, G. C. L. (2005). A mood-asinput account of perseverative checking: The relationship between stop rules, mood and confidence in having checked successfully. Behaviour Research and Therapy, 43, 69-91. doi:10.1016/j.brat.2003.11.003
24. Mancini, F., D’Olimpio, F., & Cieri, L. (2004). Manipulation of responsibility in non-clinical subjects: Does expectation of failure exacerbate obsessive-compulsive behaviours? Behaviour Research and Therapy, 42, 449-457. doi:10.1016/ S0005-7967(03)00153-0
25. Mancini, F., & Gangemi, A. (2011). Fear of deontological guilt and fear of contamination in obsessive-compulsive disorder. Psicoterapia Cognitiva e Comportamentale, 17, 395-404.
26. Moll, J., de Oliveira-Souza, R., Moll, F. T., Ignácio, F. A., Bramati, I. E., Caparelli-Dáquer, E. M., & Eslinger, P. J. (2005). The moral affiliations of disgust: A functional MRI study. Cognitive Behavioral Neurology, 18, 68-78.
27. Ottaviani, C., Mancini, F., Petrocchi, N., Medea, B., & Couyoumdjian, A. (2013). Autonomic correlates of physical and moral disgust. International Journal of Psychophysiology, 89, 57-62. doi:10.1016/j.ijpsycho.2013.05.003
28. Prinz, J., & Nichols, S. (2010). Moral emotions. In J. Doris (Ed.), Moral psychology handbook (pp. 111-146). Oxford, England: Oxford University Press.
29. Rachman, S., & Hodgson, R. (1980). Obsessions and compulsions. Englewood Cliffs, NJ: Prentice Hall.
30. Rachman, S., Radomsky, A. S., Elliott, C. M., & Zysk, E. (2012). Mental contamination: The perpetrator effect. Journal of Behavior Therapy and Experimental Psychiatry, 43, 587-593. doi:10.1016/j.jbtep.2011.08.002
31. Reeves, J., Reynolds, S., Wilson, C., & Coker, S. (2010). An experimental manipulation of responsibility in children: A test of the inflated responsibility model of obsessive compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 41, 228-233. doi:10.1016/j.jbtep.2010.01.007
32. Reuven, O., Liberman, N., & Dar, R. (2014). The effect of physical cleaning on threatened morality in individuals with obsessive-compulsive disorder. Clinical Psychological Science, 2, 224-229. doi:10.1177/2167702613485565
33. Rozin, P., Haidt, J., & McCauley, C. R. (2000). Disgust. In M. Lewis & J. M. Haviland (Eds.), Handbook of emotions (2nd ed., pp. 637-653). New York, NY: Guilford Press.
34. Rozin, P., Lowery, L., Imada, S., & Haidt, J. (1999). The CAD hypothesis: A mapping between three moral emotions (contempt, anger, disgust) and three moral codes (community, autonomy, divinity). Journal of Personality and Social Psychology, 76, 574-586. doi:10.1037/0022-3514.76.4.574
35. Russell, P. S., Piazza, J., & Giner-Sorolla, R. (2013). CAD revisited: Effects of the word moral on the moral relevance of disgust (and other emotions). Social Psychological and Personality Science, 4, 62-68. doi:10.1177/1948550612442913
36. Salkovskis, P. M. (1989). Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behaviour Research and Therapy, 27, 677-682. doi:10.1016/00057967(89)90152-6
37. Sanavio, E. (1988). Obsessions and compulsions: The Padua Inventory. Behaviour Research and Therapy, 26, 167-177. doi:10.1016/0005-7967(88)90116-7
38. Schnall, S., Benton, J., & Harvey, S. (2008). With a clean conscience: Cleanliness reduces the severity of moral judgments. Psychological Science, 19, 1219-1222. doi:10.1111/j.1467-9280.2008.02227.x
39. Schnall, S., Haidt, J., Clore, G. L., & Jordan, A. (2008). Disgust as embodied moral judgment. Personality and Social Psychology Bulletin, 34, 1096-1109. doi:10.1177/ 0146167208317771
40. Shafran, R. (1997). The manipulation of responsibility in obsessive-compulsive disorder. British Journal of Clinical Psychology, 36, 397-407. doi:10.1111/j.2044-8260.1997.tb01247.x
41. Shallice, T. (2001). Theory of mind and the prefrontal cortex. Brain, 124, 247-248. doi:10.1093/brain/124.2.247
42. Shweder, R. A., Much, N. C., Mahapatra, M., & Park, L. (1997). The “big three” of morality (autonomy, community, divinity) and the “big three” explanations of suffering. In A. Brandt & P. Rozin (Eds.), Morality and health (pp. 119-169). New York, NY: Routledge.
43. Spielberg, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto, CA: Consulting Psychologists Press.
44. Styron, W. (1979). Sophie’s choice. New York, NY: Random House.
45. van Oppen, P., Hoekstra, R. J., & Emmelkamp, P. M. G. (1995). The structure of obsessive-compulsive symptoms. Behaviour Research and Therapy, 33, 15-23. doi:1016/0005-7967(94)E0010-G
46. Vos, S. P. F., Huibers, M. J. H., & Arntz, A. (2012). Experimental investigation of targeting responsibility versus danger in cognitive therapy of obsessive-compulsive disorder. Depression and Anxiety, 29, 629-637. doi:10.1002/da.21915
47. Zhong, C. B., & Liljenquist, K. (2006). Washing away your sins: Threatened morality and physical cleansing. Science, 313, 1451-1452. doi:10.1126/science.1130726