Cognitive Therapy and Research

, Volume 36, Issue 4, pp 358–366 | Cite as

Guilt and Compulsive Washing: Experimental Tests of Interrelationships

  • Jesse R. Cougle
  • Amy R. Goetz
  • Kirsten A. Hawkins
  • Kristin E. Fitch
Original Article


Recent evidence suggests a potentially important relationship between guilt and compulsive washing. The present studies sought to clarify this relationship. In Study 1, we examined whether washing reduced guilt. Following guilt induction, 132 non-clinical participants were randomized to one of three conditions: hand-wiping, straightening of clutter, or a control task. Contrary to predictions, analyses indicated no differences between conditions in post-task guilt. Moderator analyses indicated that among those in the straightening task, higher ordering symptoms were associated with greater increases in guilt. Study 2 examined whether guilt increased washing behavior. Sixty-one non-clinical participants were randomized to either a guilt induction or neutral condition. Afterwards, participants were timed as they cleansed their hands. Individuals in the guilt induction condition washed significantly longer than those in the neutral condition. These findings suggest that hand-washing does not lead to unique reductions in guilt, but guilt may prolong hand-washing behavior. Theoretical and clinical implications are discussed.


Obsessive–compulsive disorder Guilt Hand-washing Ordering Mood induction 


  1. Beck, A. (1972). Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press.Google Scholar
  2. Coles, M. E., Frost, R. O., Heimberg, R. G., & Rheaume, J. (2003). “Not just right experiences:” Perfectionism, obsessive-compulsive features and general psychopathology. Behaviour Research and Therapy, 41(6), 681–700.PubMedCrossRefGoogle Scholar
  3. Cougle, J. R., Lee, H.-J., Horowitz, J. D., Wolitzky-Taylor, K. B., & Telch, M. J. (2008). An exploration of the relationship between mental pollution and OCD symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 39(3), 340–353.PubMedCrossRefGoogle Scholar
  4. Elliott, C. M., & Radomsky, A. S. (2009). Analyses of mental contamination: Part I, experimental manipulations of morality. Behaviour Research and Therapy, 47, 995–1003.PubMedCrossRefGoogle Scholar
  5. Fairbrother, N., & Rachman, S. (2004). Feelings of mental pollution subsequent to sexual assault. Behaviour Research and Therapy, 42, 173–189.PubMedCrossRefGoogle Scholar
  6. Fairbrother, N., Newth, S. J., & Rachman, S. (2005). Mental pollution: Feelings of dirtiness without physical contact. Behaviour Research and Therapy, 43(1), 121–130.PubMedCrossRefGoogle Scholar
  7. Fayard, J. V., Bassi, A. K., Bernstein, D. M., & Roberts, B. W. (2009). Is cleanliness next to godliness? Dispelling old wives’ tales: Failure to replicate Zhong and Liljenquist (2006). Journal of Articles in Support of the Null Hypothesis, 6(2), 21–30.Google Scholar
  8. Fergus, T. A., Valentiner, D. P., McGrath, P. B., & Jencius, S. (2010). Shame- and guilt-proneness: Relationships with anxiety disorder symptoms in a clinical sample. Journal of Anxiety Disorders, 24(8), 811–815.PubMedCrossRefGoogle Scholar
  9. 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(2002), 485–496.PubMedCrossRefGoogle Scholar
  10. Gangemi, A., Mancini, F., & van den Hout, M. (2007). Feeling guilty as a source of information about threat and performance. Behaviour Research and Therapy, 45, 2387–2396.PubMedCrossRefGoogle Scholar
  11. Huppert, J. D., Walther, M. R., Hajcak, G., Yadin, E., Foa, E. B., & Simpson, H. B. (2007). The OCI-R: validation of the subscales in a clinical sample. Journal of Anxiety Disorders, 21, 394–406.PubMedCrossRefGoogle Scholar
  12. Jones, W. H., Schratter, A. K., & Kugler, K. (2000). The guilt inventory. Psychological Reports, 87(3, part 2), 1039–1042.PubMedCrossRefGoogle Scholar
  13. Klass, E. T. (1990). Guilt, shame, and embarrassment: Cognitive—behavioral approaches. In H. Leitenberg (Ed.), Handbook of social and evaluation anxiety (pp. 385–416). New York: Plenum Press.Google Scholar
  14. Kugler, K., & Jones, W. H. (1992). On conceptualizing and assessing guilt. Journal of Personality and Social Psychology, 62, 318–327.CrossRefGoogle Scholar
  15. Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2008). International affective picture system (IAPS): Affective ratings of pictures and instruction manual. Technical report A-8. Gainesville, FL: University of Florida.Google Scholar
  16. Mancini, F., Gangemi, A., Perdighe, C., & Marini, C. (2008). Not just right experience: Is it influenced by feelings of guilt? Journal of Behavior Therapy and Experimental Psychiatry, 39, 162–176.PubMedCrossRefGoogle Scholar
  17. Rachman, S. (1993). Obsessions, responsibility and guilt. Behaviour Research and Therapy, 31, 149–154.PubMedCrossRefGoogle Scholar
  18. Rachman, S. (2004). Fear of contamination. Behaviour Research and Therapy, 42, 1227–1255.PubMedCrossRefGoogle Scholar
  19. Radomsky, A. S., & Elliott, C. M. (2009). Analyses of mental contamination: Part II, Individual differences. Behaviour Research and Therapy, 47, 1004–1011.PubMedCrossRefGoogle Scholar
  20. Radomsky, A. S., & Rachman, S. (2004). Symmetry, ordering and arranging compulsive behaviour. Behaviour Research and Therapy, 42, 893–913.PubMedCrossRefGoogle Scholar
  21. Rapoport, J. L. (1989). The boy who couldn’t stop washing: The experience and treatment of obsessive-compulsive disorder. New York: Penguin Books.Google Scholar
  22. Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive-behavioral analysis. Behaviour Research and Therapy, 23, 571–583.PubMedCrossRefGoogle Scholar
  23. Shafran, E., Watkins, T., & Charman, G. (1996). Guilt in obsessive-compulsive disorder. Journal of Anxiety Disorder, 10, 509–516.CrossRefGoogle Scholar
  24. Shakespeare, W. (1964). The tragedy of Macbeth. New York: Oxford University Press.Google Scholar
  25. Steketee, G., Grayson, J., & Foa, E. (1987). A comparison of characteristics of obsessive-compulsive disorder and other anxiety disorders. Journal of Anxiety Disorders, 1, 325–335.CrossRefGoogle Scholar
  26. Wahl, K., Salkovskis, P. M., & Cotter, I. (2008). ‘I wash until it feels right’ the phenomenology of stopping criteria in obsessive-compulsive washing. Journal of Anxiety Disorders, 22(2), 143–161.PubMedCrossRefGoogle Scholar
  27. Watson, D., & Clark, L. A. (1994). The PANAS-X: Manual for the positive and negative affect schedule-expanded form. University of Iowa: Unpublished manuscript.Google Scholar
  28. Zhong, C. B., & Liljenquist, K. (2006). Washing away your sins: Threatened morality and physical cleansing. Science, 313, 1451–1452.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Jesse R. Cougle
    • 1
  • Amy R. Goetz
    • 1
  • Kirsten A. Hawkins
    • 1
  • Kristin E. Fitch
    • 1
  1. 1.Department of PsychologyFlorida State UniversityTallahasseeUSA

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