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Looking for Outcomes: The Experience of Control and Sense of Agency in Obsessive-compulsive Behaviors

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Neuropsychology of the Sense of Agency

Abstract

Obsessive-compulsive disorder (OCD) is, as its name implies, characterized by obsessions (i.e., recurrent thoughts or images, particularly ones that cause distress) as well as compulsions (i.e., urges to perform mental or physical acts repeatedly), both of which significantly impair everyday functioning [1]. Obsessions are considered to be recurrent distressing impressions that something is wrong with an action or with a situation, such as an error or an imminent danger [24]. Compulsions are generally conceptualized as aiming to prevent feared harmful events and are thus associated with an increased sense of responsibility [5, 6]. However, they may also be motivated by particular sensory experiences concerning actions, such as feelings of incompleteness, that trigger the need to adjust them, rather than the avoidance of potential harm [7].

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References

  1. American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (4th edn). American Psychiatric Association, Washington DC

    Google Scholar 

  2. Aouizerate B, Guehl D, Cuny E et al (2004) Pathophysiology of obsessive-compulsive disorder. A necessary link between phenomenology, neuropsychology, imagery and physiology. Prog Neurobiol 72:195–221

    Article  PubMed  Google Scholar 

  3. Schwartz JM (1998) Neuroanatomical aspects of cognitive-behavioural therapy response in obsessive-compulsive disorder. An evolving perspective on brain and behaviour. Br J Psychiatry Suppl 38–44

    Google Scholar 

  4. Schwartz JM (1999) A role of volition and attention in the generation of new brain circuitry. Toward a neurobiology of mental force. J Consciousness Stud 6:115–142

    Google Scholar 

  5. Rachman S (1997) A cognitive theory of obsessions. Behav Res Ther 35:793–802

    Article  PubMed  Google Scholar 

  6. Salkovskis P M (1985) Obsessional-compulsive problems: a cognitive-behavioural analysis. Behav Res Ther 23:571–583

    Article  PubMed  Google Scholar 

  7. Summerfeldt LJ (2004) Understanding and treating incompleteness in obsessive-compulsive disorder. J Clin Psychol 60:1155–1168

    Article  PubMed  Google Scholar 

  8. Cavedini P, Riboldi G, D’Annucci A et al (2002) Decision-making heterogeneity in obsessive-compulsive disorder: ventromedial prefrontal cortex function predicts different treatment outcomes. Neuropsychologia 40:205–211

    Article  PubMed  Google Scholar 

  9. Veale DM, Sahakian BJ, Owen AM, Marks IM (1996) Specific cognitive deficits in tests sensitive to frontal lobe dysfunction in obsessive-compulsive disorder. Psychol Med 26:1261–1269

    Article  PubMed  Google Scholar 

  10. Pitman RK (1987) A cybernetic model of obsessive-compulsive pathology. Compr Psychiatry 28:334–343

    Article  PubMed  Google Scholar 

  11. Gehring WJ, Himle J, Nisenson LG (2000) Action monitoring dysfunction in obsessive compulsive disorder. Psychol Sci 11:1–6

    Article  PubMed  Google Scholar 

  12. Aarts H, Custers R, Wegner DM (2005) On the inference of personal authorship: enhancing experienced agency by priming effect information. Conscious Cogn 14:439–458

    Article  PubMed  Google Scholar 

  13. Aarts H, Wegner DM, Dijksterhuis A (2006) On the feeling of doing: dysphoria and the implicit modulation of authorship ascription. Behav Res Ther 44:1621–1627

    Article  PubMed  Google Scholar 

  14. Pacherie E (2008) The phenomenology of action: a conceptual framework. Cognition 107:179–217

    Article  PubMed  Google Scholar 

  15. Wegner DM (2002) The illusion of conscious will. MIT Press, Cambridge

    Google Scholar 

  16. Wegner DM, Sparrow B (2004) Authorship processing. In: Gazzaniga M (ed) The new cognitive neurosciences (3rd ed). MIT Press, Cambridge, pp 1201–1209

    Google Scholar 

  17. Wegner DM, Wheatley TP (1999) Apparent mental causation: sources of the experience of will. Am Psychol 54:480–492

    Article  PubMed  Google Scholar 

  18. Jeannerod M (2009) Le cerveau volontaire. Éditions Odile Jacob, Paris

    Google Scholar 

  19. Rasmussen SA, Eisen JL (2002) The course and clinical features of obsessive compulsive disorder. In: Davis KL, Charney D, Coyle JT, Nemeroff C (eds) Psychopharmacology: a fifth generation of progress. Williams and Williams, Philadelphia

    Google Scholar 

  20. Foa EB, Kozak MJ (1995) DSM-IV field trial: obsessive-compulsive disorder. Am J Psychiatry 152:90–96

    PubMed  Google Scholar 

  21. Rasmussen S, Eisen J (1994) The epidemiology and clinical features of obsessive-compulsive disorder. Psychiatr Clin North Am 15:743–758

    Google Scholar 

  22. Skoog G, Skoog I (1999) A 40 year follow-up of patients with obsessive-compulsive disorder. Arch Gen Psychiatry 56:121–127

    Article  PubMed  Google Scholar 

  23. Salkovskis PM (1996) Cognitive-behavioral approaches to the understanding of obsessional problems. In: Rapee RM (ed) Current controversies in the anxiety disorders. Guilford, New York, pp 103–133

    Google Scholar 

  24. Summerfeldt LJ, Huta V, Swinson RP (1998) Personality and obsessive-compulsive disorder. In: Swinson RP, Antony MM, Rachman S, Richter MA (eds) Obsessive-compulsive disorder: theory, research, and treatment. Guilford, New York, pp 79–119

    Google Scholar 

  25. Prado HS, Rosário MC, Lee J et al (2008) Sensory phenomena in obsessive-compulsive disorder and tic disorders: a review of the literature. CNS Spectr 5:425–432

    Google Scholar 

  26. Tolin DF, Brady RE, Hannan S (2008) Obsessional beliefs and symptoms of obsessive compulsive disorder in a clinical sample. J Psychopathol Behav Assess 30:31–42

    Article  Google Scholar 

  27. Coles ME, Frost RO, Heimberg RG, Rhéaume J (2003) “Not just right experiences”: perfectionism, obsessive-compulsive features and general psychopathology. Behav Res Ther 41:681–700

    Article  PubMed  Google Scholar 

  28. Ecker W, Gönner S (2008) Incompleteness and harm avoidance in OCD symptom dimensions. Behav Res Ther 46:895–904

    Article  PubMed  Google Scholar 

  29. Mataix-Cols D, Cullen S, Lange K et al (2003) Neural correlates of anxiety associated with obsessive-compulsive symptom dimensions in normal volunteers. Biol Psychiatry 53:482–93

    Article  PubMed  Google Scholar 

  30. Mataix-Cols D, Wooderson S, Lawrence N et al (2004) Distinct neural correlates of washing, checking, and hoarding symptom dimensions in obsessive-compulsive disorder. Arch Gen Psychiatry 61:564–76

    Article  PubMed  Google Scholar 

  31. Phillips ML, Marks IM, Senior C et al (2000) A differential neural response in obsessivecompulsive disorder patients with washing compared with checking symptoms to disgust. Psychol Med 30:1037–50

    Article  PubMed  Google Scholar 

  32. Fitzgerald KD, Welsh RC, Gehring WJ et al (2005) Error-related hyperactivity of the anterior cingulate cortex in obsessive compulsive disorder. Biol Psychiatry 57:287–294

    Article  PubMed  Google Scholar 

  33. Hajcak G, Simons RF (2002) Error-related brain activity in obsessive-compulsive undergraduates. Psychiatry Res 110:63–72

    Article  PubMed  Google Scholar 

  34. Ursu S, Stenger VA, Shear MK et al (2003) Overactive action monitoring in obsessive-compulsive disorder. Psychol Sci 14:347–353

    Article  PubMed  Google Scholar 

  35. Falkenstein M, Hoormann J, Christ S, Hohnsbein J (2000) ERP components on reaction errors and their functional significance: a tutorial. Biol Psychol 51:87–107

    Article  PubMed  Google Scholar 

  36. Gehring WJ, Goss B, Coles MGH et al (1993) A neural system for error detection and compensation. Psychol Sci 4:385–390

    Article  Google Scholar 

  37. Kringelbach ML (2005) The human orbitofrontal cortex: linking reward to hedonic experience. Nat Rev Neurosci 6:691–702

    Article  PubMed  Google Scholar 

  38. O’Doherty J, Kringelbach ML, Rolls ET et al (2001) Abstract reward and punishment representations in the human orbitofrontal cortex. Nat Neurosci 4:95–102

    Article  PubMed  Google Scholar 

  39. Ursu S, Carter CS (2005) Outcome representations, counterfactual comparisons and the human orbitofrontal cortex: implications for neuroimaging studies of decision-making. Brain Res Cogn Brain Res 23:51–60

    Article  PubMed  Google Scholar 

  40. Ursu S, Carter CS (2009) An initial investigation of the orbitofrontal cortex hyperactivity in obsessive-compulsive disorder: exaggerated representations of anticipated aversive events? Neuropsychologia 47:2145–2148

    Article  PubMed  Google Scholar 

  41. Shapiro D (1965) Neurotic styles. Basic Books, New York

    Google Scholar 

  42. Freeston MH, Ladouceur, R (1997) What do patients do with their obsessive thoughts? Behav Res Ther 35:335–348

    Article  PubMed  Google Scholar 

  43. Ladouceur R, Freeston MH, Fournier S et al (2000) Strategies used with intrusive thoughts: a comparison of OCD patients with anxious and community controls. J Abnorm Psychol 109:179–187

    Article  PubMed  Google Scholar 

  44. McLaren S, Crowe SF (2003) The contribution of perceived control of stressful life events and thought suppression to the symptoms of obsessive-compulsive disorder in both nonclinical and clinical samples. J Anxiety Disord 17:389–403

    Article  PubMed  Google Scholar 

  45. Rhéaume J, Ladouceur R, Freeston MH, Letarte H (1995) Inflated responsibility in OCD: validation of an operational definition. Behav Res Ther 33:159–169

    Article  PubMed  Google Scholar 

  46. Sookman D, Pinard G, Beck AT (2001) Vulnerability schemas in obsessive-compulsive disorder. J Cogn Psychother 15:109–130

    Google Scholar 

  47. Moulding R, Kyrios M (2006) Anxiety disorders and control related beliefs: the exemplar of obsessive-compulsive disorder (OCD). Clin Psychol Rev 26:573–583

    Article  PubMed  Google Scholar 

  48. Moulding R, Kyrios M (2007) Desire for control, sense of control and obsessive compulsive symptoms. Cogn Ther Res 31:759–772

    Article  Google Scholar 

  49. Liberman N, Dar R (2009) Normal and pathological consequences of encountering difficulties in monitoring progress toward goals. In: Moskowitz G, Grant H (eds) The psychology of goals. Guilford, New York, pp 277–303

    Google Scholar 

  50. Reuven-Magril O, Dar R, Liberman N (2008) Illusion of control and behavioral control attempts in obsessive-compulsive disorder. J Abnorm Psychol 117:334–341

    Article  PubMed  Google Scholar 

  51. Vallacher RR, Wegner DM (1985) A theory of action identification. Lawrence Erlbaum Associates, Hillsdale, NJ

    Google Scholar 

  52. Vallacher RR, Wegner DM (1989) Levels of personal agency: individual variation in action identification. J Pers Soc Psychol 57:660–671

    Article  Google Scholar 

  53. Dar R, Katz H (2005) Action identification in obsessive-compulsive washers. Cogn Ther Res 29:333–341

    Article  Google Scholar 

  54. Belayachi S, Van der Linden M (2009) Level of agency in sub-clinical checking. Conscious Cogn 18:293–299

    Article  PubMed  Google Scholar 

  55. Boyer P, Liénard P (2006) Why ritualized behavior? Precaution systems and action parsing in developmental, pathological and cultural rituals. Behavioral and Brain Sciences 29:1–56

    Google Scholar 

  56. Coles ME, Heimberg RG, Frost RO, Steketee G (2005) Not just right experiences and obsessive-compulsive features: experimental, self-monitoring perspectives. Behav Res Ther 43:153–167

    Article  PubMed  Google Scholar 

  57. Belayachi S, Van der Linden M (in press) Feeling of doing in obsessive-compulsive checking. Conscious Cogn

    Google Scholar 

  58. Szechtman H, Woody EZ (2004) Obsessive-compulsive disorder as a disturbance of security motivation. Psychol Rev 111:111–127

    Article  PubMed  Google Scholar 

  59. Woody EZ, Lewis V, Snider L et al (2005) Induction of compulsive-like washing by blocking the feeling of knowing: an experimental test of the security-motivation hypothesis of obsessive-compulsive disorder. Behav Brain Funct 1:1–11

    Article  Google Scholar 

  60. Woody E, Szechtman H (2000) Hypnotic hallucinations and yedasentience. Contemp Hypn 17:26–31

    Article  Google Scholar 

  61. Ecker W, Engelkamp J (1995) Memory for actions in obsessive-compulsive disorder. Behav Cogn Psychother 23:349–371

    Article  Google Scholar 

  62. Zermatten A, Van der Linden M, Larøi F, Ceschi G (2006) Reality monitoring and motor memory in checking-prone individuals. J Anxiety Disord 20:580–596

    Article  PubMed  Google Scholar 

  63. van der Weiden A, Aarts H, Ruys K (2010) Reflecting on the action or its outcome: behavior representation level modulates high level outcome priming effects on self-agency experiences. Conscious Cogn doi:10.1016/j.concog.2009.12.004

    Google Scholar 

  64. Morewedge CK, Gray K, Wegner DM (in press) Perish the forethought: premeditation engenders misperceptions of personal control. In: Hassin R, Ochsner K, Trope Y (eds) Selfcontrol in society, mind, and brain. Oxford University Press, New York

    Google Scholar 

  65. Pronin E, Wegner DM, McCarthy K, Rodriguez S (2006) Everyday magical powers: the role of apparent mental causation in the overestimation of personal influence. J Pers Soc Psychol 91:218–231

    Article  PubMed  Google Scholar 

  66. Blakemore S-J, Wolpert DM, Frith CD (2002) Abnormalities in the awareness of action. Trends Cogn Sci 6:237–242

    Article  PubMed  Google Scholar 

  67. Fourneret P, Jeannerod M (1998) Limited conscious monitoring of motor performance in normal subjects. Neuropsychologia 36:1133–1140

    Article  PubMed  Google Scholar 

  68. Frith CD (2005) The self in action: lessons from delusions of control. Conscious Cogn 4:752–770

    Article  Google Scholar 

  69. Wohlschläger A, Engbert K, Haggard P et al (2003) Intentionality as a constituting condition for the own self and selves. Conscious Cogn 4:708–716

    Article  Google Scholar 

  70. Aarts H (2007) Unconscious authorship ascription: the effects of success and effect-specific information priming on experienced authorship. J Exp Soc Psychol 43:119–126

    Article  Google Scholar 

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Belayachi, S., Van der Linden, M. (2010). Looking for Outcomes: The Experience of Control and Sense of Agency in Obsessive-compulsive Behaviors. In: Michela, B. (eds) Neuropsychology of the Sense of Agency. Springer, Milano. https://doi.org/10.1007/978-88-470-1587-6_9

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