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A fear of feeling guilty might be key to some forms of OCD – Research Digest
“Guilt sensitivity may indeed cause individuals to be vigilant and sensitive to ways in which actions or inactions could potentially cause harm, performing checking compulsions in order to avoid, prevent, or neutralise the feared feeling of guilt,” the researchers said. This could have implications for therapy, they added, suggesting that in CBT, “cognitive restructuring should target not only inflated responsibility beliefs, but also beliefs concerning the intolerability and dangerousness of experiencing guilt.” Note, however, that the new findings were purely correlational so it’s not certain that guilt sensitivity causes OCD checking symptoms or if the symptoms lead to guilt sensitivity. It may be a bit of both. Or it’s even possible some unknown factors contribute to the symptoms and the guilt-sensitivity.