AreasWorry and anxietyObsessions and compulsions

Five minutesAny ordinary dayCBTWorry and anxiety

Plenty of people quietly believe that thinking about something bad makes it more likely to happen. It has a name, it is a known part of this condition, and having the belief does not make you dangerous.

Hearing that it is a documented feature tends to do more than any argument about probability, because arguing about odds is a game the doubt plays very well. The move is to reclassify the belief rather than debate it. Not evidence about your character, just a familiar way this particular problem thinks.

Before you use this

Obsessive thoughts and compulsions respond well to a specific kind of therapy. What is here is for understanding them, not for treating them by yourself.

Qur’an and Sunnah

who whispers into the hearts of people (Quran 114:5). The whispering is described as something that arrives at the heart, not something the heart went and made.

ٱلَّذِي يُوَسۡوِسُ فِي صُدُورِ ٱلنَّاسِ

who whispers into the hearts of people––

Qur’an 114:5read it in the library

Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.

What the research says

Following 83 outpatients through treatment, what most strongly predicted recovery was not the content of the obsession but a shift in what people believed about thoughts themselves, particularly how dangerous and how meaningful a thought was taken to be. That puts this belief near the centre of the work. It is a prospective study inside treatment rather than an experiment, so beliefs and recovery moved together without one being shown to drive the other.

Solem S, Håland AT, Vogel PA, Hansen B, Wells A. (2009). Change in metacognitions predicts outcome in obsessive-compulsive disorder patients undergoing treatment with exposure and response prevention.. Behaviour research and therapy doi

Strength of evidence: one line of research. A single study, or a theoretical account.

Why it works

Once a thought is filed as a symptom, it stops being read as information about who you are.

This one is still a draft. It is waiting on a scholar and a clinician to read it before it is published.

Near this one

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