Relationship-centered obsessivecompulsive phenomena

Guy Doron, Dahlia Talmor, Ohad Szepsenwol, Danny Derby

Obsessive-compulsive disorder (OCD) is a disabling and prevalent anxiety disorder comprised of
multiple symptoms and a variety of clinical presentations. Research had examined obsessional themes
and compulsive behaviors such as contamination fears, pathological doubt, a need for symmetry
or order, and sexual or aggressive obsessions. However, absent from current literature of OCD is the
investigation of obsessive-compulsive symptoms relating to romantic relationships. In this paper,
we introduce and discuss the theoretical construct of relationship-centered obsessive-compulsive
phenomena. We then present preliminary data supporting the validity and structure of this construct.
Consistent with recent models of OCD, we then propose a model integrating OCD related cognitive
beliefs, catastrophic relationship biases, self-vulnerability and attachment insecurities in the
maintenance and development of relationship-centered obsessive-compulsive symptoms. Finally, we
discuss the possible theoretical and clinical implications of the proposed model and suggest future
research directions.

Keywords
Obsessive-compulsive disorder, response inhibition, romantic relationship.

Back