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perfectionism and - Obsessive-Compulsive Foundation

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6/14/13<br />

THE ROLE OF BETRAYAL <br />

• “Betrayal is a sense of being harmed by the intenonal <br />

acons, or omissions, of a person who was assumed to be a <br />

trusted <strong>and</strong> loyal friend, relave, partner, colleague, or <br />

companion” -­‐ Rachman <br />

• TYPES OF BETRAYAL <br />

– Harmful disclosures of confidenal informaon <br />

– Disloyalty <br />

– Infidelity <br />

– Dishonesty <br />

– Failures to help during significant mes of need <br />

EMOTIONAL CONTAMINATION AND <br />

INTERPERSONAL DYSFUNCTION <br />

• Is there a connecon <br />

• Possible co-­‐morbidity with Axis II perhaps <br />

mediated by history of trauma <br />

• Betrayal is form of trauma <br />

• Betrayal leads to feelings of humiliaon, degradaon, <strong>and</strong> <br />

worthlessness which lead to feeling dirty <strong>and</strong> “polluted” <br />

• The “betrayer” can become focus of contaminaon <br />

MAGICAL THINKING IN OCD <br />

• Beliefs about relaonships between events that do not follow <br />

laws of nature or causality <br />

• Coincidental co-­‐occurrence of a thought <strong>and</strong> negave event <br />

• Cultural influences <br />

• Religious moral influences from authority figures (parents, <br />

clergy, etc.) <br />

• Magical thinking increases during mes of stress <br />

• Need to control things that ma^er to us as human beings <br />

– Found in cultures all over the world in which ritualisc <br />

behaviors are performed to alter natural events <br />

THOUGHT ACTION FUSION <br />

• Moral TAF – unacceptable thoughts are <br />

morally equivalent to immoral acons <br />

• Likelihood TAF – certain thoughts cause <br />

parcular events or increase likelihood of <br />

events occurring <br />

• Part of the construct of magical or <br />

supersous thinking <br />

-217-<br />

5

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