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perfectionism and - Obsessive-Compulsive Foundation

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6/14/13!<br />

Common obsessions, continued$<br />

• Disorder, asymmetry, <strong>perfectionism</strong>, “just right”#<br />

• Fear of losing or not having something: Throwing<br />

away something valuable by mistake#<br />

• Scrupulosity: Religious (blasphemy) <strong>and</strong> secular<br />

(that they have done or might do something<br />

wrong, like stealing or telling a falsehood)#<br />

• Superstitions: Unlucky numbers, colors, etc.#<br />

• Pathological doubting: That the alarm clock is<br />

set correctly, that they have OCD#<br />

Compulsions$<br />

• Compulsions are voluntary behaviors performed to<br />

reduce or control the anxiety brought on by<br />

obsessions.#<br />

• Mental compulsions <strong>and</strong> avoidance (“preëmptive<br />

compulsions”) are common. #<br />

• The relief brought on by performing compulsions,<br />

including mental compulsions, is transient at best.!<br />

• Avoidance is terrific at reducing anxiety but is a<br />

terrible long-term strategy.#<br />

Common compulsions $<br />

• Washing, cleaning; avoiding dirt, germs, etc.#<br />

• Checking: Locks, stoves, irons, babies, health<br />

(e.g., AIDS test), under the car, ad infinitum!<br />

• Other protective actions: Putting knives away!<br />

• Seeking reassurance, “researching”: Asking<br />

people (doesn’t have to be in the form of a<br />

question), getting on internet to research<br />

symptoms, dangers !<br />

(continued)#<br />

Common compulsions, continued $<br />

• Ordering, arranging, correcting#<br />

• Hoarding, compulsive acquiring: Things, trash,<br />

animals!<br />

• Counting, making decisions by counting#<br />

• Confessing, te'ing#<br />

• Mental reassurance/researching: Mentally<br />

reviewing events (“Did I hurt her feelings”)#<br />

-29-<br />

2!

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