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  • Aardema, Frederick, et al. (author)
  • Choice Blindness, Confabulatory Introspection, and Obsessive-Compulsive Symptoms: A New Area of Investigation
  • 2014
  • In: International Journal of Cognitive Therapy. - : Springer Science and Business Media LLC. - 1937-1209 .- 1937-1217. ; 7:1, s. 83-102
  • Journal article (peer-reviewed)abstract
    • The current study is the first to investigate confabulatory introspection in relation to clinical psychological symptoms utilizing the Choice Blindness Paradigm (CBP). It was hypothesized that those with obsessive-compulsive symptoms are more likely to confabulate mental states. To test this hypothesis, an experimental choice blindness task was administered in two nonclinical samples (n = 47; n = 76). Results showed that a confabulatory introspection is significantly related to obsessive-compulsive symptoms. There was evidence for its specificity to symptoms of OCD depending on the obsessional theme addressed in the choice blindness task. However, confabulatory introspection was also found to be relevant to other symptoms, including depression and schizotypy. The results highlight a potentially fruitful new area of clinical investigation in the area of insight and self-knowledge, not limited to OCD alone, but potentially other disorders as well.
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2.
  • Wong, Shiu F., et al. (author)
  • Choice Blindness, Confabulatory Introspection, and Obsessive–Compulsive Symptoms : Investigation in a Clinical Sample
  • 2020
  • In: Cognitive Therapy and Research. - : Springer Science and Business Media LLC. - 0147-5916 .- 1573-2819. ; 44:2, s. 376-385
  • Journal article (peer-reviewed)abstract
    • The content of obsessions in obsessive–compulsive disorder (OCD) often run contrary to the actual self of the individual experiencing them. The ego-dystonic nature of obsessions has led some researchers to propose that individuals with OCD form these false beliefs about themselves due to limited introspective access. The current study therefore aimed to extend on recent findings from non-clinical samples, which suggest the relevance of confabulatory introspection on OCD symptoms, in a clinical population. Participants were community participants diagnosed with OCD (n = 54) or another anxiety or mood disorder (n = 28), as well as healthy individuals (n = 110). Groups completed the Choice Blindness Paradigm, an experimental task designed to have participants confabulate outside of their awareness. Contrary to predictions, the OCD group did not have a greater proportion of individuals who confabulated on this task. Furthermore, only within healthy participants was the occurrence of confabulation associated with elevated OCD symptoms. We speculate that confabulatory introspection may be an important precursor to the development of clinical obsessions and its early detection could inform the prevention of obsessive–compulsive and related disorders.
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