Thought-action fusion in obsessive compulsive disorder

1996    Shafran R, Thordarson DS, & Rachman S. (1996). Thought-action fusion in obsessive compulsive disorder. Journal of Anxiety Disorders, 10(5): 379-391. 



Recent psychometric results suggested that the phenomenon of thought-action fusion (TAF) is implicated in obsessive compulsive disorder (OCD). The construct of TAF has two components: (a) the belief that thinking about an unacceptable or disturbing event makes it more likely to happen and (b) the belief that having an unacceptable thought is the moral equivalent of carrying out the unacceptable or disturbing action. The construct of TAF is explored, and its relevance to responsibility and obsessive-compulsive disorder examined. A highly reliable questionnaire to measure TAF has been developed, and psychometric data obtained from two studies are presented. TAF was higher in obsessional samples than in nonobsessional samples, particularly the belief that thinking about a negative event involving other people makes the event more likely to happen.

You have heard that it was said, “Do not commit adultery”. But now I tell you: Anyone who looks at a woman and wants to possess her is guilty of committing adultery with her in his heart.

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