Disgust and Obsessive-Compulsive Disorder

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Abstract

Obsessive–compulsive disorder (OCD) is a serious and debilitating psychiatric condition. It has historically been associated with anxiety. Recent analyses have identified a specific role for disgust as well. A clinical vignette underscores the relevant understanding of disgust in the context of OCD. While contemporary evidence-based treatment emphasizes exposure with response prevention (ERP) for OCD, there are special considerations for addressing symptoms that are a result of disgust reactions. The review provides greater insight into the recent research on disgust and how it differs from the emotion of fear. In addition to highlighting the complexity of treatment for contamination fears, evidence-based assessment and practice considerations are discussed, as well as the ethical challenges of exposure and response prevention (ERP). Future research targeting disgust symptomatology is warranted.

Continuing Education Information

1 CE Credit, Instructional Level: Intermediate

1 Contact Hour (New York Board of Psychology)

Learning Objectives:

  1. Describe the role of disgust in obsessive-compulsive disorder (OCD).
  2. Identify special considerations for addressing symptoms that are a result of disgust reactions.
  3. Compare the evidence-based assessment and practice considerations of treatment for OCD.

Disclosures: No conflicts of interest to disclose. Generative AI was not used in the development or content.

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Moran & McKay

Erin Moran earned a B.A. in Psychology from Hope College and is pursuing an M.S. in Clinical Research Methods at Fordham University under Dr. Dean McKay. Their research focuses on anxiety and obsessive-compulsive disorders (OCD), with a specific interest in how OCD manifests across demographic groups, as well as improving treatment outcomes and adherence.

Dean McKay earned his PhD in Clinical & School Psychology from Hofstra University in 1993 and holds the ABPP diploma in Cognitive-Behavioral and Clinical Psychology. He has been a member of the Psychology Department faculty at Fordham University since 1996, where he is currently a Professor. His research focuses on anxiety and obsessive-compulsive disorders, disgust in psychopathology, factors contributing to the allure of pseudoscientific methods, and, most recently, issues in the politicization of medical and mental healthcare.

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