Thought-action/probability fusion, a cognitive process seen in obsessions

Today, I will talk about the fusion of THOUGHT-ACTION, which is the mental functioning we see especially in Obsession problems.

First of all, in its simplest definition, Obsessive Compulsive Disorder (OCD) consists of repetitive thoughts and/or actions that cause the person to suffer. There are two types:

Type 1: Thoughts, desires and dreams that are very disturbing and are seen as threatening even if their very existence is seen. For example, a thought or image that harms another person. The second example is the appearance of a sinful image or action during worship. .

Type 2: Fear of the negative consequences of a negative thought that comes to mind. For example, the feeling that the doorknob is dirty and the result that if it touches it, one will get sick and die.

These two types of obsessions have different working mechanisms, but this is not our topic. Our topic is FUSING OF THOUGHTS AND ACTIONS (DEK). It is more common especially in type 1.

Let me explain the Thought Action fusion with example beliefs:

“If I have a thought that is a sin in worship, it is like doing it.”

“If I have thought of hurting someone, it means I will do it” (Remember, the thought of hurting someone is extremely disturbing and comes to mind involuntarily. For example, the thought of throwing your child off the balcony suddenly came to mind)

“If it crossed my mind to hurt someone, it means I want to do it”

“If it occurred to me that my mother was going to get sick, it increases the probability of her getting sick”

“If it occurred to me that I would have an accident with the car, there would be an accident for sure”

In short, TEK is to equate thought and action/events. Especially in recent studies, TAF is especially common in OCD, but there are studies showing that it is associated with Generalized Anxiety, Social Phobia, Health Anxiety, and Depression. Ultimately, no matter what problem it is associated with, this cognitive process creates distress in the person. As a result, the person will not pray to get rid of his distress, he will avoid the person he thinks will harm him, he will not get into the car, he will hit the wood 3 times to get rid of this thought. If he cannot do this, the severity of the trouble will increase.

So let’s take a look at these ideas.

“Thinking about something is like doing it”: You got very angry with someone and for a moment the thought of killing them occurred to you. Then you went to court. You said to the judge: “O judge! I thought of killing him. So give me a life sentence.” What would the judge’s response be to you? Would you be punished just for that thought?

“Thinking too much about something increases the probability of it happening”: Imagine that a meteorite will fall on your head every day. How long does it take? When will this happen? Isn’t this the same thing? Then imagine that there will be earthquakes every day. Suppose it did. How does the occurrence of an earthquake relate to your thoughts? Let’s try a different way. Imagine that there will be an earthquake of magnitude 8 every day. Is it enough for you to think for this to happen?

Look, based on my years of experience, I’ve seen that people who equate thought with action are PUNISHED for their behavior as children. Therefore, negative behaviors and negative events are conditioned to personalize the event. For this reason, the person cannot tolerate the slightest negative event: “If the car is going to crash, it should not be me who did it, otherwise I cannot forgive myself, I cannot take this risk”

Secondly, they become people with EXTREMELY CONSCIOUSNESS. The formation of Excessive Conscience is a complicated process. Maybe I’ll address that in another post.

I wish you a life where you can forgive yourself and others.

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