A cognitive theory of obsessions: elaborations

The theory that obsessions are caused by catastrophic misinterpretations of oneʹs intrusive thoughts/images/impulses is elaborated in an attempt to explain the frequency of obsessions and why they persist. The internal and external provocations of obsessions are considered, and an explanatory framework for the varying contents of obsessions is set out. The role and functions of neutralization and inflated responsibility are assessed, and the treatment implications of the theory are described.