Evaluating Proactive Strategy in Patients With OCD During Stop Signal Task

Martoni, Riccardo Maria; Risso, Gaia; Giuliani, Mattia; Filippis, Roberta De; Cammino, Stefania; Cavallini, Maria Cristina; Bellodi, Laura

doi:10.1017/s1355617718000267

Cited by 5 publications

(2 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, multiple difficulties with this account were found, including absence of specificity to OCD and lack of these beliefs in a large percentage of individuals with OCD [70,71]. Initial evidence also does not seem to support a straightforward proactive control deficiency in OCD [72][73][74], though interestingly, one study examined this in paediatric OCD and did find decreased proactive control performance [75]. Therefore, there seems to be an impasse between cognitive suggestions of the deficits underlying symptoms and clinical accounts suggesting dysfunctional beliefs underlying symptoms, with both accounts thus far lacking.…”

Section: The Cognitive-behavioural Model Of Ocdmentioning

confidence: 99%

Stopping a Response When You Really Care about the Action: Considerations from a Clinical Perspective

Morein‐Zamir

Anholt

2021

Brain Sciences

View full text Add to dashboard Cite

Response inhibition, whether reactive or proactive, is mostly investigated in a narrow cognitive framework. We argue that it be viewed within a broader frame than the action being inhibited, i.e., in the context of emotion and motivation of the individual at large. This is particularly important in the clinical domain, where the motivational strength of an action can be driven by threat avoidance or reward seeking. The cognitive response inhibition literature has focused on stopping reactively with responses in anticipation of clearly delineated external signals, or proactively in limited contexts, largely independent of clinical phenomena. Moreover, the focus has often been on stopping efficiency and its correlates rather than on inhibition failures. Currently, the cognitive and clinical perspectives are incommensurable. A broader context may explain the apparent paradox where individuals with disorders characterised by maladaptive action control have difficulty inhibiting their actions only in specific circumstances. Using Obsessive Compulsive Disorder as a case study, clinical theorising has focused largely on compulsions as failures of inhibition in relation to specific internal or external triggers. We propose that the concept of action tendencies may constitute a useful common denominator bridging research into motor, emotional, motivational, and contextual aspects of action control failure. The success of action control may depend on the interaction between the strength of action tendencies, the ability to withhold urges, and contextual factors.

show abstract