Translated article: Current Status of Research Concerning Incompleteness in Obsessive-Compulsive Disorder

2017-05-30T12:33:40Z (GMT) by Willi Ecker Sascha Gönner
In this article, the research on incompleteness experiences
in obsessive-compulsive disorder (OCD) is reviewed.
Empircal data concerning the phenomenological
differentiation between self-related incompleteness (SI)
and ‘not just right experiences’ (NJREs) are presented.
Diagnostic
instruments and empirical results concerning
frequency, association with different symptom-based subtypes
and with symptom severity as well as the specificity
of NJREs for OCD are outlined. Considerations and results
concerning the theoretical conceptualization of incompleteness
phenomena are summarized (SI as an OCD-specific
form of depersonalisation/derealization, with the
‘Two-Stages-Model’ as an etiological hypothesis; NJREs
as sensation-based perfectionism related to obsessivecompulsive
personality features and tic disorders, with a
presumed neurobiological origin). So far, there is a lack of
studies evaluating modifications of cognitive-behavioral
methods tailored to incompleteness-related OCD.