Obsessive Compulsive Disorder as Stress and Coping: Cognitive Models and Associated Treatments
Bibliographic record
Abstract
Obsessive-compulsive disorder (OCD), a debilitating mental illness, may be exacerbated and maintained by stress. Furthermore, the disorder may be conceptualized as maladaptive coping in relation to an absent or exaggerated perceived threat due to faulty appraisals of potentially distressing intrusive thoughts. Thus, using cognitive models, OCD is conceptualized using Lazarus and Folkman’s (1984) Transactional Stress Model. Distress caused by obsessions, misinterpretations (primary appraisal) of these initial thoughts based on a set of misguided beliefs held by individuals with OCD, leads to engagement in largely ineffective and/or unnecessary compulsive strategies (coping) after learning previously that these strategies are briefly effective in reducing distress (secondary appraisal). This creates a cycle broken only through reappraisal of the initial thoughts, which is the goal of treatment. This conceptualization provides an understanding of how stress and coping are integral influences on the formation, persistence, and treatment of this disorder. Troubling is the thought that one’s own brain can turn on itself; the mind becoming a
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".