Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, 185 Cambridge Street, Boston, MA 02114, USA.
J Anxiety Disord. 2010 Apr;24(3):309-12. doi: 10.1016/j.janxdis.2010.01.002. Epub 2010 Jan 11.
The empirical literature on the relationship between moral thought-action fusion (TAF) and obsessive-compulsive disorder (OCD) is characterized by mixed findings. Previous studies have reported religious group differences in moral TAF and the relationship between moral TAF and religiosity. In light of those studies and considering the apparent role of moral TAF in scrupulosity, the purpose of this investigation was to evaluate the possible role of religion as a moderator of the relationship between moral TAF and OCD symptoms. The results revealed that (a) Christians endorsed higher levels of moral TAF than did Jews independent of OCD symptoms; (b) religiosity was correlated with moral TAF in Christians but not in Jews, suggesting that Christian religious adherence is related to beliefs about the moral import of thoughts; and (c) moral TAF was related to OCD symptoms only in Jews. That is, for Christians, moral TAF was related to religiosity but not OCD symptoms, and for Jews, moral TAF was related to OCD symptoms but not religiosity. These results imply that moral TAF is only a marker of pathology when such beliefs are not culturally normative (e.g., as a function of religious teaching or doctrine).
关于道德思维-行动融合（TAF）与强迫症（OCD）之间关系的实证文献特点是结果相互矛盾。先前的研究报告了道德 TAF 方面存在宗教群体差异，以及道德 TAF 与宗教信仰之间存在关联。鉴于这些研究，并考虑到道德 TAF 在强迫观念中明显的作用，本研究旨在评估宗教是否可能是道德 TAF 与 OCD 症状之间关系的一个调节因素。结果表明：（a）不论 OCD 症状如何，基督教徒比犹太人更认同道德 TAF；（b）宗教信仰与基督教徒的道德 TAF 相关，但与犹太人无关，这表明基督教的宗教信仰与对思想道德重要性的信念有关；（c）道德 TAF 仅与犹太人的 OCD 症状相关。也就是说，对于基督教徒来说，道德 TAF 与宗教信仰有关，而与 OCD 症状无关，而对于犹太人来说，道德 TAF 与 OCD 症状有关，而与宗教信仰无关。这些结果表明，只有当这些信念不是文化规范时（例如，是宗教教义或教义的功能），道德 TAF 才是病理学的一个标志。
