University Medical Center Hamburg-Eppendorf, Department of Psychiatry and Psychotherapy, Hamburg, Germany.
Psychiatry Res. 2011 May 15;187(1-2):180-4. doi: 10.1016/j.psychres.2010.09.007. Epub 2010 Oct 14.
Inflated responsibility is increasingly regarded a pathogenetic mechanism in obsessive-compulsive disorder (OCD). In seeming contrast, there is mounting evidence that latent aggression is also elevated in OCD. Building upon psychodynamic theories that an altruistic façade including exaggerated concerns for others is partly a defense against latent aggression, evidence was recently obtained for high interpersonal ambivalence in OCD patients relative to psychiatric and healthy controls using a newly developed instrument entitled the Responsibility and Interpersonal Behaviors and Attitudes Questionnaire (RIBAQ). A total of 46 OCD patients and 23 healthy participants took part in the present study. OCD patients displayed a higher social responsibility than controls. At the same time, patients also disclosed more latent aggression/calculating behavior and interpersonal distrust. While the pathogenic role of latent aggression is still not fully uncovered, it may deserve more consideration in treatment in view of frequent tensions in the families of OCD patients. Longitudinal studies with at-risk sample are needed to assess the relationship between problems with anger expression as well as (exaggerated) moral standards in OCD.
膨胀的责任感被越来越多地视为强迫症（OCD）的发病机制。与之形成鲜明对比的是，越来越多的证据表明，潜伏的攻击性在 OCD 中也有所升高。基于精神动力学理论，利他主义的外表，包括对他人的过分关注，部分是对潜伏攻击性的防御，最近使用一种新开发的名为责任和人际行为及态度问卷（RIBAQ）的工具，在 OCD 患者与精神科和健康对照组中获得了证据，证明 OCD 患者存在较高的人际矛盾。共有 46 名 OCD 患者和 23 名健康参与者参加了本研究。与对照组相比，OCD 患者表现出更高的社会责任感。与此同时，患者也表现出更多的潜在攻击性/算计行为和人际不信任。虽然潜伏攻击性的致病作用尚未完全揭示，但鉴于 OCD 患者家庭中经常存在紧张关系，在治疗中可能需要更多地考虑这一因素。需要进行前瞻性研究，以评估 OCD 患者愤怒表达和（夸大的）道德标准问题之间的关系。
