UMR-CNRS 7295 Centre de Recherches sur la Cognition et l'Apprentissage, Université de Poitiers, Poitiers, France.
Unité de recherche clinique intersectorielle en psychiatrie à vocation régionale Pierre Deniker du Centre Hospitalier Henri Laborit, Poitiers, France.
Memory. 2020 Sep;28(8):1089-1103. doi: 10.1080/09658211.2020.1811875. Epub 2020 Sep 1.
We reviewed studies that have specifically explored the memory deficit hypothesis of Obsessive Compulsive Disorder (OCD) checking, highlighting the methodological differences between these studies that may explain inconsistencies regarding memory deficits in OCD checkers. Based on Conway's proposition that one function of episodic memories is to keep an adaptive record of recent goal processing in order to check that actions have actually been accomplished, we suggest that impaired autonoetic consciousness -one of the main features of episodic memory- may be at the heart of the issue of checking compulsion. Autonoetic consciousness, that can be experimentally assessed by the Remember/Know/Guess paradigm,could be impaired in OCD checkers leading them to be unable to mentally relive their actions in order to be assured that they have been accomplished (e.g., having locked the door). We make methodological suggestions to improve the assessment of autonoetic consciousness deficit in OCD checkers and understand its role in the etiology and maintenance of compulsive checking.
我们回顾了专门探讨强迫症（OCD）检查中记忆缺陷假说的研究，强调了这些研究之间的方法学差异，这些差异可能解释了 OCD 检查者记忆缺陷方面的不一致性。基于康威（Conway）的假设，即情景记忆的一个功能是保留最近目标处理的适应性记录，以检查行动是否实际完成，我们认为，自主意识的损伤——情景记忆的主要特征之一——可能是检查强迫的核心问题。自主意识可以通过“记住/知道/猜测”范式进行实验评估，在 OCD 检查者中可能会受损，导致他们无法在心理上重温自己的行为，以确保这些行为已经完成（例如，已锁上门）。我们提出了一些方法学建议，以改善对 OCD 检查者自主意识缺陷的评估，并了解其在强迫检查的病因和维持中的作用。
