A process that can throw light on the so-called ‘fear of self’ in obsessive-compulsive disorder: the Retrospective Identification of Motivations and Inclinations

Abstract

In recent years, to better understand the psychopathology of Obsessive-Compulsive Disorder (OCD), increasing attention has been paid to the so-called ‘fear of self’, that is the fear of people with OCD of housing in their inner unacceptable aspects of Self. However, the exact dynamics of the phenomenon is still unclear: to better clarify it, a specific psychological process, termed Retrospective Identification of Motivations and Inclinations (RIMI), will be described here. When a patient with OCD evaluates his/her inner experience (thought, emotion, imagery, etc.) or own behavior in some way as unacceptable, he/she will identify in a retrospective way the alleged negative motivations/inclinations which would have been the source of that experience or behavior. RIMI, not only helps to better understand ‘Fear of Self’, but has also important implications for the therapy.