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Abstract
The theory that obsessions are caused by catastrophic misinterpretations of one's
intrusive thoughts/ images/impulses is elaborated in an attempt to explain the frequency
of obsessions and why they persist. The internal and external provocations of obsessions
are considered, and an explanatory framework for the varying contents of obsessions
is set out. The role and functions of neutralization and inflated responsibility are
assessed, and the treatment implications of the theory are described.