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Jasper's avatar

Thank you, I’ve been thinking a lot about this as someone with OCD. Things are just not as simple as ego-dystonic=OCD and ego-syntonic=bad guy. I don’t think therapyjeff used an “OCD framework”, because not all ego-dystonic thoughts are OCD driven. People are so much more complex than that.

While I get that distinguishing between ego-dystonic and ego-syntonic thoughts can be helpful for diagnosing OCD, drawing lines between yourself and the “real bad guys” actually isn’t good for people with OCD. In treatment you learn to accept uncertainty instead of compulsively trying to distinguish yourself from the bad guys, obsessing about where the line is, checking if you enjoy the thoughts or not, seeking reassurance, etc. When I see people come to the defense of people with OCD over the therapyjeff situation, it looks to me like reassurance which is, ironically, harmful to people with OCD.

Anyone can perpetuate harm. Being preoccupied with not being a bad person doesn’t actually make you a good person. In fact, my OCD has made me sabotage exactly the things I care about. For example, I’ve been so worried about being a bad friend that I’ve abandoned my friends. OCD can even make parents neglect their children because they’re so afraid of parenting wrong.

We’re all swimming in patriarchy and violence, and the need to be “good” won’t fix it. The impulse to separate ourselves from the problem keeps us from really understanding it, and it also allows us to relinquish the responsibility we all have to address it.

Passion Vine's avatar

Beautifully articulated. I’ve worked at length with many men on the sex offender registry, and particularly the ones who’ve sexually abused children experience an astounding amount of dissociation. I also get the sense that many of these men are significantly severed from the memories of what they’ve done to children and that their denial or rewriting of history sometimes comes from a genuine belief that what happened actually did not happen. Many of them already have a very deep propensity for sectioning off parts of their experiences through dissociation brought on by their own severe developmental trauma (often CSA) before they abuse children themselves.

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