Development and Maintenance Mechanisms in ROCD
The etiology and maintenance of ROCD symptoms is most likely to be multi-faceted involving a combination of factors. In this section, we explore the role of OCD related beliefs, processes related to dysfunctional monitoring of internal states, and perceptions of relational commitment in the development and maintenance of ROCD. Following recent models of OCD, we then suggest that pre-existing self-vulnerabilities and attachment insecurities may be implicated in the exacerbation of intrusions into obsessions. Finally, we evaluate the potential role of other personality factors, societal influences, and parenting and family environment factors in the etiology and preservation of ROCD symptoms.