The spontaneous decay of compulsive urges

An experiment was carried out on eleven obsessional patients who complained of compulsive checking rituals. Exposure to a provoking situation produced marked anxiety/discomfort and strong urges to check. With minor exceptions, execution of the appropriate ritual was followed by marked decreases in anxiety/discomfort and urges. The results were interpreted as being consistent with an anxiety/discomfort reduction hypothesis.

The spontaneous decay of anxiety/discomfort and urges was observed during a 3-hr response-prevention period. The greatest part of the discomfort and compulsive urges dissipated within an hour. Discomfort scores and urges ran a closely parallel course. Few resurgences of discomfort or urges were observed during the 3-hr observation period, and there was little sign of displacement checking activity.