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‘I was treated like dirt’: evaluating links between betrayal and mental contamination in clinical samples

Published online by Cambridge University Press:  28 August 2020

Rowena Pagdin ,
Paul M. Salkovskis ,
Falguni Nathwani ,
Megan Wilkinson-Tough  and
Emma Warnock-Parkes
Rowena Pagdin*
Affiliation:
Avon and Wiltshire Mental Health Partnership NHS Trust, UK
Paul M. Salkovskis
Affiliation:
Oxford Institute of Clinical Psychology Training, Oxford, UK Oxford Cognitive Therapy Centre, Oxford, UK University of Bath, Bath, UK
Falguni Nathwani
Affiliation:
Avon and Wiltshire Mental Health Partnership NHS Trust, UK University of Bath, Bath, UK
Megan Wilkinson-Tough
Affiliation:
Avon and Wiltshire Mental Health Partnership NHS Trust, UK University of Bath, Bath, UK
Emma Warnock-Parkes
Affiliation:
Department of Experimental Psychology, University of Oxford, Oxford, UK
*
*Corresponding author. Email: [email protected]
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Abstract

Background:

Little is known about the impact of interpersonal betrayal experiences on mental health. Research suggests a link between betrayal and mental contamination (MC) within some forms of obsessive compulsive disorder (OCD). This study represents an initial exploration of that link in clinical samples.

Aims:

A measure for assessing perceptions of betrayal was developed and evaluated (Study 1) in order to assess the extent of specificity of any association between the impact of betrayal and MC, and to estimate the extent of the impact of betrayal across common psychological disorders (Study 2).

Method:

In Study 1, the Perception of Betrayal Scale (POBS) was completed by 217 community participants; an exploratory principal components analysis identified the dimensional structure of the POBS. Study 2 was based on a cross-sectional, between-groups design, with three clinical groups [OCD (n = 23), other anxiety disorders (n = 21) and depression (n = 18)] and a non-clinical control group (n = 21). Three clinical groups (OCD, other anxiety disorders, and depression) and a community group completed a selection of measures via questionnaire.

Results:

In Study 1, the POBS was found to have an internal consistency of α = .95, and four factors were identified: preoccupation with betrayal events, belief that betrayal had caused major life change, lack of trust due to betrayal and betrayal leading to traumatic responses. In Study 2, the OCD group scored more highly in terms of maladaptive perceptions of betrayal than the other groups. Regression analysis showed betrayal scores to be a moderate predictor of the experience of MC; the POBS subscales lack of trust due to betrayal and betrayal leading to traumatic responses were found to be significantly associated with MC. Although there was some overlap with bitterness, betrayal better predicted MC.

Conclusion:

Findings support the hypothesis of a specific relationship between the construct of betrayal and MC.

Keywords

betrayalobsessive compulsive disordermental contamination
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 49 , Issue 1 , January 2021 , pp. 21 - 34
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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