by Bert the Turtle » Mon Jan 30, 2017 4:06 pm
What makes someone born with an intense phobia of heights freak out when they're standing on a table in their living room?
Anxiety disorders are irrational and ego-dystonic (in conflict with the larger personality) almost by definition. So it's, generally speaking, a mistake to assume that there will be a direct, clear, and simple link between a person's beliefs and their OCD. There certainly can be, but often the mental connections will be circuitous at best.
Regarding HOCD more specifically (though I wouldn't presume to speak with authority for people whose obsessions are different from mine) from all the people I've spoken with it seems like a lot of sexual OCD relates to an inner challenge to identity. People with HOCD seem to say, almost universally, that they don't hate people who are gay, but they're really invested in being straight.
In that sense it could almost be understood as a kind of purely mental shadow-image of forced conversion therapy; people with OCD have a mind that constantly pushes on them that their orientation is something that a deeper part of them knows they're really not. And like anyone would, they react to that with fear, panic, and grief.
Mere "anxiety," as Heidegger says, is at the source of everything.
-Albert Camus, The Myth of Sisyphus
"You're very clever, young man, very clever," said the old lady. "But it's turtles all the way down!"
-Stephen Hawking, A Brief History of Time