By [anticipatory anxiety] I mean that the patient reacts to an event with a fearful expectation of its recurrence. However, fear tends to make happen precisely that which one fears, and so does anticipatory anxiety. Thus a vicious circle is established. A symptom evokes a phobia and the phobia provokes the symptom. The recurrence of the symptom then reinforces the phobia. The patient is caught in a cocoon. […] [Obsessive-compulsives] fear the potential effects or the potential cause of the strange thoughts. The phobic pattern of flight from fear is paralleled by the obsessive-compulsive pattern. Obsessive-compulsive neurotics also display fear. But theirs is not 'fear of fear' but rather fear of themselves, and their response is to fight against obsessions and compulsions. But the more the patients fight, the stronger their symptoms become. In other words, alongside the circle formation built up by anticipatory anxiety in phobic cases, there is another feedback mechanism which we encounter in the obsessive-compulsive neurotic. Pressure induces counter-pressure, and counter-pressure, in turn, increases pressure. If one succeeds in making the patient stop fighting his obsessions and compulsions -- and this may well be accomplished by paradoxical intention -- these symptoms soon diminish and finally atrophy.
— Viktor E. Frankl
ocdphobia
