Extending the Core Emotion Framework :A Structural-Constructivist Model for Obsessive-Compulsive Disorder (OCD)

This manuscript extends the Core Emotion Framework (CEF) to define the unique structural fingerprint of Obsessive‑Compulsive Disorder (OCD). The analysis demonstrates that OCD is characterized by a systemic outsourcing of cognitive distress to action, a mechanism the document describes as “the systemic outsourcing of cognitive function to action” and “using rigid action to resolve a cognitive deficit.” This pathological loop originates in the Head Center through a failure of the Calculating primer, expressed empirically as Intolerance of Uncertainty (IU), a stable, trait‑like cognitive vulnerability strongly associated with OCD symptoms. The system bypasses affective integration and pathologically activates the Gut Center’s Arranging primer, producing compulsive rituals maintained by negative reinforcement. Additional structural failures—including Constricting deficits (inhibition breakdown) and suppression of Accepting (experiential avoidance)—create a rigid entanglement that prevents executive override and sustains compulsive behavior. The manuscript establishes structural equivalence between these primer‑level deficits and the mechanisms of evidence‑based treatments: ERP targets Arranging/Boosting rigidity, ACT restores Accepting by countering experiential avoidance, and CBT repairs the Calculating deficit by restructuring catastrophic interpretations and uncertainty intolerance. This mapping provides a mechanism‑based rationale for sequencing interventions, prioritizing ERP/ACT to dismantle the action loop before applying CBT for cognitive repair. The paper concludes that the CEF offers a precise, transdiagnostic, and mechanistically coherent model capable of advancing personalized treatment selection for OCD.