Research supports the view that obsessional thoughts experienced by OCD sufferers are no different than those experienced by the general population. However, in OCD sufferers:

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Obsessional thoughts in OCD sufferers are awarded a special significance and are often associated with excessive anxiety and distress. This is what differentiates OCD sufferers from the general population who also experience obsessional thoughts from time to time. The thoughts experienced by OCD sufferers often center around themes of contamination, harm, or morality and are often accompanied by compulsions or repetitive behaviors aimed at reducing anxiety. The thoughts are not necessarily negative, aggressive or sexual in nature, nor do they arise 'out of the blue'.

Research Supports the View That Obsessional Thoughts Experienced by OCD