Salkovskis proposed that cognitive intrusions develop into obsessions only when intrusions are appraised as posing a threat for which the person is personally responsible.

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Salkovskis' cognitive model of OCD proposes that intrusions become obsessions when they are perceived as threatening and incompatible with the person's self-concept. Specifically, he suggests that obsessions develop when the person appraises the intrusion as posing a personal responsibility for preventing harm or danger.

Salkovskis Proposed That Cognitive Intrusions Develop into Obsessions Only When