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Images in Psychiatry
Published Online: 1 July 2016

Sips of Conflict

“Sip of Conflict” at San Francisco’s Exploratorium science museum is like the Stroop task: it contains two pieces of information that oppose each other (1). Combining a toilet and water fountain activates two primitive emotional circuits. The “appetitive” circuit drives desire to drink from the fountain to quench thirst. The “aversive” circuit elicits a disgust reaction that drives the viewer to pass by hurriedly. These circuits have opponent interactions during fear learning (2). The piece may recall the exhibition of a urinal in 1917 in New York by Marcel Duchamp, which, in his words, was an attempt “to find a point of indifference” between ugly and beautiful (3).
Individuals with obsessive-compulsive disorder (OCD) are bombarded with unwanted, intrusive thoughts that impact their perceptions and actions. Individuals who have intrusive thoughts about contamination may pause, grimace, and think a water fountain is contaminated with germs. They may also avoid drinking from it, despite their thirst for water, or compulsively wash their hands to get rid of the germs. One component of their psychopathology may be dysfunction in the neural circuits that underlie sequential processing of conflict (4). “Sip of Conflict” evokes the experience of an OCD patient. The average viewer’s pause to decide whether to drink would be amplified exponentially in OCD. With each intrusive, conflicting thought, the aggregate of subsequent pauses and compulsive actions can interfere dramatically with daily function.

Footnote

Photograph used by permission; © 2016, Erik Wilkerson.

References

1.
Stroop JR: Studies of interference in serial verbal reactions. J Exp Psychol 1935; 18:643–662
2.
Nasser HM, McNally GP: Neural correlates of appetitive-aversive interactions in Pavlovian fear conditioning. Learn Mem 2013; 20:220–228
3.
Bakewell J: Duchamp Interviews. London, British Broadcasting Corporation, 1966 (https://www.youtube.com/watch?v=l-qVBmQSkhA)
4.
Marsh R, Horga G, Parashar N, et al: Altered activation in fronto-striatal circuits during sequential processing of conflict in unmedicated adults with obsessive-compulsive disorder. Biol Psychiatry 2014; 75:615–622

Information & Authors

Information

Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 664
PubMed: 27363549

History

Published online: 1 July 2016
Published in print: July 01, 2016

Authors

Affiliations

Erik Wilkerson, M.S.
From the Department of Psychiatry, Stanford University, Stanford, Calif.; and the Department of Veterans Affairs (VA) Palo Alto Health Care System, Palo Alto, Calif.
Carolyn Rodriguez, M.D., Ph.D.
From the Department of Psychiatry, Stanford University, Stanford, Calif.; and the Department of Veterans Affairs (VA) Palo Alto Health Care System, Palo Alto, Calif.

Notes

Address correspondence to Dr. Rodriguez ([email protected]).

Funding Information

National Institute of Mental Health10.13039/100000025: R01MH105461
Dr. Rodriguez is supported by NIMH grant R01 MH105461 and the VA Palo Alto Health Care System.

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