People with Pure O experience primarily obsessions without obvious external compulsions, which can sometimes lead to covert mental rituals.
Intrusive thoughts in Pure O can take various forms, and they may include feelings of empathy or imagining oneself in another person's situation. So, it's possible that someone with Pure O might have intrusive thoughts about feeling what another person felt in a situation where they were treated badly by someone else.
These intrusive thoughts can be distressing and can lead to a cycle of rumination and mental rituals as individuals attempt to neutralize or cope with the distress caused by the thoughts. However, it's important to remember that having such thoughts doesn't mean a person will act on them or that they reflect the person's true intentions or desires.
It's crucial for individuals experiencing distressing intrusive thoughts to seek support from a mental health professional. Cognitive-behavioral therapy (CBT) and exposure and response prevention (ERP) are often effective treatment approaches for Pure O and other forms of OCD, helping individuals manage their thoughts and reduce distress. Additionally, a qualified mental health professional can provide personalized guidance and support tailored to the individual's specific needs and experiences.