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Verbal Repetition in the Reappraisal of Contamination-Related Thoughts

Published online by Cambridge University Press:  12 April 2010

Chris Watson ,
Madelaine C. Burley  and
Christine Purdon
Chris Watson*
Affiliation:
University of Waterloo, Waterloo, Canada
Madelaine C. Burley
Affiliation:
University of Waterloo, Waterloo, Canada
Christine Purdon
Affiliation:
University of Waterloo, Waterloo, Canada
*
Reprint requests to Chris Watson, McBride Psychological Services, 408 Queens Avenue, London, Ontario N6B 1X9, Canada. E-mail: dr.chriswatson@yahoo.ca
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Abstract

Background: Acceptance and Commitment Therapy advocates use of cognitive defusion techniques to reduce the distress evoked by negative thoughts, including verbal repetition (VR). In VR, a negative word is repeated until its semantic meaning is diluted (i.e. until semantic satiation is achieved). The present two studies examined whether VR is more effective than brief imaginal exposure (IE) and no intervention (CONT) in the reappraisal of contamination-related thoughts. Method: Participants high in contamination fears identified their most distressing thoughts and were randomly assigned to VR, IE, or CONT. A category membership decision task was also conducted to determine if VR produced semantic satiation. Results: In Study 1, there was no evidence of semantic satiation. Significant reductions in negative response to the thoughts was observed immediately following VR, but not IE or CONT; however, at one-week follow-up, both VR and IE groups reported similar reductions. In Study 2, the effects of VR and IE practice between post-intervention and follow-up were examined, as well as changes in behavioural avoidance. VR was found to produce semantic satiation of contamination thoughts, and VR was associated with less negative response at follow-up relative to IE and CONT, but the degree of satiation was not associated with the decreases in negative response. Only IE produced decreases in behavioural avoidance and vigilance monitoring. Conclusions: Taken together, these results suggest that VR may have potential as an additional strategy for managing obsessional thoughts, but more research is warranted.

Keywords

ACTverbal repetitionimaginal ExposureOCD
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 38 , Issue 3 , May 2010 , pp. 337 - 353
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

Baer, L. (2000). Getting control: overcoming your obsessions and compulsions (rev. ed.). New York, NY: Plume/Penguin Books.Google Scholar
Black, S. R. (2003). Review of semantic satiation. In Shohov, S. (Ed.), Advances in Psychology Research, Vol 26 (pp. 63–74). Hauppauge, NY: Nova Science.Google Scholar
Burns, G. L., Formea, G. M., Keortge, S. and Sternberger, L. G. (1995). The utilization of non-patient samples in the study of obsessive compulsive disorder. Behaviour Research and Therapy, 33, 133–144.CrossRefGoogle Scholar
Burns, G. L., Keortge, S. G., Formea, G. M. and Sternberger, L. G. (1996). Revision of the Padua Inventory of obsessive compulsive disorder symptoms: distinctions between worry, obsessions, and compulsions. Behaviour Research and Therapy, 34, 163–173.CrossRefGoogle ScholarPubMed
Cohen, J. and Cohen, P. (1983). Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Erlbaum.Google Scholar
Eddy, K. T., Dutra, L., Bradley, R. and Westen, D. (2004). A multidimensional meta analysis of psychotherapy and pharmacotherapy for obsessive-compulsive disorder. Clinical Psychology Review, 24, 1011–1030.CrossRefGoogle ScholarPubMed
Fisher, P. L. and Wells, A. (2005). Experimental modification of beliefs in obsessive-compulsive disorder: a test of the metacognitive model. Behaviour Research and Therapy, 43, 821–829.CrossRefGoogle ScholarPubMed
Foa, E. B., Franklin, M. E. and Kozak, M. J. (1998). Psychosocial treatments for obsessive-compulsive disorder: literature review. In Swinson, R. P., Antony, M. M., Rachman, S., and Richter, M. A. (Eds.), Obsessive-Compulsive Disorder: theory, research and treatment (pp. 258–276). New York: Guilford.Google Scholar
Foa, E. B. and Kozak, M. J. (1996). Psychological treatment for obsessive-compulsive disorder. In Mavissakalian, M. R. and Prien, R. F. (Eds.), Long-Term Treatments of Anxiety Disorders (pp. 285–309). Washington, DC: American Psychiatric Press.Google Scholar
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A. and Lillis, J. (2006). Acceptance and Commitment Therapy: model, processes, and outcomes. Behaviour Research and Therapy, 44, 1–25.CrossRefGoogle ScholarPubMed
Hayes, S. C., Strosahl, K. D. and Wilson, K. G. (1999). Acceptance and Commitment Therapy: an experiential approach to behavior change. New York: Guilford.Google Scholar
Hayes, S. C., Strosahl, K., Wilson, K. G., Pistorello, J., Polusny, M., Dykstra, T. A., Batten, S. V., Bergan, J., Stewart, S. H., Zvolensky, M. J., Eifert, G. H., Bond, F. W., Forsyth, J. P., Karekla, M. and McCurry, S. M. (2004). Measuring experiential avoidance: a preliminary test of a working model. The Psychological Record, 54, 553–578.CrossRefGoogle Scholar
Kabat-Zinn, J. (1990). Full Catastrophe Living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.Google Scholar
Kelley, M. L., Heffer, R. W., Gresham, F. M. and Elliott, S. N. (1989). Development of a modified treatment evaluation inventory. Journal of Psychopathology and Behavioral Assessment, 11, 235–247.CrossRefGoogle Scholar
Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford.Google Scholar
Masuda, A., Hayes, S. C., Sackett, C. F. and Twohig, M. P. (2004). Cognitive defusion and self-relevant negative thoughts: examining the impact of a ninety year old technique. Behaviour Research and Therapy, 42, 477–485.CrossRefGoogle ScholarPubMed
Masuda, A., Hayes, S. C., Twohig, M. P., Drossel, C., Lillis, J. and Washio, Y. (2009). A parametric study of cognitive defusion and the believability and discomfort of negative self-referential thoughts. Behavior Modification, 33, 250–262.CrossRefGoogle Scholar
Masuda, A., Twohig, M. P., Stormo, A. R., Feinstein, A. B., Chou, Y. and Wendell, J. W. (2010). The effects of cognitive defusion and thought distraction on emotional discomfort and believability of negative self-referential thoughts. Journal of Behavior Therapy and Experimental Psychiatry, 41, 11–17.CrossRefGoogle ScholarPubMed
Moritz, S., Jelinek, L., Klinge, R. and Naber, D. (2007). Fight fire with fireflies! Association splitting: a novel cognitive technique to reduce obsessive thoughts. Behavioural and Cognitive Psychotherapy, 35, 631–635.CrossRefGoogle Scholar
Obsessive-Compulsive Cognitions Working Group (2001). Development and initial validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory. Behaviour Research and Therapy, 39, 987–1006.CrossRefGoogle Scholar
Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793–802.CrossRefGoogle ScholarPubMed
Rachman, S. (1998). A cognitive theory of obsessions: elaborations. Behaviour Research and Therapy, 36, 385–401.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. (1985). Obsessional-compulsive problems: a cognitive-behavioural analysis. Behaviour Research and Therapy, 23, 571–583.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. (1989). Obsessions and compulsions. In Scott, J., Williams, J. M. G. and Beck, A. T. (Eds.), Cognitive Therapy in Clinical Practice: an illustrative casebook (pp. 50–77). Florence, KY: Taylor and Frances/Routledge.Google Scholar
Salkovskis, P. M. and Kirk, J. (1997). Obsessive-compulsive disorder. In Clark, D. M. and Fairburn, C. G. (Eds.), Science and Practice of Cognitive-Behaviour Therapy (pp. 179–208). Oxford: Oxford University Press.Google Scholar
Salkovskis, P. M. and Westbrook, D. (1989). Behaviour therapy and obsessional ruminations: can failure be turned into success? Behaviour Research and Therapy, 27, 149–160.CrossRefGoogle ScholarPubMed
Segal, Z. V., Williams, J. M. G. and Teasdale, J. D. (2002). Mindfulness-Based Cognitive Therapy for Depression: a new approach to preventing relapse. New York: Guilford.Google Scholar
Smith, L. C. (1984). Semantic satiation affects category membership decision time but not lexical priming. Memory and Cognition, 12, 483–488.CrossRefGoogle Scholar
Tichener, E. B. (1910). A Text-Book of Psychology. New York: Macmillan.Google Scholar
Vógel, P., Stiles, T. C. and Götestam, K. G. (2004). Adding cognitive therapy elements to exposure therapy for obsessive-compulsive disorder: a controlled study. Behavioural and Cognitive Psychotherapy, 32, 275–290.CrossRefGoogle Scholar
Watson, D., Clark, L. A. and Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.CrossRefGoogle ScholarPubMed
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