Abstract：
:Many patients with obsessive-compulsive problems engage in neutralizing activity to reduce or "cancel out" the effects of the obsession. In many cases, neutralization is covert and therefore difficult to assess or manipulate experimentally. We hypothesize that neutralization resembles overt compulsions. In particular, it was predicted that: (i) neutralization reduces the anxiety evoked by unacceptable thoughts, and (ii) if neutralization is delayed, anxiety and the urge to neutralize will decay naturally. To test the hypothesis, 63 Ss prone to a cognitive bias known to be associated with obsessional complaints (thought-action fusion) were asked to write a sentence that would evoke anxiety. Measures of anxiety (and other variables of interest such as guilt, responsibility and the likelihood of harm) were taken. Subjects were then instructed to either immediately neutralize (n = 29) or delay for 20 min (n = 34), after which time anxiety and urge to neutralize were re-assessed. The Ss who had neutralized were then instructed to delay, and the Ss who had delayed were now instructed to neutralize, after which time the final assessments were taken. The results confirmed the predictions and supported the hypothesis that neutralization resembles overt compulsions. Of note, there were no differences between anxiety reduction after a 20-min delay, and after immediate neutralization. The problems involved in designing and conducting experiments on covert phenomena are discussed, and the clinical implications of the study are considered.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Rachman S,Shafran R,Mitchell D,Trant J,Teachman Bdoi
10.1016/s0005-7967(96)00051-4subject
Has Abstractpub_date
1996-11-01 00:00:00pages
889-98issue
11-12eissn
0005-7967issn
1873-622Xpii
S0005-7967(96)00051-4journal_volume
34pub_type
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,评审
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journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Behaviour research and therapy
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journal_title：Behaviour research and therapy
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
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更新日期：2012-10-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
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journal_title：Behaviour research and therapy
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journal_title：Behaviour research and therapy
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
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更新日期：2010-02-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,评审
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更新日期：2007-09-01 00:00:00
abstract：:Many psychotherapies, including cognitive behavioral therapy and acceptance and commitment therapy (ACT), have been found to be effective interventions for a range of psychological and behavioral health concerns. Another aspect of treatment utility to consider is dropout, as interventions only work if clients are enga...
journal_title：Behaviour research and therapy
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更新日期：2018-05-01 00:00:00
