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Imagery in Mental Contamination

Published online by Cambridge University Press:  20 January 2014

Anna E. Coughtrey ,
Roz Shafran  and
S.J. Rachman
Anna E. Coughtrey*
Affiliation:
University College London, UK
Roz Shafran
Affiliation:
Reading University, UK
S.J. Rachman
Affiliation:
University of British Columbia, Vancouver, Canada
*
Reprint requests to Anna Coughtrey, Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK. E-mail: [email protected]
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Abstract

Background: Intrusive imagery is experienced in a number of anxiety disorders, including Obsessive Compulsive Disorder (OCD). Imagery is particularly relevant to mental contamination, where unwanted intrusive images are hypothesized to evoke feelings of dirtiness and urges to wash (Rachman, 2006). Aims: The aim of this study was to examine the nature of imagery associated with mental contamination. Method: Fifteen people with contaminated-based OCD completed a semi-structured imagery interview designed specifically for this study. Results: Ten participants reported images associated with contamination. These images were vivid and distressing and evoked feelings of dirtiness. Participants engaged in a number of behaviours to neutralize their images, including compulsive washing. A small number of participants also reported images that protected them from contamination. Conclusions: In support of the theory of mental contamination (Rachman, 2006), images can lead to feelings of pollution and compulsive washing. Further research is needed to explore the role of imagery in maintaining contamination fears.

Keywords

OCDimagerycontamination fear
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 3 , May 2015 , pp. 257 - 269
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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References

American Psychological Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: American Psychological Association.Google Scholar
Arntz, A. (2012). Imagery rescripting as a therapeutic technique: review of clinical trials, basic studies, and research agenda. Journal of Experimental Psychopathology, 3, 189–208.Google Scholar
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. New York: International Universities Press.Google Scholar
Brewin, C. R., Gregory, J. D., Lipton, M. and Burgess, N. (2011). Intrusive images in psychological disorders: characteristics, neural mechanisms and treatment implications. Psychological Review, 117, 210–232.Google Scholar
Brown, T. A., DiNardo, P. and Barlow, D. H. (1994). Anxiety Disorders Interview Schedule Adult Version (ADIS-IV): client interview schedule. Oxford: Oxford University Press.Google Scholar
Coughtrey, A. E., Shafran, R., Lee, M. and Rachman, S. J. (2013). The treatment of mental contamination: a case series. Cognitive and Behavioural Practice, 20, 221–231.Google Scholar
Coughtrey, A. E., Shafran, R. and Rachman, S. J. (in press). The spontaneous decay and persistence of mental contamination: an experimental analysis. Journal of Behaviour Therapy and Experimental Psychiatry. Google Scholar
de Silva, P. (1986). Obsessional-compulsive imagery. Behaviour Research and Therapy, 24, 333–350.Google Scholar
Edwards, D. (2007). Restructuring implicational meaning through memory-based imagery: some historical notes. Journal of Behaviour Therapy and Experimental Psychiatry, 38, 306–316.Google Scholar
Fairbrother, N., Newth, S. and Rachman, S. J. (2005). Mental pollution: feelings of dirtiness without physical contact. Behaviour Research and Therapy, 43, 121–130.Google Scholar
Gwilliam, P., Wells, A. and Cartwright-Hatton, S. (2004). Does metacognition or responsibility predict obsessive-compulsive symptoms: a test of the metacognitive model. Clinical Psychology and Psychotherapy, 11, 137–144.Google Scholar
Herba, J. K. and Rachman, S. J. (2007). Vulnerability to mental contamination. Behaviour Research and Therapy, 45, 2804–2812.CrossRefGoogle ScholarPubMed
Hirsch, C. and Holmes, E. A. (2007). Mental imagery in anxiety disorders. Psychiatry, 64, 161–165.Google Scholar
Holmes, E. A., Arntz, A. and Smucker, M. R. (2007). Imagery rescripting in cognitive behaviour therapy: images, treatment techniques and outcomes. Journal of Behaviour Therapy and Experimental Psychiatry, 37, 159–170.Google Scholar
Holmes, E. A., Crane, C., Fennell, M. J. and Williams, J. M. G. (2007). Imagery about suicide in depression: “flash forwards”? Journal of Behaviour Therapy and Experimental Psychiatry, 38, 423–434.Google Scholar
Holmes, E. A., Lang, T. J. and Shah, D. M. (2009). Developing interpretation bias modification as a “cognitive vaccine” for depressed mood: imagining positive events makes you feel better than thinking about them verbally. Journal of Abnormal Psychology, 118, 76–88.Google Scholar
Holmes, E. A. and Mathews, A. (2005). Mental imagery and emotion: a special relationship? Emotion, 5, 489–497.Google Scholar
Holmes, E. A. and Mathews, A. (2010). Mental imagery in emotion and emotional disorders. Clinical Psychology Review, 30, 359–362.Google Scholar
Lee, M. J., Roberts-Collins, C., Coughtrey, A. E., Phillips, L. and Shafran, R. (2011). Behavioural expressions, imagery and perfectionism. Behavioural and Cognitive Psychotherapy, 39, 413–425.Google Scholar
Libby, L. K., Shaeffer, E. M., Eibach, R. P. and Slemmer, J. A. (2007). Picture yourself at the polls: visual perspective in mental imagery affects self-perception and behaviour. Psychological Science, 18, 199–203.CrossRefGoogle Scholar
Lipton, M. G., Brewin, C. R., Linke, S. and Halperin, J. (2010). Distinguishing features of intrusive images in obsessive-compulsive disorder. Journal of Anxiety Disorders, 24, 816–822.Google Scholar
Osman, S., Cooper, M., Hackmann, A. and Veale, D. (2004). Spontaneously occurring images and early memories in people with body dysmorphic disorder. Memory, 12, 428–436.CrossRefGoogle ScholarPubMed
Philips, C. H. (2011). Imagery and pain: the prevalence, characteristics and potency of imagery associated with pain. Behavioural and Cognitive Psychotherapy, 39, 523–540.Google Scholar
Rachman, S. J. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 2573–2580.Google Scholar
Rachman, S. J. (2004). Fear of contamination. Behaviour Research and Therapy, 42, 1227–1255.Google Scholar
Rachman, S. J. (2006). The Fear of Contamination: assessment and treatment. Oxford: Oxford University Press.Google Scholar
Rachman, S. J. (2007). Unwanted intrusive images in obsessive-compulsive disorders. Journal of Behaviour Therapy and Experimental Psychiatry, 38, 402–410.Google Scholar
Rachman, S. J. and de Silva, P. (1978). Abnormal and normal obsessions. Behaviour Research and Therapy, 16, 223–248.Google Scholar
Rachman, S. J. and Hodgson, R. J. (1980). Obsessions and Compulsions. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Rachman, S. J., Radomsky, A. S., Elliott, C. M. and Zysk, E. (2012). Mental contamination: the perpetrator effect. Journal of Behaviour Therapy and Experimental Psychiatry, 43, 587–593.Google Scholar
Radomsky, A. S. and Elliott, C. M. (2009). Analyses of mental contamination Part II: individual differences. Behaviour Research and Therapy, 47, 1004–1011.CrossRefGoogle ScholarPubMed
Shafran, R., Thordarson, D. S., and Rachman, S. J. (1996). Thought-action fusion in obsessive-compulsive disorder. Journal of Anxiety Disorders, 10, 379–391.Google Scholar
Smith, J. A. (Ed.) (2003). Qualitative Psychology: a practical guide to research methods. London: Sage.Google Scholar
Speckens, A., Hackmann, A., Ehlers, A. and Cuthbert, B. (2007). Intrusive images and memories of earlier adverse events in patients with obsessive-compulsive disorder. Journal of Behaviour Therapy and Experimental Psychiatry, 38, 411–422.Google Scholar
Wild, J., Hackmann, A. and Clark, D. M. (2007). When the present visits the past: updating traumatic memories in social phobia. Journal of Behaviour and Experimental Psychiatry, 38, 386–401.Google Scholar
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