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> I feel that's taken a little out of context Not necessarily, for one how often people really stare at the cues of a negative event, and try to suppress it versus trying to suppress an internal imagination of the event? Secondly, there’s a greater confound in which externalizing your fear to begin with has a positive effect on processing the affect. It’s also not clear enough how the operationalize “the suppress”, because it is a difficult and paradoxical task to execute volitionally especially in the context of acute anxiety, because anxiety’s job is literally to interrupt your normal salience structure, and make it self salient non-volitionally. There is another devil in the detail, the target negative events are self-selected by the participants, so in all likelihood, the most disturbing events are not going to be readily consciously available, and whatever comes up here are going to be things that are already filtered to be easier to deal with. In contrast in obsessive compulsive disorder, the intrusiveness of the imaginations will be all consuming. In which case it is contraindicated to try suppressing the thought, because it definitely will backfire, as it is precisely what maintains the disorder, but instead it is about learning to stay unresponsive in the face of exposure (ie not scratching the itch) of such thoughts, which is known as exposure and response prevention. Yet still, this method is not found to be necessarily more successful than straight out CBT either. |