The role of valence in attempted thought suppression

Defensiveness and attempted thought suppression of negative material

High and low defensive individuals engaged in attempted thought suppression and non‐suppression after viewing an emotionally stressful piece of film. As a function of suppression and non‐suppression instructions, high and low defensive individuals differed from each other in the number of reported film‐related thoughts. Suppression instructions had greatest effects on low defensive individuals in reducing the number of reported film‐related thoughts. The effects of suppression instructions were not significant in reducing the number of film‐related thoughts for high defensive individuals. High defensive individuals also reported more neutral thoughts under the suppression condition compared with the non‐suppression condition. Low defensive individuals reported similar numbers of neutral thoughts under the two conditions. Effects of suppression instructions were investigated in a subsequent cognitive task that measured the level of interference produced by attempted suppression. Suppression instructions did not significantly effect the cognitive processing of participants. Theoretical and methodological implications for understanding the possible cognitive structures underlying attempted suppression are discussed in terms of the effects of defensiveness. Copyright © 2004 John Wiley & Sons, Ltd.

The effects of dream rebound: evidence for emotion-processing theories of dreaming

Suppressing thoughts often leads to a "rebound" effect, both in waking cognition (thoughts) and in sleep cognition (dreams). Rebound may be influenced by the valence of the suppressed thought, but there is currently no research on the effects of valence on dream rebound. Further, the effects of dream rebound on subsequent emotional response to a suppressed thought have not been studied before. The present experiment aimed to investigate whether emotional valence of a suppressed thought affects dream rebound, and whether dream rebound subsequently influences subjective emotional response to the suppressed thought. Participants (N = 77) were randomly assigned to a pleasant or unpleasant thought suppression condition, suppressed their target thought for 5 min pre-sleep every evening, reported the extent to which they successfully suppressed the thought, and reported their dreams every morning for 7 days. It was found that unpleasant thoughts were more prone to dream rebound than pleasant thoughts. There was no effect of valence on the success or failure of suppression during wakefulness. Dream rebound and successful suppression were each found to have beneficial effects for subjective emotional response to both pleasant and unpleasant thoughts. The results may lend support for an emotion-processing theory of dream function.

The Relative Efficacy of Concentration and Suppression Strategies of Mental Control

Mental control research has found that attempts to suppress unwanted thoughts can backfire when cognitive demands arise or intentional control subsides. The present research examined the relative efficacy of an alternative form of mental control that involves concentrating on desirable thoughts instead of trying to suppress unwanted material. Using a novel cognitive measure that addresses some of the methodological issues associated with previous suppression research, a series of three studies indicates that a concentration strategy of mental control circumvents the problems associated with thought suppression. The findings are consistent with ironic process theory, which maintains that suppression invokes a monitoring process that is exclusively focused on goal-antithetical thoughts, whereas a concentration strategy involves a broader range of monitored thoughts that is less likely to undermine mental control.

Thought suppression across time: Change in frequency and duration of thought recurrence

Some studies have found that trying to suppress thoughts increases their long-term recurrence, a phenomenon associated with psychopathology, particularly obsessive-compulsive disorder. However, effect sizes in thought suppression studies have often been small and inconsistent. The present study sought to improve thought suppression conceptualization and measurement by examining two distinct dimensions of thought recurrence - frequency and duration of a thought's return - and how they evolve over time. After a thought focus period, 100 adults were assigned to either suppress or monitor the recurrence of an unpleasant thought for 4 min. Then, during a second four-minute period, all participants were asked to monitor the thought's recurrence. Hierarchical linear modeling indicated that thought frequency declined across time and the rate of decline slowed as time went on. Initially, the extent of thought duration remained short and stable for those asked to suppress, and increased linearly over time for those asked to monitor. Later, this pattern reversed. Duration increased linearly for those initially asked to suppress but was short and stable for those who initially monitored. Accounting for change over time and means of measuring recurrence (frequency vs. duration) may help elucidate past mixed findings, and improve thought suppression research methodology.

The Thought Control Questionnaire in an Inpatient Psychiatric Setting: Psychometric Properties and Predictive Capacity

The current article describes the psychometric properties of the Thought Control Questionnaire (TCQ; Wells & Davies, 1994) in 176 psychiatric inpatients at admission and discharge (352 completed TCQs). Factor analysis revealed four factors; Reappraisal/Distraction, Social Control, Punishment, and Worry. Scale descriptive statistics, reliabilities and correlations with psychiatric symptoms, self esteem, and quality of life supported the use of the TCQ in this setting. TCQ factors were then used as predictors of improvement from admission to discharge. The strategy of Punishment appeared to be unhelpful, with smaller reductions in the use of this strategy from admission to discharge predicting less improvement. Worry appeared to be an unhelpful strategy although the results were less consistent. The strategy of Reappraisal/Distraction appeared to be helpful, and greater increases in the use of this strategy from admission to discharge predicted greater improvement. Social Control also tended to be a helpful strategy although the results were less consistent. Overall, the results support the psychometric properties of the TCQ and are consistent with the notion that the use of certain thought control strategies may contribute to the maintenance of psychopathology while the use of others may contribute positively to treatment outcome.

A comparison of the effects of thought suppression, distraction and concentration

This study compared the effects of suppression, focused-distraction, and concentration on controlling unwanted distressing thoughts, and examined how anxiety levels were associated with the use of each thought-control technique. In the study, college students were told to suppress thoughts about a distressing story, to suppress the same thoughts by focusing on an alternative distraction task, to simply concentrate on that alternative task, or to think about anything without restrictions for 6minutes. This initial period was followed by a "free-thinking" period to assess the delayed effect of thought-control techniques. The results indicated that focused-distraction and concentration led to fewer intrusions of target thoughts than suppression, and concentration in turn resulted in fewer target intrusions than focused-distraction during the initial period. Participants in the focused-distraction and concentration condition also tended to report lower anxiety during the initial period than those who were told to suppress thoughts.

A critical analysis of approaches to targeted PTSD prevention: current status and theoretically derived future directions

Although efforts to prevent posttraumatic stress disorder (PTSD) have met with relatively limited success, theoretically driven preventive approaches with promising efficacy are emerging. The current article critically reviews investigations of PTSD prevention programs that target persons at risk for being exposed to a traumatic event or who have been exposed to a traumatic event. This review uniquely extends prior reviews in this area by using theories of PTSD to suggest future directions in the area of PTSD prevention. The authors first discuss the primary mechanisms of action believed to account for the failure for PTSD symptoms to remit among a substantial minority of traumatic event-exposed individuals. Second, empirical progress in PTSD prevention efforts is reviewed. Third, the authors consider how existing prevention programs target these mechanisms of action. Finally, the authors consider directions for future research in the area of targeted PTSD prevention.

Attempts to control unwanted thoughts in the night: development of the thought control questionnaire-insomnia revised (TCQI-R)

The attempted control of intrusive, uncontrollable thoughts has been implicated in the maintenance of a range of psychological disorders. The current paper describes the refinement of the Thought Control Questionnaire Insomnia (TCQI; Behav. Cogn. Psychoth. 29 (2001)) through its administration to a sample (n=385) including good sleepers and individuals with insomnia. Several items with poor psychometric properties were discarded, resulting in a 35-item revised TCQI. Factor analysis revealed six factors; aggressive suppression, cognitive distraction, reappraisal, social avoidance, behavioural distraction, and worry. The attempted management of unwanted thoughts was compared across individuals with insomnia and good sleepers, and the impact of these strategies on sleep quality, anxiety and depression was investigated. With the exception of cognitive distraction, individuals with insomnia, relative to good sleepers, more frequently used every thought control strategy. The strategies of aggressive suppression and worry, in particular, appeared to be unhelpful, with the use of these strategies predicting sleep impairment, anxiety and depression. The strategy of cognitive distraction appeared to be helpful, with the use of this strategy predicting better sleep quality.

Is the concept of "repression" useful for the understanding chronic PTSD?

Theories concerning the value of avoiding versus attending to trauma-related thoughts provide mixed support for specific coping strategies such as repression. The goal of this study is to examine the usefulness of the concept of repression in understanding chronic Posttraumatic Stress Disorder (PTSD). One hundred and fifty individuals who had been in a motor vehicle accident were included. Participants were classified into four groups (repressors, low anxious, high anxious, and defensively high anxious) based on methodology introduced by Weinberger et al. [J. Abnormal Psychol. 88 (1979) 369]. These four groups were compared on measures of PTSD symptomatology, anxiety, depression, and where appropriate, perceived pain and disability. Results revealed a fairly consistent pattern of group differences such that repressors reported fewer PTSD symptoms, fewer additional anxiety disorders, less depression, and less physical disability due to pain relative to the high anxious and defensively high anxious groups. Regression analyses examining the separate and interactive effects of anxiety and social desirability to predict PTSD symptomatology showed that the majority of the variance was explained by anxiety. In many respects, these data suggest that repression may not be a useful concept for understanding chronic PTSD.

Imaginary Relish and Exquisite Torture: The Elaborated Intrusion Theory of Desire

The authors argue that human desire involves conscious cognition that has strong affective connotation and is potentially involved in the determination of appetitive behavior rather than being epiphenomenal to it. Intrusive thoughts about appetitive targets are triggered automatically by external or physiological cues and by cognitive associates. When intrusions elicit significant pleasure or relief, cognitive elaboration usually ensues. Elaboration competes with concurrent cognitive tasks through retrieval of target-related information and its retention in working memory. Sensory images are especially important products of intrusion and elaboration because they simulate the sensory and emotional qualities of target acquisition. Desire images are momentarily rewarding but amplify awareness of somatic and emotional deficits. Effects of desires on behavior are moderated by competing incentives, target availability, and skills. The theory provides a coherent account of existing data and suggests new directions for research and treatment.

Suppressing unwanted memories: where there is a will, there is a way?

Research suggests that suppressing unwanted thoughts, generally, is an ineffective thought control strategy, because suppression attempts oftentimes fail, and, furthermore, result in a paradoxical increase of unwanted thoughts, later on. The present study sought to investigate whether manipulated expectations about suppression efficacy determine actual effects of suppression attempts. To test this hypothesis, participants listened to an audiotaped story, and were subsequently appointed to one of four conditions: a no-instruction-control (n = 20), suppression (n = 20), suppression-works (n = 20; participants were told that suppression generally is a fruitful strategy), or suppression-does-not-work (n = 25; participants were told that suppression primarily has paradoxical effects) condition. Two hours later, participants' memories of the story were tested, and several metamemory questions were answered. Induced expectations actually determined the perceived efficacy of suppression attempts, as well as thought frequency, although perceived or actual accuracy of recollections was not affected by the instructions.

Thought suppression in spider-fearful and nonfearful individuals

The authors examined the suppression of spider-related thoughts in spider-fearful (n = 23) and nonfearful (n = 22) individuals. Participants were primed with vivid pictures of spiders and a story about spiders. Next, they were randomly assigned to 1 of 2 conditions: (a) suppression of thoughts associated with the previously presented spider-related stimuli or (b) free expression of any thoughts, including those related to the spider-related stimuli. All participants completed a subsequent free-expression exercise. Results indicated that spider-fearful individuals expressed thoughts about the spider-related stimuli for a longer length of time than did nonfearful individuals, particularly in the suppression condition. Participants in both groups demonstrated a rebound of thoughts associated with the spider-related stimuli following suppression. The authors propose that the priming of feared stimuli makes suppression of fear-related thoughts particularly difficult for fearful individuals, perhaps by activating a state of heightened arousal.

Trouble in Bed: The Role of Pre-Sleep Worry and Intrusions in the Maintenance of Insomnia

Insomnia chronically affects 1 in 9 individuals. It causes sufferers severe distress as well as social, interpersonal, and occupational impairment. One of the most replicated findings in the insomnia literature is that people who suffer from insomnia attribute their sleep disturbance to unwanted and excessive intrusive thoughts and worries whilst trying to get to sleep. This article aims to provide an overview of published studies relating to unwanted worry and intrusions in insomnia and to establish the extent to which unwanted worry and intrusions, and the management of them, contribute to the maintenance of insomnia. It is argued that a key mechanism underpinning excessive negatively toned cognitive activity is the strategy by which the unwanted thoughts are managed. Preliminary research is presented in support of this proposal and the clinical implications of it are discussed. It is concluded that investigations of the mechanisms underpinning excessive and unwanted pre-sleep intrusions and worry are in their infancy, but that it is a promising area for future research.

Eating-related thought suppression in high and low disinhibitors

OBJECTIVE

This study examined the effects of the attempts by high and low disinhibitors to suppress thoughts about food and eating.

METHOD

Seventy-seven females who differed in level of disinhibition were asked to monitor their thoughts about food and eating for three 5-min periods. Participants were administered either a suppression or a nonsuppression instruction relating to thoughts about food and eating. The number of food-related thoughts were recorded. Self-report ratings of anxiety, distress, perceived frequency of thoughts, control over thoughts, and strategies used to control thoughts were also obtained.

RESULTS

Low disinhibitors who were instructed to suppress had more food-related thoughts than high disinhibitors who were instructed to suppress. The reverse was true in the nonsuppression condition. High disinhibitors reported higher levels of anxiety and distress. Furthermore, high disinhibitors had less difficulty controlling their thoughts than low disinhibitors when asked to suppress, whereas the reverse was true when they did not receive suppression instructions. Thought control strategies were found to correlate significantly with anxiety ratings, self-reported frequency of intrusions, actual number of thought intrusions, and distress.

DISCUSSION

High disinhibitors are able to successfully suppress their thoughts about food and eating, at least across relatively short periods of time. However, there appears to be associated negative consequences.

Suppression of obsession-like thoughts in nonclinical individuals: impact on thought frequency, appraisal and mood state

Wegner's (1994, Psychological Review, 101, 34-52) research on the paradoxical effect of thought suppression has been incorporated into contemporary cognitive-behavioural models of obsessive-compulsive disorder. However, findings on the effects of thought suppression on thought frequency have been inconsistent and few studies have actually examined the suppression of thoughts that are obsessional in nature. In the present study 219 nonclinical participants were randomly assigned to suppress or not suppress a neutral, obsessional or positive thought during an initial monitoring interval. In a second thought monitoring interval, all participants received instructions not to suppress their target thought. No paradoxical effect of suppression on frequency was observed for any type of thought, although suppression of obsessional thoughts was associated with greater subsequent discomfort and a more negative mood state than suppression of positive or neutral target thoughts.

Paradoxical effects of thought suppression: a meta-analysis of controlled studies

Research has shown that attempts to suppress a thought can cause an increase in the frequency of the thought. These paradoxical effects of thought suppression play a key role in cognitive-behavioral models of several emotional disorders. Laboratory studies of this phenomenon, however, have yielded mixed results; and narrative summaries of the literature have not been able to draw firm conclusions about the effects of thought suppression. We used meta-analysis to quantitatively examine the magnitude of thought suppression effects across controlled studies. Moreover, we explored whether the variability in effect sizes could be explained by methodological differences within and between studies. Results indicated a small to moderate rebound effect of thought suppression that varied in magnitude depending on the nature of the target thought and the method by which thought frequency was measured. Participants with clinical diagnoses did not show larger rebound effects than nonclinical or analogue participants, however, only a few studies included clinical samples. Findings are discussed in terms of implications for the ironic process theory of thought suppression, and avenues for future research on this phenomenon.

Thought suppression

Although thought suppression is a popular form of mental control, research has indicated that it can be counterproductive, helping assure the very state of mind one had hoped to avoid. This chapter reviews the research on suppression, which spans a wide range of domains, including emotions, memory, interpersonal processes, psychophysiological reactions, and psychopathology. The chapter considers the relevant methodological and theoretical issues and suggests directions for future research.

Suppressing and attending to pain-related thoughts in chronic pain patients

Attempted suppression of pain-related thoughts was investigated in consecutive referrals for pain management (N = 39). Participants monitored their pain-related thoughts for three 5-min periods. In period 1, all participants were instructed to think about anything. For period 2, participants were instructed to either suppress pain-related thoughts, attend to pain-related thoughts, or to continue to think about anything. In period 3, all participants were again instructed to think about anything. Participants instructed to attend to their pain reported more pain-related thoughts than suppressors and controls in both periods 2 and 3. Suppressors experienced reduced pain-related thoughts during period 2. There was no immediate enhancement or delayed increase.

Thought suppression and psychopathology

Wegner's seminal investigations of effects of thought suppression on later thought frequency have had a significant impact on recent approaches to understanding emotional disorders characterized by the occurrence of persistent, repetitive, unwanted thoughts. Thought suppression has now been implicated as a etiological and/or maintaining factor in depression, generalized anxiety disorder, specific phobia, posttraumatic stress disorder and obsessive-compulsive disorder. These developments are fairly new, and it has not been until recently that studies have investigated the effects of suppressing thoughts that are actually analogous to problematic thoughts characteristic of emotional disorder. This paper provides a review of this body of work, including the findings and their relevance for existing models of specific disorders. Directions for future research are suggested.