Your SlideShare is downloading. ×
0
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
EABCT 2011 - Metacognitive Processes in Desire Thinking 2
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

EABCT 2011 - Metacognitive Processes in Desire Thinking 2

1,717

Published on

Presentation at 41° EABCT Congress, Reykjavik 2011 …

Presentation at 41° EABCT Congress, Reykjavik 2011
Symposium: Metacognition across psychological disorders new development in theory and treatment

Published in: Health & Medicine, Technology
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,717
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. The Roleof Metacognitive Processes in DesireThinking
    Gabriele Caselli1,2, Marcantonio M. Spada1,3
    1 London South BankUniversity, London, UK
    2 Studi Cognitivi, Cognitive PsychotherapySchool, Milano, Italy
    3North East London NHS Foundation Trust, London, UK
  • 2. Introduction
    • Craving has been conceptualized as a powerful subjective experience that motivates individuals to seek out and achieve a craved target, or practice a craved activity, in order to reach its desired effects (Marlatt, 1987)
    • 3. This construct has been central to analyses of addictive behaviour and relapse for decades (Skinner & Aubin, 2010)
    • 4. The experience of craving is qualitatively similar across a range of targets (e.g. Castellani & Rugle, 1995; Field et al., 2008; May et al., 2004; Moreno et al., 2009)
  • Theoriesaboutcraving
    • Conditioning models (Ludwig & Wikler, 1974; Siegel, 1983; Stewart, Dewit, & Eikelboom, 1984)
    • 5. Cognitive models (Marlatt, 1985; Stacy, 1997; Baker, Morse & Sherman, 1987; Tiffany, 1999)
    • 6. Elaborated-Intrusion Theory (EI-Theory, Kavanagh et al., 2009)
    DesireThinking
  • 7. DesireThinking
    • DT is a voluntary thinking process orienting to prefigure images, information and memories about positive target-related experience (Caselli & Spada, 2010; 2011)
    • 8. I anticipate the sensations I would feel practicing the desired activity
    • 9. I imagine how I would feel like when engaging in the desired activity
    • 10. In the short-term DT helps to manage negative internal states by shifting attention away from them and focusing on positive target related sensations
    • 11. However in medium-term DT brings to an escalation of craving as the desired target is perseveratively imagined but not achieved
  • DesireThinking and Psychopathology
    Findings on significant structural differences between the construct of desire thinking and craving (Caselli & Spada, 2011)
    DT is positively correlated to level of alcohol use independently from craving (Caselli et al., 2011)
    High nicotine dependent patients reports significantly higher levels of desire thinking than moderate and low nicotine dependents (Caselli et al., 2011)
  • 12. S-REF Theory(Wells & Matthews, 1994)
    A set of metacognitive beliefs act as control components of information processing modes
    They are responsible for psychological disturbance by developing and maintaining a maladaptive mode of processing
    This maladaptive mode of processing (Cognitive-Attentional Syndrome or CAS) is constituted by perseverative thinking, threat monitoring, avoidance or safety behaviours)
  • 13. The Applicationof S-REF toDesireThinking and Craving
    DT maybe a maladaptive and perseverative cognitive controlstrategy (suchasworry or rumination)
    Accordingto S-REF Theoryitwouldbe part of the CAS mode thatsustains the experienceofcraving
    Individualswithaddiction and impulsecontroldisorderswouldpossessboth positive and negative metacognitionsaboutdesirethinking
    AIMS
    the presence and content of desire thinking during a desire experience
    the presence of metacognitive beliefs in desire thinking
  • 14. Participants & Materials
    • The sample comprised of 24 participants (10 men and 14 women) seeking outpatient treatment for desire related problems from the local Mental Health Service of Modena, Italy
    • 15. Primary diagnosis:
    • 16. 6 Alcohol Abuse
    • 17. 6 Bulimia Nervosa
    • 18. 6 Pathological Gambling
    • 19. 6 Smoking Dependence
    • 20. Metacognitive profile (Wells & Matthews, 1994): adapted to focus specifically on cognitive experiences associated with a craving episode
  • ResultsTriggers and ContentsofDesireThinking
    • Trigger ofDesireThinking
    • 21. negative emotions and thoughts (14 p)
    • 22. Internal automatic target-related thought (9 p)
    • 23. ContentofDesireThinking
    • 24. ImaginalPrefiguration (Kavanagh et al., 2009)
    • 25. “Imagining stopping the car to order a drink at the local bar”
    • 26. “Imagining coming back home and all the chocolate bars that I have on my desk”
    • 27. Verbal Perseveration (Caselli & Spada, 2010)
    • 28. “Thinking what I can do to play”
    • 29. “Repeating to myself I need a cigarette”
  • ResultsPositive Metacognitive Beliefsabout DT
    Positive Metacognitive Beliefs concerned the usefulness of desire thinking in:
    Controlling negative thoughts and emotions (17 p);
    Increasing positive sensations in the form of excitement and motivation (11 p);
    Increasing executive control over behaviour (6 p);
    Helping to plan how to reach goals (4 p)
  • 30. ResultsNegative Metacognitive Beliefsabout DT
    Negative Metacognitive Beliefs concerned:
    The damage to executive control over behaviour (16 p);
    The uncontrollability of desire thinking (10 p);
    The negative impact of desire thinking on self-image (4 p)
    The negative impact of desire thinking on cognitive performance (6 p).
  • 31. ResultsGoals and Stop Signals
    The primary goal ofdesirethinking:
    Reducing negative emotions and thoughts (14p)
    Feelexcited and motivated (9p)
    Howtheyrecognizeif their goal had been achieved:
    I do not know (all)
    How desire thinking was interrupted:
    Byachievingdesired target (18p)
    By some externaldistractingevent (5p)
  • 32. DiscussionMetacognitions in DesireThinking
    Negative internalstates
    PMDT
    DesireThinking
    Craving & Deprivation
    UncontrolledBehaviour
    AutomaticTarget-relatedtoughts
    NMDT
  • 33. Clinical Perspectives
    • Helpingpatientsto discontinue desirethinkingshouldbecome a therapeuticaim
    • 34. Using metacognitive profilefor case formulation and socializationofuseful information aboutdesirethinking, metacognitive beliefs and metacognitive plans
    • 35. Verbalreattributionof metacognitive beliefsaboutdesirethinking
    • 36. Introducing and developingtechniquestodirectlytreatdesirethinking
  • Thank you for your attention!
    Contact details
    Dr. Gabriele Caselli
    Cognitive Psychotherapy School Studi Cognitivi, Modena, ItalyLondon South Bank University, London, UK
    g.caselli@studicognitivi.net
    casellig@lsbu.ac.uk

×