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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
Introduction ,[object Object]
This construct has been central to analyses of addictive behaviour and relapse for decades (Skinner & Aubin, 2010)
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),[object Object]
Cognitive models (Marlatt, 1985; Stacy, 1997; Baker, Morse & Sherman, 1987; Tiffany, 1999)
Elaborated-Intrusion Theory (EI-Theory, Kavanagh et al., 2009)DesireThinking
DesireThinking ,[object Object]
I anticipate the sensations I would feel practicing the desired activity
I imagine how I would feel like when engaging in the desired activity
In the short-term DT helps to manage negative internal states by shifting attention away from them and focusing on positive target related sensations
However in medium-term DT brings to an escalation of craving as the desired target is perseveratively imagined but not achieved,[object Object]
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)
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
Participants & Materials ,[object Object]
Primary diagnosis:

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