Medicine:Thought-action fusion
| Thought-action fusion | |
|---|---|
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| False beliefs from self-confusing mind-wandering about biased interpretations of intrusive thoughts are painful. | |
| Specialty | Psychiatry, clinical psychology |
Thought-Action Fusion (TAF) is a polyseme defining false beliefs or self-confusing mind wandering about a biased and painful association/fusion between subjects' spontaneous thoughts and imaginary latent egodystonic desires or magical-thinking capabilities.[1][2] These imaginary latent egodystonic desires or magical-thinking capabilities generally express harmful actions/behaviours (e.g. compulsions) that subjects appraise as highly possible, even though they have never existed so far.[1][2][3]
Causes
The main causes of TAF are (one or several) hold false beliefs that mind-wandering episodes involving cognitive/interpretation biases have generated, from specific patterns of intrusive thoughts.[1][2][3] Besides, a high level of negative affectivity is a mediator in the statistical relations between TAF and the existence of psychological pains (e.g. anxiety, depression and shame), or some mental disorders.[1][2]
Examples
An ADAA webinar highlighted several examples of TAF,[4] such as:
| Intrusive thoughts | Cognitive biases | False beliefs |
|---|---|---|
| Driving is exciting, but anyone can run down pedestrians. | This terrible thought is definitively a sign. | I am losing control; I am going to run over a pedestrian anytime... |
| My sharp knife could kill a baby. | This horrific thought is almost surely revealing. | I am probably going to kill my child in the near future... |
Categories
The two main categories of TAF are the:
- Likelihood TAF, i.e. anxious and false beliefs (e.g. magical thinking) assuming that specific intrusive thoughts would trigger the (thought) harmful events in the future;[1][3]
- Moral TAF, i.e. uncertainty-evoking and false beliefs that specific intrusive thoughts about religiously or ethically/morally inappropriate behaviours, are as reprehensible or shameful as actually performing the intrusive thoughts' content.[1][2]
Diagnosis
Simple interviews with specific health professionals (e.g. psychologists, psychiatrists) allow diagnosing TAF; there also exists a reliable psychometrics/estimator which is the: thought-action fusion questionnaire/scale.[5][6]
Disorders
TAF happens in the anxiety disorders (e.g. GAD), obsessive-compulsive disorders (e.g. pure O) and eating disorders (e.g. anorexia); it generally worsens the mental disorders' severities or outcomes, irrespective of the treatments.[1][7][3]
Treatments
The main medial treatments for TAF are the cognitive-behavioral therapies,[1] but mindfulness therapies like the acceptance and commitment therapy may also help.[8][9] Moreover medications like selective serotonin reuptake inhibitors may increase the psychotherapy efficiency,[10] by alleviating the psychological pains the TAF induces—see section on Causes.
See also
- Mental disorders
- GAD
- Pure O
- Anorexia
- Medical treatments
- Psychotherapies
References
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 "Thought-action fusion across anxiety disorder diagnoses: specificity and treatment effects". The Journal of Nervous and Mental Diseases 201 (5): 407–413. 2013. doi:10.1097/NMD.0b013e31828e102c. PMID 23595095.
- ↑ 2.0 2.1 2.2 2.3 2.4 "Predicting negative emotions in response to in vivo triggers of thought-action fusion". Journal Obsessive-Compulsive and Related Disorders 33: 100723. 2022. doi:10.1016/j.jocrd.2022.100723.
- ↑ 3.0 3.1 3.2 3.3 "The role of magical thinking, sensitivity, and thought content in thought-action fusion". Journal of Social and Clinical Psychology 41 (2): 128–154. 2022. doi:10.1521/jscp.2022.41.2.128.
- ↑ Kissen D, Greene P (2020). "What are intrusive thoughts and how can you deal with them". YouTube (Podcast). ADAA. Retrieved 26 March 2023.
- ↑ "Thought-action fusion in obsessive compulsive disorder". Journal of Anxiety Disorders 10 (5): 379–391. 1996. doi:10.1016/0887-6185(96)00018-7.
- ↑ "Psychometric evaluation of the thought–action fusion scale in a large clinical sample". Assessment 20 (6): 764–775. 2012. doi:10.1177/1073191112436670. PMID 22315482.
- ↑ "Obsessive compulsive disorder and thought action fusion: Relationships with eating disorder outcomes". Eating Behaviurs 37: 101386. 2020. doi:10.1177/1073191112436670. PMID 32388080.
- ↑ "The effect of mindfulness therapy on tolerance of uncertainty and thought-action fusion in patients with obsessive-compulsive disorder". Quarterly Journal of Child Mental Health 6 (1). 2019.
- ↑ "Effectiveness of acceptance and commitment therapy on the signs of obsessive-compulsive disorder and thought-action fusion in the students with obsessive-compulsive disorder". Journal of Psychological Science 18 (73). 2019.
- ↑ "Effects of selective serotonin reuptake inhibitors on thought-action fusion, metacognitions, and thought suppression in obsessive-compulsive disorder". Comprehensive Psychiatry 52 (5): 556–561. 2011. doi:10.1016/j.comppsych.2010.10.003. PMID 21109243.
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