Turkish Journal of Psychiatry

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Can Thought-Action Fusion Be Induced and Alleviated? Talat DEMİRSÖZ, Mine MISIRLISOY, A. Nuray KARANCI 2018 29(4): 279-290
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Objective: This study aims to examine the effects of the induction
of thought-action fusion (TAF) on appraisal process, by using an
enhanced paradigm which integrates the favourable aspects of Sentence
Completion Task (SCT) with Obsessive-Compulsive (OC)-like
perseverative reasoning (PR) task. The study also aims to evaluate the
effect of psychoeducation (PE) on alleviating the level of TAF-Induction
experience.
Method: A total of three groups were formed. The first group with
high OC traits (47 participants), a second with low OC traits (70
participants) were the two analogue groups; and a third group composed
of patients with obsessive compulsive disorder (OCD) (52 participants)
were used. For induction of TAF, all participants were asked to
construct a causal link between two OC-like feared situations in a
perseverative fashion. Later, for alleviation, while half of the participants
read psychoeducational information about TAF, the remaining half read
information about stress. Appraisal processes regarding TAF-Likelihood
and TAF-Morality components were assessed before and after enhanced
paradigm, and after PE.
Results: With the current methodology, the likelihood component
of TAF could be obtained by the induction of experience. PE about
TAF appeared to be effective only on TAF-likelihood component when
compared to TAF-morality component. Contrary to the expectations,
there was no difference between OCD group and the two analogue
groups on TAF-Likelihood scores. In addition, also unexpectedly,
participants in the analogue group having high OC traits had
significantly higher scores on TAF-Morality compared to OCD group.
Discussion: Clinical implications are discussed in the light of literature.