Mental imagery in emotion and emotional disorders

Department of Psychiatry, University of Oxford, UK.
Clinical psychology review (Impact Factor: 7.18). 04/2010; 30(3):349-62. DOI: 10.1016/j.cpr.2010.01.001
Source: PubMed


Mental imagery has been considered relevant to psychopathology due to its supposed special relationship with emotion, although evidence for this assumption has been conspicuously lacking. The present review is divided into four main sections: (1) First, we review evidence that imagery can evoke emotion in at least three ways: a direct influence on emotional systems in the brain that are responsive to sensory signals; overlap between processes involved in mental imagery and perception which can lead to responding "as if" to real emotion-arousing events; and the capacity of images to make contact with memories for emotional episodes in the past. (2) Second, we describe new evidence confirming that imagery does indeed evoke greater emotional responses than verbal representation, although the extent of emotional response depends on the image perspective adopted. (3) Third, a heuristic model is presented that contrasts the generation of language-based representations with imagery and offers an account of their differing effects on emotion, beliefs and behavior. (4) Finally, based on the foregoing review, we discuss the role of imagery in maintaining emotional disorders, and its uses in psychological treatment.

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    • "In addition to PTSD, intrusive and involuntary images have also been reported by patients suffering from agoraphobia, social phobia, specific phobias, obsessive– compulsive disorder, health anxiety and body dysmorphic disorders, etc. (Holmes & Mathews, 2010). Similar to the intrusive memories in PTSD, intrusive images in anxiety disorders are often linked to memories of adverse events Mental imagery and bipolar disorders: Introducing scope for psychological treatment development? "

    International Journal of Social Psychiatry 11/2015; DOI:10.1177/0020764015615905
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    • "Imagery measures Impact of Future Events Scale (IFES). The IFES (Deeprose & Holmes, 2010 "
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    ABSTRACT: We need to better understand the cognitive factors associated with risk for bipolar disorders. Recent research suggests that increased susceptibility to mental imagery may be one such factor. However, since this research was primarily conducted with Western students and at a single time-point, it is not known whether the relationship between imagery susceptibility and bipolar symptoms exists across cultures or within the general community, or whether this relationship remains stable over time. This study evaluated whether Chinese adults identified as being at high (HR) versus low (LR) risk of developing bipolar disorders showed greater mental imagery susceptibility. We aimed to test whether such a relationship was stable over time by measuring imagery characteristics at baseline and at the 7-week follow-up. This prospective study recruited a community sample of N = 80 Chinese adults screened for the absence of neurotic and psychotic disorders. The sample was split into HR (n = 18) and LR (n = 62) groups at baseline based on a criterion cut-off score on a measure of hypomania, the Mood Disorder Questionnaire (MDQ). Participants completed measures of imagery susceptibility and its impact: the Spontaneous Use of Imagery Scale (SUIS) and the Impact of Future Events Scale (IFES), at baseline and 7 weeks later. HR group reported greater tendency to use imagery in daily life (SUIS) and greater emotional impact of prospective imagery (IFES) than LR group at baseline. These results remained stable at follow-up. This study provides preliminary evidence for increased susceptibility to mental imagery in individuals at high risk of bipolar disorders recruited from a community sample of Chinese adults. This extends previous research in Western student samples suggesting that imagery (both levels of use and its emotional impact) may be a cognitive factor with cross-cultural relevance that is stable over time. © The Author(s) 2015.
    International Journal of Social Psychiatry 08/2015; DOI:10.1177/0020764015597951
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    • "In most of these studies, the participants listened to acoustically presented positive and negative scenarios and were instructed either to form a mental image of the event (imagery condition) or to focus on the content and meaning of the respective sentences (verbal condition). Due to this powerful emotional impact of imagery, the link between mental images and affective disorders has attracted increased research interest (Holmes & Mathews, 2010). Especially in depression, mental images might be a critical factor in amplifying and maintaining negative feelings (Holmes, Lang, & Deeprose, 2009). "
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    ABSTRACT: Mental imagery can critically influence our emotional state. In contrast to commonly used explicit measures, implicit measures are promising for objectively assessing automatic emotional processes beyond deliberate control. In two studies with non-clinical samples, we tested the Affect Misattribution Procedure (AMP) to measure implicit affect induced by mental imagery. In a first study (N = 145), the implicit measure showed that mental imagery elicits significantly stronger negative affect than verbally processed stimuli (F(1, 144) = 3.94, p≤.05, ƞ2p = .03). In Study 2 (N = 71), we refined the implicit measure and found that mental images can induce implicit affective reactions at least as strong as pictures. Moreover, implicit affect after positive imagery was negatively related to depressive symptoms (r = -.26, p<.05) and explained incremental variance in depressive symptoms beyond explicitly assessed affect. Our studies suggest that the AMP represents a promising measure of implicit affect induced by mental images.
    04/2015; 6(1):1-23. DOI:10.5127/jep.041114
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