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Imagining as an Observer: Manipulating Visual Perspective in Obsessional Imagery

  • Jessica R. GrishamEmail author
  • Savannah Minihan
  • Caleb J. Winch
Original Article

Abstract

Mental images may be experienced in field (first-person) or observer (third-person) perspective. Compared to field, observer perspective has been shown to be less sensorially and emotionally evocative. Previous research suggested that images in obsessive–compulsive disorder (OCD) are predominately experienced in field perspective. We examined the impact of visual perspective on response to intrusive obsessional images, using autobiographical memory images as a control stimulus. Undergraduates (N = 153) imagined idiosyncratic obsessional scenarios and negative memories from their natural visual perspective, then re-imagined them from a field or observer perspective. At baseline, field perspective was positively associated with vividness and distress and OCD symptoms were associated with an observer perspective. Participants shifted to observer perspective reported reduced vividness of the obsessional image, whereas those shifted to field reported increased anxiety associated with the obsessional image. Memories showed a similar, but not identical, pattern of results. We discuss implications for imagery in OCD.

Keywords

Obsessive–compulsive disorder Visual perspective Intrusive imagery 

Notes

Acknowledgements

The authors would like to acknowledge the research assistants who were involved in data acquisition, as well as the students who participated in this research study.

Author Contributions

JG conceived of the original study and all authors contributed to the design. CW was involved in data acquisition and analyses. All authors were involved in interpretation of the data and the drafting of the manuscript.

Funding

Funding was provided by Australian Research Council Future Fellowship with Grant No. FT140100207.

Compliance with Ethical Standards

Conflict of Interest

Jessica R. Grisham, Savannah Minihan and Caleb J. Winch declare that they have no conflict of interest.

Ethical Approval

Ethical approval for the reported research was obtained by the University of New South Wales Human Research Advisory Panel (UNSW HREAP) and all procedures performed in the current research were in accordance with the ethical standards of UNSW HREAP.

Research Involving in Human Participants

The current research involved human participants.

Informed Consent

Informed consent was obtained from all participants prior to participation in the study.

Animal Rights

No animal studies were carried out by the authors for this article.

References

  1. American Psychiatric Association. (2013). Obsessive-compulsive and related disorders Diagnostic and statistical manual of mental disorders, (DSM-5®). Washington DC: American Psychiatric Pub.Google Scholar
  2. Berntsen, D., & Rubin, D. C. (2006). Emotion and vantage point in autobiographical memory. Cognition and Emotion, 20, 1193–1215.  https://doi.org/10.1080/02699930500371190.CrossRefGoogle Scholar
  3. Brewin, C. R., & Burgess, N. (2014). Contextualisation in the revised dual representation theory of PTSD: A response to Pearson and colleagues. Journal of Behavior Therapy and Experimental Psychiatry, 45, 217–219.  https://doi.org/10.1016/j.jbtep.2013.07.011.CrossRefGoogle Scholar
  4. Brewin, C. R., Gregory, J. D., Lipton, M., & Burgess, N. (2010). Intrusive images in psychological disorders: Characteristics, neural mechanisms, and treatment implications. Psychological Review, 117, 210–232.  https://doi.org/10.1037/a0018113.CrossRefGoogle Scholar
  5. Butler, A. C., Rice, H. J., Wooldridge, C. L., & Rubin, D. C. (2016). Visual imagery in autobiographical memory: The role of repeated retrieval in shifting perspective. Consciousness and Cognition, 42, 237–253.  https://doi.org/10.1016/j.concog.2016.03.018.CrossRefGoogle Scholar
  6. Coughtrey, A. E., Shafran, R., & Rachman, S. (2013). Imagery in mental contamination: A questionnaire study. Journal of Obsessive-Compulsive and Related Disorders, 2(4), 385–390.  https://doi.org/10.1016/j.jocrd.2013.07.005.CrossRefGoogle Scholar
  7. Coughtrey, A. E., Shafran, R., & Rachman, S. J. (2015). Imagery in mental contamination. Behavioural and Cognitive Psychotherapy, 43, 257–269.  https://doi.org/10.1017/S1352465813000957.CrossRefGoogle Scholar
  8. Day, S., Holmes, E., & Hackmann, A. (2004). Occurrence of imagery and its link with early memories in agoraphobia. Memory, 12, 416–427.  https://doi.org/10.1080/09658210444000034.CrossRefGoogle Scholar
  9. De Silva, P. (1986). Obsessional-compulsive imagery. Behaviour Research and Therapy, 24, 333–350.  https://doi.org/10.1016/0005-7967(86)90193-2.CrossRefGoogle Scholar
  10. Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.  https://doi.org/10.1016/S0005-7967(99)00123-0.CrossRefGoogle Scholar
  11. Engelhard, I. M., van den Hout, M. A., Janssen, W. C., & van der Beek, J. (2010). Eye movements reduce vividness and emotionality of “flashforwards”. Behaviour Research and Therapy, 48, 442–447.  https://doi.org/10.1016/j.brat.2010.01.003.CrossRefGoogle Scholar
  12. Field, A. P., & Wright, D. B. (2011). A primer on using multilevel models in clinical and experimental psychopathology research. Journal of experimental psychopathology, 2(2), 271–293.  https://doi.org/10.5127/jep.013711.CrossRefGoogle Scholar
  13. Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). The obsessive-compulsive inventory: Development and validation of a short version. Psychological Assessment, 14, 485.  https://doi.org/10.1037/1040-3590.14.4.485.CrossRefGoogle Scholar
  14. Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.  https://doi.org/10.1037/0033-2909.99.1.20.CrossRefGoogle Scholar
  15. Hackmann, A. (1998). Working with images in clinical psychology. In A. S. Bellack & M. Hersen (Eds.), Comprehensive clinical psychology (Vol. 6, pp. 301–318). New York: Elsevier.CrossRefGoogle Scholar
  16. Hackmann, A., & Holmes, E. (2004). Reflecting on imagery: A clinical perspective and overview of the special issue of memory on mental imagery and memory in psychopathology. Memory, 12, 389–402.  https://doi.org/10.1080/09658210444000133.CrossRefGoogle Scholar
  17. Hoffman, L., & Rovine, M. J. (2007). Multilevel models for the experimental psychologist: Foundations and illustrative examples. Behavior Research Methods, 39(1), 101–117.  https://doi.org/10.3758/BF03192848.CrossRefGoogle Scholar
  18. Hofmann, W., Wisneski, D. C., Brandt, M. J., & Skitka, L. J. (2014). Morality in everyday life. Science, 345(6202), 1340–1343.  https://doi.org/10.1126/science.1251560.CrossRefGoogle Scholar
  19. Holmes, E. A., Lang, T. J., & Shah, D. M. (2009). Developing interpretation bias modification as a” cognitive vaccine” for depressed mood: Imagining positive events makes you feel better than thinking about them verbally. Journal of Abnormal Psychology, 118, 76–88.  https://doi.org/10.1037/a0012590.CrossRefGoogle Scholar
  20. Holmes, E. A., & Mathews, A. (2005). Mental imagery and emotion: A special relationship? Emotion, 5, 489–497.  https://doi.org/10.1037/1528-3542.5.4.489.CrossRefGoogle Scholar
  21. Holmes, E. A., Mathews, A., Dalgleish, T., & Mackintosh, B. (2006). Positive interpretation training: Effects of mental imagery versus verbal training on positive mood. Behavior Therapy, 37, 237–247.  https://doi.org/10.1016/j.beth.2006.02.002.CrossRefGoogle Scholar
  22. Holmes, E. A., Mathews, A., Mackintosh, B., & Dalgleish, T. (2008). The causal effect of mental imagery on emotion assessed using picture-word cues. Emotion, 8, 395–409.  https://doi.org/10.1037/1528-3542.8.3.395.CrossRefGoogle Scholar
  23. Huppert, J. D., Walther, M. R., Hajcak, G., Yadin, E., Foa, E. B., Simpson, H. B., & Liebowitz, M. R. (2007). The OCI-R: Validation of the subscales in a clinical sample. Journal of anxiety disorders, 21, 394–406.  https://doi.org/10.1016/j.janxdis.2006.05.006.CrossRefGoogle Scholar
  24. Kenny, L. M., & Bryant, R. A. (2007). Keeping memories at an arm’s length: Vantage point of trauma memories. Behaviour Research and Therapy, 45, 1915–1920.  https://doi.org/10.1016/j.brat.2006.09.004.CrossRefGoogle Scholar
  25. Klein, J. P., & Moritz, S. (2014). On the relevance of mental imagery beyond stress-related psychiatric disorders. Frontiers in Psychiatry, 5, 1–3.  https://doi.org/10.3389/fpsyt.2014.00077.CrossRefGoogle Scholar
  26. Krans, J., Näring, G., Holmes, E. A., & Becker, E. S. (2010). “I see what you’re saying”: Intrusive images from listening to a traumatic verbal report. Journal of Anxiety Disorders, 24, 134–140.  https://doi.org/10.1016/j.janxdis.2009.09.009.CrossRefGoogle Scholar
  27. Kuyken, W., & Moulds, M. L. (2009). Remembering as an observer: How is autobiographical memory retrieval vantage perspective linked to depression? Memory, 17, 624–634.  https://doi.org/10.1080/09658210902984526.CrossRefGoogle Scholar
  28. Lipinski, J. F., & Pope, H. G. (1994). Do “flashbacks” represent obsessional imagery? Comprehensive Psychiatry, 35, 245–247.  https://doi.org/10.1016/0010-440X(94)90014-0.CrossRefGoogle Scholar
  29. Lipton, M. G. (2008). Phenomenology of intrusive imagery in obsessive compulsive disorder (OCD) (Unpublished doctoral dissertation). London: University of London.Google Scholar
  30. Lipton, M. G., Brewin, C. R., Linke, S., & Halperin, J. (2010). Distinguishing features of intrusive images in obsessive–compulsive disorder. Journal of Anxiety Disorders, 24, 816–822.  https://doi.org/10.1016/j.janxdis.2010.06.003.CrossRefGoogle Scholar
  31. Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343.  https://doi.org/10.1016/0005-7967(94)00075-U.CrossRefGoogle Scholar
  32. Marteau, T. M., & Bekker, H. (1992). The development of a six-item short-form of the state scale of the Spielberger State—Trait Anxiety Inventory (STAI). British Journal of Clinical Psychology, 31, 301–306.  https://doi.org/10.1111/j.2044-8260.1992.tb00997.x.CrossRefGoogle Scholar
  33. McIsaac, H. K., & Eich, E. (2004). Vantage point in traumatic memory. Psychological Science, 15, 248–253.  https://doi.org/10.1111/j.0956-7976.2004.00660.x.CrossRefGoogle Scholar
  34. Nelis, S., Vanbrabant, K., Holmes, E. A., & Raes, F. (2012). Greater positive affect change after mental imagery than verbal thinking in a student sample. Journal of Experimental Psychopathology, 3, 178–188.  https://doi.org/10.5127/jep.021111.CrossRefGoogle Scholar
  35. Nigro, G., & Neisser, U. (1983). Point of view in personal memories. Cognitive Psychology, 15, 467–482.  https://doi.org/10.1016/0010-0285(83)90016-6.CrossRefGoogle Scholar
  36. Peugh, J. L. (2010). A practical guide to multilevel modeling. Journal of School Psychology, 48, 85–112.CrossRefGoogle Scholar
  37. Rachman, S. (1980). Emotional processing. Behaviour Research and Therapy, 18, 51–60.  https://doi.org/10.1016/0005-7967(80)90069-8.CrossRefGoogle Scholar
  38. Rachman, S. (2007). Unwanted intrusive images in obsessive compulsive disorders. Journal of Behavior Therapy and Experimental Psychiatry, 38, 402–410.  https://doi.org/10.1016/j.jbtep.2007.10.008.CrossRefGoogle Scholar
  39. Radomsky, A. S., Alcolado, G. M., Abramowitz, J. S., Alonso, P., Belloch, A., Bouvard, M., … Wong, W. (2014). Part 1—You can run but you can’t hide: Intrusive thoughts on six continents. Journal of Obsessive-Compulsive and Related Disorders, 3(3), 269–279.  https://doi.org/10.1016/j.jocrd.2013.09.002.CrossRefGoogle Scholar
  40. Research Consortium on Intrusive Fear. (2007). The international intrusive thoughts interview schedule, version 6. Barcelona, Spain.Google Scholar
  41. Robinson, J. A., & Swanson, K. L. (1993). Field and observer modes of remembering. Memory, 1, 169–184.  https://doi.org/10.1080/09658219308258230.CrossRefGoogle Scholar
  42. Silvia, P. J. (2007). An introduction to multilevel modeling for research on the psychology of art and creativity. Empirical Studies of the Arts, 25(1), 1–20.  https://doi.org/10.2190/6780-361t-3j83-04l1.CrossRefGoogle Scholar
  43. Speckens, A. E. M., Hackmann, A., Ehlers, A., & Cuthbert, B. (2007). Imagery special issue: Intrusive images and memories of earlier adverse events in patients with obsessive compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 38, 411–422.  https://doi.org/10.1016/j.jbtep.2007.09.004.CrossRefGoogle Scholar
  44. Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press.Google Scholar
  45. Sutin, A. R., & Robins, R. W. (2007). Phenomenology of autobiographical memories: The Memory Experiences Questionnaire. Memory, 15, 390–411.  https://doi.org/10.1080/09658210701256654.CrossRefGoogle Scholar
  46. Sutin, A. R., & Robins, R. W. (2010). Correlates and phenomenology of first and third person memories. Memory, 18, 625–637.  https://doi.org/10.1080/09658211.2010.497765.CrossRefGoogle Scholar
  47. Terry, W. S., & Horton, G. P. (2007). A comparison of self-rated emotion in field and observer memory perspectives. Imagination, Cognition and Personality, 27, 27–35.  https://doi.org/10.2190/IC.27.1.c.CrossRefGoogle Scholar
  48. Vella, N. C., & Moulds, M. L. (2014). The impact of shifting vantage perspective when recalling and imagining positive events. Memory, 22, 256–264.  https://doi.org/10.1080/09658211.2013.778292.CrossRefGoogle Scholar
  49. Williams, A. D., & Moulds, M. L. (2007). An investigation of the cognitive and experiential features of intrusive memories in depression. Memory, 15, 912–920.  https://doi.org/10.1080/09658210701508369.CrossRefGoogle Scholar
  50. Williams, A. D., & Moulds, M. L. (2008). Manipulating recall vantage perspective of intrusive memories in dysphoria. Memory, 16, 742–750.  https://doi.org/10.1080/09658210802290453.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Jessica R. Grisham
    • 1
    Email author
  • Savannah Minihan
    • 2
  • Caleb J. Winch
    • 1
  1. 1.School of PsychologyUniversity of New South WalesSydneyAustralia
  2. 2.Department of Experimental PsychologyUniversity of OxfordOxfordUK

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