Tag: OCD

What drives ruminations and broodings?

Why is it so hard to make the hurtful thoughts disappear, even though you really want them to? What is the reason that ruminations go on and on despite our efforts to quit? What mechanism makes it persist even though we do “everything” to rid ourselves of it? Most of us have, at one point or another during our lives, wanted to end our ruminations instantly.

In order to clarify what drives ruminations I have to describe the driving force of human behavior, namely “reinforcement.

Reinforcement

We know from behavioral psychology and behavioral analysis that volitionally/voluntary, controllable behaviors are driven by their reinforcers. Reinforcement is something that is experienced as a positive or pleasant consequence of a behavior, which in turns increases the frequency of the behavior. Reinforcement always follows the behavior which is reinforced and influences what will happen in the future.

This should be written accordingly:

S———————- R —————————- C

Starter        Reaction/Behavior           Consequence which is pleasant (=reinforcing)

The pleasant consequence (C) makes the behavior (R) increase. The behavior will be repeated and more often so due to the fact that it led to a positive or pleasant consequence (C).  If a child skips with a jump rope (R) and finds it amusing (C), the child will skip with a jump rope again. The behavior to skip with a jump rope is reinforced, and what happens is called reinforcement.

Premack’s principle

A researcher named David  Premack made an observation that came to be of major importance for the understanding of human behavior. He claimed that certain behaviors were self-reinforcing.

The activities that we choose to spend time on are the kind that are reinforcing in and of themselves. This means that these behaviors do not need any other reinforcement in order to be repeated or sustained. They are so pleasant and nice that they are their own reinforcements – we do certain things because they are fun.

Premack then thought that these self-reinforcing behaviors must be able to function as reinforcements for other, less pleasant behaviors, if they follow immediately after these. We recognize this as the grandma law, and we often apply it in our child rearing. We tell our children that they have to do their homework before they can play computer games. To play computer games is a self-reinforcing behavior which leads to homework being done faster while making it more fun to do, since doing homework leads to the fun computer gaming. As such, computer gaming reinforces doing homework.

A behavior that leads to a self-reinforcing behavior is reinforced, and is hence repeated and carried out more often. This is Premack’s principle.

starter                         Behavior                              Reinforcement

S ————————-  R ———————————–  C
starter                  cleaning one’s room               is allowed to play football

Pelle will clean his room more often because he knows that immediately afterwards, he will be allowed to play football. To play football reinforces the behavior to clean his room, since he enjoys playing football.

In the same way, a pleasant and comforting thought reinforces a preceding, discomforting thought. A liked behavior reinforces a less liked behavior.

S   —————————-    R      ———————————  C
starter              thinks a discomforting thought             thinks a comforting thought
If Pelle thinks painful, anxiety-provoking and discomforting thoughts (R), and immediately afterwards thinks calming/comforting thought (C), the discomforting thought (R) will be reinforced. The behavior of thinking calming comforting thoughts (C) will hence function as reinforcement for the discomforting thoughts (R), according to Premack’s principle. In behavioral therapeutic theory, this is the reason that makes it hard to quit ruminating.

You want to quit the painful, anxiety-provoking and worrying thoughts, but you do not wish to quit the comforting, calming and reassuring thoughts. This is part of the explanation to why it is so hard to get rid of discomforting thoughts.

This is an exerpt from the book Quit Ruminating and Brooding by Olle Wadström. Comments and discussions are encouraged.

The book is available in two similar versions. Please choose the green and black version. AuthorHouse (the white version) keep my legally earned royalty to themselves, because of a self-imposed rule.

Ruminating is the “tennis” of the brain – the internal argumentation

Ruminations can be likened to a game of tennis, where one side hits a frightening thought, and the calming side returns it with a comforting thought. Each time the “ball” comes over to the other side, it can be returned. The game can go on forever. Since we are intelligent beings, we keep finding new frightening aspects, or we get new irritating ideas, and find new comforting thoughts.

Ruminating is an internal dialogue, or discussion or debate.

Our ability to see new dangers leads to a never ending shift in the contents of ruminations, even if it is about the same subject or field.

Look at this example of how rumination can function. Let the tennis game begin.

Discomforting thoughts                   Comforting thoughts

  • What if the interest rate increases?
                                                        The interest rate has not increased for a 
                                                         year.
  • Sooner or later it is bound to increase. It has always been up and down. If it increases, our living costs will hit the ceiling and we will have to move.
                                                           No expert has talked about increased                                                                     interest rates recently.

In the thirties, the stock market crashed and interest rates increased overnight without people knowing about it ahead of time, because if they did, they would have sold their stock shares before the crash.
                                                        Economists are more competent now, so                                                              that could  not happen in such a surprising                                                           way these days.

But the monetary system is also more complicated now and, hence, more vulnerable. And if the interest rate increased by 2%, we might not be able to afford food. Then we will be forced to sell our house.                                                                                                We will be alright, one way or another.                                                                 We will get plenty of money for our house                                                             if we sold it now.

  • Then where would we move?
                                                                  There are plenty of apartments in                                                                           Olsberga.

In that case, the children will have to change schools, and they will lose all their friends.
                                                              There are probably many teachers that                                                                  are better  out there, and the children                                                                    would not have as far to school.

They might get bullied.
                                                                Why would they? They have always                                                                       been well liked and popular.

There are a lot of problems in Olsberga and my children might end up in a bad crowd and start smoking and drinking.
                                                                Why would they do that all of a                                                                               sudden? That has not happened before.

If they do not make new friends, they might start hanging out with kids who do drugs.
                                                               And so on.

  • And so on.

Ruminations can go on for a long time. There are really no boundaries for how long they might go on. Hereby, the intelligence and imagination of human beings become a burden.

This is an exerpt from the book Quit Ruminating and Brooding by Olle Wadström. Comments and discussions are encouraged.

The book is available in two similar versions. Please choose the green and black version or the black version of the book. The white version is illegally printed and sold by AuthorHouse/Author Solutions.

The fight between discomforting and comforting thoughts

Discomforting or intrusive thoughts can have varying appearances and contents. They can evoke discomfort by frightening and worrying us, they can lead to anxiety, irritate, provoke, confound us, make us insecure, and they can make us feel hurt, wronged or insulted. Many people think in terms of images or scenarios, which does not make any difference for our line of reasoning.

The thoughts that evoke discomfort can have many different types of content. Their common denominator is that they evoke uneasiness and discomfort, more or less automatically. In the case of OCD, discomforting thoughts are also referred to as “emotion-thoughts”.

Below are a few examples of discomforting thoughts:

Catastrophic thoughts

What if I fail my exam!

Am I going insane?

Mother might die.

I am surely going to get fired now.

The kids might get hit by a car when they are walking to school.

What was that look that she gave to Nisse when I protested?

What if I have cancer?

Does he mind me speaking, since he looked at me that way?

They can tell that I am nervous.

What if I do not find anyone to share my life with?

Doubt and insecurity thoughts

I wonder what he meant by asking me about this?

Did I hit someone when I was driving in the dark?

Was she sneering at me when I was speaking?

What if I forgot to lock the door?

Did I do the wrong thing when I…?

Does he not love me anymore?

Existential insecurity

What is the meaning of life?

Is there a God?

Has my life been in vain?

Will life never be more than this?

What happens after death?

Am I wasting my life?

Self-accusation thoughts

Maybe I hurt her when I said that I did not want to?

They probably did not understand what I meant. What if something goes wrong because of me, and they get hurt?

Did he really understand what I meant?

What if she thought that I was negative and criticizing when I said…?

I wonder if he resented that?

Is Pelle sad because I said that?

How could I be so stupid that I…?

I am a bad mother and I do not have time for the things I need to do at work either.

Comparing thoughts (along with jealousy thoughts)

Which car is the best, and which one should I choose?

Should I really get a new job?

They probably just think that I am a dork. They despise me.

I am not as good as they are.

She does not love me as much as I love her.

She is always better than me.

I am always the worst.

He is much smarter than me.

Other people always get the best, while I always get the worst.

Why is he just looking at her?

A characteristic of the discomforting thoughts is that they trigger a feeling of worry, uneasiness, doubt, or some other unpleasant feeling.

This is an exerpt from the book Quit Ruminating and Brooding by Olle Wadstrom. Comments and discussions are encouraged.

The book is available in two similar versions. Please choose the green and black version. AuthorHouse (the white version) keep my legally earned royalty to themselves, because of a self-imposed rule.

What is ruminating?

Ruminations are thoughts. Thoughts are a type of behavior, so called cognitive behavior. Other types of behavior are motor or external behaviors. These behaviors are what we do with our bodies and which are usually visible, while cognitive behaviors occur inside of us and are not directly observable. Autonomous behavior differs from the external/motor behavior in that it cannot be controlled by will, and it is run by an independent nervous system – the autonomous nervous system. Autonomous behavior includes things that happen in our bodies, often without us knowing about them, for example, our heart beat, our blood vessels expanding, sweating, our stomachs processing food and our intestines absorbing nourishment etc. Autonomous behavior includes what happens in our body when we get angry, scared, or excited.

We have three types of behavior. These are external/motor behavior, cognitive/thought-behavior and autonomous/emotional behavior.

This is an exerpt from the book Quit Ruminating and Brooding by Olle Wadstrom. Comments and discussions are encouraged.

The book is available in two similar versions. Please choose the green and black version. AuthorHouse (the white version) keep my legally earned royalty to themselves, because of a self-imposed rule.

Preface to Quit Ruminating

cropped-Bild-23.jpgIt is not common among people who call themselves behavioral analysts or behavioral therapists to attempt a behavioral analysis of cognitive behaviors. One likely reason for this is that thoughts (cognitions) are internal and cannot be measured or observed in the same way as external, motor behaviors. Demands for visibly measurable results of the treatment cannot, in these cases, be met. When working with behavioral analysis, this demand is close to holy.

I do not feel that it is reason enough to not attempt to understand and find ways to treat a thought-behavior such as rumination. Whatever the case, many – maybe even most of us – suffer from ruminations and broodings. Both of these lead to anxiety, concerns and sleepless nights. Rumination and brooding are significant components of compulsive disorders and social anxiety disorders, and can in these cases not be ignored. In these cases, there must be some way to approach them.

Another reason to dedicate oneself to the problem of rumination is that it is a willfully controllable behavior, even if the ruminator does not always experience it in that way. Rumination is a learned behavior such as any other motor behavior. Treatments that are based on learning, such as CBT, should for this reason be interested in rumination. Difficulties of “touching the behavior” should therefore not lead to not handling it. One way to make rumination more substantial is by looking at it as “self-talk”.

Considering how much suffering it brings, and how much private time that is spent doing it, I see it as an urgent matter to teach a way of tackling it based on behavioristic premises. This book describes how behavior therapy can be used to treat a cognitive behavior.

This book is an attempt to provide an approach to the behaviors of ruminating and brooding. It can be applied whether the ruminating is of an everyday character or if it is part of a more serious condition. It is my ambition that the reader will understand, not only how to face his or her ruminating, but also why he or she should act in the manner described.

 

This is an exerpt from the book Quit Ruminating and Brooding by Olle Wadstrom. Comments and discussions are encouraged.

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