{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T10:39:37Z","timestamp":1790678377011,"version":"4.1.0"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T00:00:00Z","timestamp":1593388800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1352465820000296_as1\"><jats:title>Background:<\/jats:title><jats:p>Even in cases with complexity, simple techniques can be useful to target a specific symptom. Intrusive mental images are highly disruptive, drive emotion, and contribute to maintaining psychopathology. Cognitive science suggests that we might target intrusive images using competing tasks.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465820000296_as2\"><jats:title>Aims:<\/jats:title><jats:p>We describe an imagery competing task technique within cognitive behavioural therapy (CBT) with a patient with bipolar disorder and post-traumatic stress disorder (PTSD) symptoms. The intervention \u2013 including Tetris computer game-play \u2013 was used (1) to target a specific image within one therapy session, and (2) to manage multiple images in daily life.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465820000296_as3\"><jats:title>Method:<\/jats:title><jats:p>A single case (AB) design was used. (1) To target a specific image, the patient brought the image to mind and, after mental rotation instructions and game-play practice, played Tetris for 10 minutes. Outcomes, pre- and post-technique, were: vividness\/distress ratings when the image was brought to mind; reported intrusion frequency over a week. (2) To manage multiple images, the patient used the intervention after an intrusive image occurred. Outcomes were weekly measures of: (a) imagery characteristics; (b) symptoms of PTSD, anxiety, depression and mania.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465820000296_as4\"><jats:title>Results:<\/jats:title><jats:p>(1) For the target image, there were reductions in vividness (80% to 40%), distress (70% to 0%), and intrusion frequency (daily to twice\/week). (2) For multiple images, there were reductions from baseline to follow-up in (a) imagery vividness (38%), realness (66%) and compellingness (23%), and (b) PTSD symptoms (Impact of Events Scale-Revised score 26.33 to 4.83).<\/jats:p><\/jats:sec><jats:sec id=\"S1352465820000296_as5\"><jats:title>Conclusion:<\/jats:title><jats:p>This low-intensity intervention aiming to directly target intrusive mental imagery may offer an additional, complementary tool in CBT.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1352465820000296","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T08:37:35Z","timestamp":1593419855000},"page":"739-744","source":"Crossref","is-referenced-by-count":40,"title":["Targeting intrusive imagery using a competing task technique: a case study"],"prefix":"10.1017","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9957-2214","authenticated-orcid":false,"given":"Lalitha","family":"Iyadurai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susie A.","family":"Hales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon E.","family":"Blackwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Young","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily A.","family":"Holmes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,6,29]]},"reference":[{"key":"S1352465820000296_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.08.005"},{"key":"S1352465820000296_ref2","volume-title":"Imagery-Based Cognitive Therapy for Bipolar Disorder and Mood Instability","author":"Holmes","year":"2019"},{"key":"S1352465820000296_ref7","doi-asserted-by":"publisher","DOI":"10.1038\/tp.2015.207"},{"key":"S1352465820000296_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465818000334"},{"key":"S1352465820000296_ref3","doi-asserted-by":"publisher","DOI":"10.1038\/mp.2017.23"},{"key":"S1352465820000296_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2019.01.006"},{"key":"S1352465820000296_ref6","doi-asserted-by":"publisher","DOI":"10.5127\/jep.028212"}],"container-title":["Behavioural and Cognitive Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1352465820000296","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T09:30:13Z","timestamp":1602495013000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1352465820000296\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,29]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["S1352465820000296"],"URL":"https:\/\/doi.org\/10.1017\/s1352465820000296","relation":{},"ISSN":["1352-4658","1469-1833"],"issn-type":[{"value":"1352-4658","type":"print"},{"value":"1469-1833","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,29]]}}}