Study suggests that changing harmful mental images may be beneficial for individuals with hoarding disorder
The study found that the treatment strategy led to individuals who were happier, more motivated, and more inclined to let go of possessions.
Researchers from the University of New South Wales (UNSW) examined the effects of imagery rescripting on 176 individuals.
Their goal was to see if changing negative narratives related to discarding possessions could help individuals with hoarding disorder overcome their attachment to possessions.
Participants engaged in the study online, focusing on an item they found difficult to let go of.
After testing four different treatments, the study concluded that the treatment strategy resulted in individuals who were happier, more motivated, and more likely to part with their possessions.
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An out-of-sight, out-of-mind mentality might mean permanent damage to some items if left in the attic. Graham King/Getty Images/TCA
Imagery Rescripting
Imagery rescripting (ImRS) is a therapeutic technique where distressing mental images are retrieved and reshaped to become more positive or less harmful. It has demonstrated success in treating disorders characterised by future-focused mental imagery.
Sabel mentioned that negative memories and fears of future events can manifest as mental images depicting upsetting scenarios, such as items decaying in landfills or disappointing loved ones.
In the study, imagery rescripting was used to inject positive or neutral information to alter the outcomes of negative mental images associated with discarding.
Comparison of Treatments
The other three treatments tested were cognitive restructuring, imaginal exposure, and reflection on positive imagery.
Participants who focused on positive imagery to boost their mood served as the control group, while those engaging in cognitive restructuring and imaginal exposure were compared with those using imagery rescripting.
Cognitive restructuring involves identifying and dismissing irrational and harmful thoughts, while imaginal exposure requires confronting anxiety-provoking thoughts to diminish their impact.
However, ImRS proved more effective in reducing anxiety, sadness, and anger compared to both treatments. ImRS also led to increased ease in discarding items.
Unique Efficacy of ImRS
Coauthor Professor Jessica Grisham mentioned in the UNSW release that imagery rescripting has the potential to address core trauma and distressing mental images hindering discarding.
Grisham explained, “Images can connect our past, present, and future.”
“Alterations to memories that may have triggered hoarding—by revisiting those needs—could lead to better treatment outcomes and positively impact individuals’ lives.”
Individuals with hoarding disorder often feel pressured to discard items, which can lead to stress and reactivity; however, imagery rescripting showed a reduction in reactivity, Grisham noted.
She added that imagery is known to intensify emotions, enabling interaction with neural components responsible for memory and emotional processing. ImRS creates a compelling and immersive emotional experience.
