Journal of Psychopathology and Behavioral Assessment, Vol. 20, No. 1, 1998
Cognitive Avoidance in Phobia
Merel Kindt1,3 and Jos F. Brosschot2
Accepted: January 22, 1998
It is suggested that anxious individuals would have a processing bias for threat
only in the initial processing stage, whereas in the consecutive stages the more
elaborate analysis of the stimulus would be inhibited. The purpose of this study
was to investigate the stage in which the bias changed into avoidance and
whether cognitive avoidance of threat is restricted to information that refers to
the anxiety response as opposed to the threatening stimulus. Therefore, 37
spider phobics and 34 controls were administered a negative priming task and
a free recall task, using threat words and neutral words, both divided into
stimulus-related and response-related words. There was no indication of
cognitive avoidance of the response-related threat words as assessed by the
negative priming task. Recall findings indicated an incomplete memory bias
in phobics, with a better recall of stimulus-related threat words instead of a
worse recall of response-related threat words. This suggests a "passive cognitive
avoidance" mechanism, which may still impede the processing of
response-related information, crucial for the success of exposure therapy.
INTRODUCTION
There is ample evidence that anxiety is related to a cognitive bias to-
ward threatening information, which facilitates the early detection of po-
1Department of Experimental Abnormal Psychology, Maastricht University, Maastricht, The
Netherlands.
2Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.
3To whom correspondence should be addressed at Maastricht University, Faculty of Health
Sciences, Department of Experimental Abnormal Psychology, P.O. Box 616, 6200 MD
Maastricht, The Netherlands, e-mail: MEREL.KINDT@DEP.UNIMAAS.NL. Fax: (+31)
43-3670968.
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0882-2689/98/0300-0043$15.00/0 © 1998 Plenum Publishing Corporation
KEY WORDS: spider phobia; cognitive avoidance; negative priming; recall.