A suppression-mention task was used to evaluate the influence of increasing the incentive to suppress on subsequent enhancement and/or rebound effects. The experimental group suppressed neutral thoughts with a financial incentive for performance. A bogus pipeline was used to control for honesty. Two control groups, one with the bogus pipeline and one without, were asked to suppress the thought without the possibility of financial reward contingent on performance. Results showed that the group with a possible financial reward, although more successful in suppressing the thought, were still unable to suppress the thought. No enhancement or rebound effects were observed.

Behavioural or, in more general terms, problem analysis is usually regarded as the prerequisite of behaviour therapy. In behaviour therapy research, however, problem analysis does not play a key role. Patients are usually assigned to treatment methods on the basis of clinical diagnosis. It could be assumed that the lack of attention to the patient's individual characteristics should lead to poorer therapy outcome results. However, empirical data of a project reviewed in this paper in fact showed that assigning patients to standard treatment merely on the basis of clinical diagnoses provides results equal to or even better than those of optimized individual therapy strategies. Two premises of problem analysis were therefore tested. It could be shown that therapists would diagnose different problem conditions not only for patients with different types of phobia, but also, as expected, for patients with identical diagnoses. However, this did not—as would be expected according to the second premise of problem analysis—result in choosing different individual therapy strategies. One reason for these findings could be that behaviour therapy research has been able to provide treatment programs that have been differentiated and gradually optimized for specific diagnostic groups. To decide on the application of these treatment programs, clinical diagnoses are necessary. It is suggested that clinical diagnosis and problem analysis should be complementary. An integrative model is suggested.

In outpatients with recurrent major depression who failed to respond to acute treatment with antidepressant medication, this study compared the effects of follow-up treatment with cognitive therapy with those of follow-up treatment with medication. In the small number of patients treated, there were some indications of response to cognitive therapy. A greater number of patients responded at least partially to cognitive therapy according to one of the two response criteria, and mean scores on two measures of depression changed to a greater extent with cognitive therapy than with continued medication. Results are consistent with previous studies, but replication is required due to the small numbers involved. The potential implications for provision of treatment are discussed.

The production of a cognitive formulation is an essential skill for both novice and expert cognitive behaviour therapists. It provides the focus for therapy, and helps prevent important parts of the case being over-looked. One problem faced by therapists is that the production of such a written formulation may be time consuming and difficult to amend as new information comes to light. The use of Mind Maps allows a flexible summary of the case to be created. This may be of use to both the therapist and their supervisor in providing a clear, structured and easily updated statement of the essential features of the case.

Paranoid delusions are associated with an abnormal attributional style that serves the function of preventing the activation of latent discrepancies between self-perceptions and self-ideals at the expense of contributing to the paranoid patient's negative perceptions of the intentions of others. In this case study we describe a therapeutic strategy designed to allow a patient suffering from persecutory delusions to re-attribute negative life experiences to situational causes rather than to a conspiracy directed towards himself. It was hypothesized that no resistance was encountered from the patiet because no attempt was made to re-attribute negative events to internal causes. A reduction in paranoid ideation, which was maintained at follow-up, was accompanied by changes on formal measures of attributions. The implications of these findings for cognitive models of paranoid ideation, and for the development of interventions for deluded patients are discussed.

Self-monitoring, a competing response and response cost were used in the successful treatment of a 49 year old female patient with a 19 year history of trichotillomania. Self-monitoring and a competing response produced significant decreases in hair-pulling, but still continued as the patient found it pleasurable at times of stress. The addition of response cost procedures overcame this.

The aims of this study were to examine the construct validity of a cognitive behavioural treatment model for medically unexplained physical symptoms and to examine potential predictors of treatment outcome. In concordance with the treatment model we used, the extent of hypochondriacal cognitions and psychological distress at baseline appeared to be associated. Change in hypochondriacal cognitions was related to change in psychological distress. The extent of hypochondriacal cognitions after treatment was predictive of the level of psychological distress at one year follow-up. The only baseline variable that predicted a negative treatment outcome was illness behaviour.