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Intrusive images in psychological disorders

Characteristics, neural mechanisms, and treatment implications

Bibliographic Data

ID5809441
AuthorsChris R Brewin (0000-0002-7462-4460), Gregory James (0000-0002-9911-3587), James D Gregory, Michelle Lipton, Neil Burge (0000-0003-0646-6584)
Year2010
Volume117
Issue1
Pages210-232
Publication date2010-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePsychological Review (JOURNAL)
Journal identifiersISSN: 0033-295X • E-ISSN: 1939-1471
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/a0018113
PMID20063969
PMCIDPMC2834572
OpenAlexW2127046953
LanguageEN
Citations received125

Involuntary images and visual memories are prominent in many types of psychopathology.Patients with posttraumatic stress disorder, other anxiety disorders, depression, eating disorders, and psychosis frequently report repeated visual intrusions corresponding to a small number of real or imaginary events, usually extremely vivid, detailed, and with highly distressing content.Both memory and imagery appear to rely on common networks involving medial prefrontal regions, posterior regions in the medial and lateral parietal cortices, the lateral temporal cortex, and the medial temporal lobe.Evidence from cognitive psychology and neuroscience implies distinct neural bases to abstract, flexible, contextualized representations (C-reps) and to inflexible, sensory-bound representations (S-reps).We revise our previous dual representation theory of posttraumatic stress disorder to place it within a neural systems model of healthy memory and imagery.The revised model is used to explain how the different types of distressing visual intrusions associated with clinical disorders arise, in terms of the need for correct interaction between the neural systems supporting S-reps and C-reps via visuospatial working memory.Finally, we discuss the treatment implications of the new model and relate it to existing forms of psychological therapy

Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Memory and Neural Mechanisms · Posttraumatic Stress Disorder Research

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Unique citing works125
Citations per year7,81
Citation span2010 - 2026 (17)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 122

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