ABA Fundamentals

A parametric study of cognitive defusion and the believability and discomfort of negative self-relevant thoughts.

Masuda et al. (2009) · Behavior modification 2009
★ The Verdict

Saying a nasty self-thought aloud fast for half a minute makes it feel less true and less painful.

✓ Read this if BCBAs working with teens or adults who report rigid negative self-statements.
✗ Skip if Clinicians serving only non-verbal clients or severe cognitive impairment.

01Research in Context

01

What this study did

The team asked adults to pick their worst self-criticism. They repeated it aloud fast for 3, 10, 20, or 30 seconds.

After each round they rated how believable and how uncomfortable the thought felt. The whole session took under 15 minutes.

02

What they found

Rapid repetition cut emotional discomfort faster than it cut believability. Just 3–10 seconds eased the hurt.

Twenty to thirty seconds were needed before the thought itself started to sound false. The words became silly noise, not truth.

03

How this fits with other research

Wilmut et al. (2013) also shrank worry with a short verbal trick: one 30-minute worry slot each day. Both studies show timed, brief word play lowers distress.

Tsao et al. (2003) used a 5-minute distraction game and still saw pain tolerance gains two years later. Like Akihiko, brevity worked.

Lieving et al. (2018) warn that extra free reinforcers can make problem behavior stick. The difference: they changed consequences, not the thought itself. Akihiko changes how the thought feels before consequences ever kick in.

04

Why it matters

You can weaken a client’s harsh self-talk in under a minute. Have them repeat the exact sentence fast for 20–30 seconds. Discomfort drops first; believability follows. Use it as a quick reset during escalation or before cognitive rehearsals. No materials, no homework—just their own voice.

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Next time a client says 'I'm stupid,' have them repeat it rapidly for 20 s, then ask how true it feels.

02At a glance

Intervention
other
Design
single case other
Finding
positive
Magnitude
medium

03Original abstract

A previous time-series study showed that rapidly repeating a single-word version of a negative self-referential thought reduced the discomfort and the believability associated with that thought. The present parametric study examined whether durations of word repetition were differentially effective in altering the discomfort and believability of negative self-referential thought. In two studies, both discomfort and believability varied systematically with the duration of word repetition. The effects of rapid repetition on emotional discomfort bottomed out after 3 s to 10 s of rapid repetition, whereas the effects on believability did so after 20 s to 30 s of repetition. This study lends support to the cognitive defusion interpretation of the effect of word repetition, suggesting that emotional discomfort and believability may be distinctive functional aspects of cognitive events.

Behavior modification, 2009 · doi:10.1177/0145445508326259