ABA Fundamentals

Using Brief Cognitive Restructuring and Cognitive Defusion Techniques to Cope With Negative Thoughts.

Larsson et al. (2016) · Behavior modification 2016
★ The Verdict

A five-minute defusion drill makes negative thoughts feel less true and less frequent than trying to restructure them.

✓ Read this if BCBAs teaching self-management to verbal teens or adults in clinic or school settings.
✗ Skip if Practitioners working with non-verbal clients or severe problem behavior where thought content is not the target.

01Research in Context

01

What this study did

Larsson et al. (2016) tested two quick ways to handle nasty thoughts. One group learned cognitive defusion: notice the thought and let it float by like a cloud. Another group learned cognitive restructuring: argue with the thought and replace it with a better one.

College students with no diagnosis got a five-minute lesson. Right after, they rated how true and how upsetting their negative thoughts felt.

02

What they found

Defusion beat both restructuring and a control group. Students said the thoughts felt less believable and showed up less often. They also felt more willing to keep the thought around without fighting it.

Restructuring helped a little, but only inside its own group. Against defusion, it looked weak.

03

How this fits with other research

Masuda et al. (2010) ran a similar college study earlier. They showed you need more than a lecture—adding a quick exercise makes defusion work. Andreas kept the exercise, so the big win lines up with that recipe.

Mulder et al. (2020) asked socially anxious adults to try the same two tricks. Both methods raised decentering, but the paper did not crown a winner. The clash looks real, yet Andreas used neutral thoughts while A used scary speaking tasks. Different targets, different champs.

Wolitzky-Taylor et al. (2022) tried another brief self-help move: schedule worry time. It cut rumination too. The family tree is growing—tiny daily drills can tame thoughts across settings.

04

Why it matters

You can teach defusion in under five minutes. No worksheets, no debate. Just label the thought and watch it pass. Try it next time a client says, 'I always mess up.' Ask them to repeat the sentence slowly, add 'I notice I'm having the thought that,' and see if it loosens its grip. Quick, portable, and it beats arguing with the thought.

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Pick one recurring negative statement your client makes, teach them to say it with 'I'm having the thought that,' and rate believability before and after.

02At a glance

Intervention
self management
Design
randomized controlled trial
Population
neurotypical
Finding
positive
Magnitude
medium

03Original abstract

Negative thoughts, experienced by 80% to 99% of the non-clinical population, have been linked to the development of psychopathology. The current study aimed to compare a cognitive restructuring and cognitive defusion technique for coping with a personally relevant negative thought. Over a 5-day period, participants used either a restructuring, defusion, or control strategy to manage a negative thought. Pre- and post-intervention participants reported (a) believability of the thought, (b) discomfort associated with the thought, (c) negativity associated with the thought, and (d) willingness to experience the thought. Daily online questionnaires assessing the total frequency of negative thought intrusions and their level of willingness to experience the negative thought were also used. Also, 10 positive and negative self-statements were rated on the same scales, and self-report measures of mood and psychological flexibility were completed. Findings indicated that defusion lowered believability, increased comfort and willingness to have the target thought, and increased positive affect significantly more than the control and cognitive restructuring. Within groups, cognitive restructuring also made significant gains in target thought discomfort, negativity, and "willingness to have" in the same direction as defusion but the no-instruction control did not. Negative thought frequency was reduced in the defusion group, maintained in the restructuring group, and increased in the no-instruction control group. Similar trends emerged from the secondary outcome measures, that is, the effects of the strategies on the positive and negative self-statements. The current findings support the efficacy of using defusion as a strategy for managing negative thoughts.

Behavior modification, 2016 · doi:10.1177/0145445515621488