R1. Introduction
Hygienic care is a human universal (Brown, Reference Brown1991). Physical cleansing is part of our daily routines. It confers health benefits and survival value (Boyce & Pittet, Reference Boyce and Pittet2002; Kampf & Kramer, Reference Kampf and Kramer2004). It carries symbolic meanings, as manifest in customs and beliefs across cultures and religions (Douglas, Reference Douglas1966). Experimental work has shown its cognitive, affective, and behavioral effects. What explains its psychology?
We proposed that physical cleansing involves separating one physical entity from another (e.g., washing dirt away from one's hands) and that its sensorimotor procedures ground mental procedures of separating one psychological entity from another (e.g., dissociating immoral behavior from oneself). Separation can attenuate or eliminate the influence of the separated entity. This proximate mechanism for the psychology of cleansing complements existing accounts (e.g., moral purity, disgust). It can be generalized to other physical acts of separation (e.g., enclosure of an entity) and its flipside, connection (e.g., touching an entity). Together, grounded procedures of separation and connection offer an intermediate level of analysis, capturing nuances and generating predictions that are more general than conceptual metaphor theory but more specific than grounded cognition. The concept of grounded procedures integrates classes of phenomena typically couched in different theoretical traditions (e.g., disgust emotion, conceptual metaphor, sympathetic magic, positive contagion, embodied attitude) and invites new questions about the interplay between mental and physical processes.
Indeed, exciting new questions are raised and addressed in the commentary process. We are privileged to have received 27 commentaries that offer thoughtful interpretations and elaborations of grounded procedures at different levels of analysis (Table R1), including neural, perceptual, affective, cognitive, metacognitive, sociocultural, historical, existential, personal, clinical, developmental, and evolutionary/functional. Many commentaries suggest further extensions of our model to generate broader predictions. The diverse topics covered relate to two integrative principles spelled out in the target article, which underlie the systematic effects of grounded procedures. We will summarize these principles (sect. R3) and then relate them to the themes summarized in Table R1 (sects. R4–R8). Before delving into such theoretical richness, we also address methodological recommendations and questions (sect. R2).
Table R1. Diverse themes and foci of commentaries

R2. Methodological recommendations and empirical support for cleansing effects
We appreciate the methodological recommendations offered in a couple of commentaries (Ross, van Aert, van den Akker, & van Elk [Ross et al.]; Ropovik, Sparacio, & IJzerman [Ropovik et al.]) for our comprehensive meta-analysis of cleansing effects (500+ effect sizes from 200+ experiments; Lee, Chen, Ma, & Hoang, Reference Lee, Chen, Ma and Hoang2020a). Applying the contemporary methods they recommend, including PET-PEESE (Stanley & Doucouliagos, Reference Stanley and Doucouliagos2014), parameter selection modeling (McShane, Böckenholt, & Hansen, Reference McShane, Böckenholt and Hansen2016), and p-uniform* (van Aert & van Assen, Reference van Aert and van Assen2018), as expected the overall effect estimates drop in size (from the small-to-medium range to the small range) and remain statistically significant. This indicates that publication bias alone is unlikely to account for the observed results, alleviating concerns about overall empirical support for cleansing effects.
This conclusion contrasts with Ropovik et al.'s strong claim that “there is no support for the replicability of cleansing effects in the first place and thus no need to develop a theoretical account of grounded procedures.” They draw this conclusion on the basis of a p-curve analysis of (i) a small subset of the entire body of experimental research on the psychological consequences and antecedents of physical cleansing (namely, seven out of several hundred effects), which (ii) included only some of the replication studies and (iii) excluded all of the original studies. The procedures they applied to the selected studies (iv) did not follow core steps of best practice recommendations (Simonsohn, Nelson, & Simmons, Reference Simonsohn, Nelson and Simmons2014b; Simonsohn, Simmons, & Nelson, Reference Simonsohn, Simmons and Nelson2015), (v) included p-values that should be excluded, and (vi) excluded p-values that should be included. A detailed discussion of the assorted errors exceeds the space limit of this Response; we provide it in an Appendix available at https://osf.io/sxz97/?view_only=630af79ee6c149a5833a4d2fbb4cd560. When best practice recommendations are followed, the effects addressed by Ropovik et al. show evidential value. Such evidential value is found regardless of whether the analysis includes only the replications Ropovik et al. themselves selected or includes the original experiments along with the replications. Ropovik et al.'s errors concerning the identification and specification of the p-values also undermine the conclusions from their Monte Carlo simulations.
These shortcomings are important to recognize in the present context because the pre-print of Ropovik et al.'s p-curve analysis on PsyArXiv led two other commentaries (Urminsky; Ross et al.) to accept their unwarranted conclusions at face value. It also led Urminsky to claim that “Lee and Schwarz (L&S) concede that the basic phenomenon (e.g., less influence of past experience on decisions after hand-washing) is still under debate” – a claim that is discrepant from both the content of our target article and the empirical evidence.
Independent of specific statistical issues, our view on the relationship between theory and data is that a careful theoretical analysis is essential for the discovery of robust effects. Theory informs the development of manipulations and measures that effectively tap into relevant constructs – a prerequisite for producing coherent and replicable results. Here, converging support for cleansing effects from meta-analytic work and proper p-curve analysis, together with a range of other separation and connection effects covered in the target article, reinforces our stance that the phenomena merit theorizing. This stance seems to be shared by 24 other commentaries, which grapple with a rich diversity of theoretical topics. We now turn to these topics.
R3. Integrative principles underlying systematic effects of grounded procedures
Underlying a range of observations in the commentaries are two core themes of social psychology, namely, situationism and construal (Ross & Nisbett, Reference Ross and Nisbett1991; Taylor, Reference Taylor, Gilbert, Fiske and Lindzey1998). First, for systematic effects of grounded procedures to occur, there needs to be some salient content on which the physical act of separation or connection is brought to bear; that is, there needs to be something on the actor's mind that the act separates from or connects to. Second, the physical act needs to be subjectively construed as separation or connection; merely rubbing one's hands does not constitute an act of physical or psychological separation, unless one perceives it as cleaning one's hands.
R3.1. Salient content
As noted in the target article (sect. 4.1), “cleansing exerts its influence on whatever domain is salient to the person in a given situation. This context sensitivity of cleansing effects is consistent with situated perspectives on mental processes (Mesquita, Barrett, & Smith, Reference Mesquita, Barrett and Smith2010; Smith & Semin, Reference Smith and Semin2004) and parallels the observation that feelings and metacognitive experiences are brought to bear on what is in the focus of attention at the time of the experience (Schwarz, Reference Schwarz, Mesquita, Barrett and Smith2010, Reference Schwarz, Van Lange, Kruglanski and Higgins2012).” With salient content, there is a focal domain being separated from or connected to, producing systematic effects. Without salient content, there is no focal domain to separate from or connect to, so no systematic effect is expected.
We agree with Wyer and Briñol and Petty that an experience that comes before cleansing is more likely to be separated from the self than one that comes after cleansing, because an experience that comes before cleansing is more likely to be salient during cleansing than an experience that comes after cleansing. Exceptions are plausible. Suppose you shook someone's hand and later learn about the person's serious misdeeds. Most likely, you would feel better remembering that you did wash your hands after the handshake (than if you did not), even though the “experience” of contaminating contact followed rather than preceded the cleansing. Nevertheless, we expect the cleansing effect to be even stronger if you had already known about the person's misdeeds before shaking their hands and washing yours.
Related manifestations of salient content can be seen in religious and cultural practice. “For instance, getting rid of a sin often requires recounting it first” (Kardos). One's sin is made salient, then separated from oneself. Similarly, traditional Chinese place their hands above an incense burner for purification and removal of bad luck before touching the god of wealth to receive good luck. One's bad luck is made salient, then separated from oneself, before connecting oneself to good luck.
Missing the role of salient content results in mispredictions about the influence of grounded procedures. Urminsky argues that attitudes and behaviors that are stable over extended periods of time contradict our observation that physical acts of separation exert attitudinal and behavioral influence. This argument is misguided for several reasons. First, it ignores the existence of long-term changes in attitudes and behaviors (e.g., risk preference; Schildberg-Hörisch, Reference Schildberg-Hörisch2018) as well as personality (Atherton, Grijalva, Roberts, & Robins, Reference Atherton, Grijalva, Roberts and Robins2020; Caspi, Roberts, & Shiner, Reference Caspi, Roberts and Shiner2005). Second, it focuses on the pervasive occurrence of physical separation but ignores the equally pervasive occurrence of connection in daily life (cf. Kardos). Third and most fundamentally, the grounded procedures prediction is not that people change their attitudes and behaviors as frequently as they wash their hands or touch objects of daily life; it is that separating and connecting can remove aspects from, or add aspects to, the salient content that people consider as they form attitudinal judgments and make behavioral decisions. How much that influences the final judgment or decision depends on which additional contents are considered, consistent with the logic of mental construal (Bless & Schwarz, Reference Bless and Schwarz2010; Schwarz, Reference Schwarz2007).
The principle of salient content also has methodological implications. Systematic effects of separation or connection can only be observed when most participants in a study have the same salient content in mind. If each participant separates from or connects to something else, no systematic effect will be apparent when conditions are compared.
R3.2. Subjective construal
The psychological effect of grounded procedures further depends on how the physical act is construed in a given context. As noted in the target article (sect. 3.1), “the principle of context-dependent attribute salience implies that the same sensorimotor experience can be construed differently to highlight different salient attributes, resulting in different effects.” A physical act subjectively construed as separation (or connection) can be expected to attenuate (or accentuate) the influence of salient content. The same physical act subjectively construed as something else cannot be expected to produce the same effect (as demonstrated in Körner & Strack, Reference Körner and Strack2019 and pointed out by Körner & Strack).
One reading of these properties may be that the sensorimotor experience per se of a physical act does not matter at all; only the subjective construal of it does (Briñol & Petty). We take a milder stance, for two reasons. First, although experimental manipulations of the subjective construal of a physical act of cleansing can produce different effects (Kim, Duhachek, Briñol, Lee, & Petty, Reference Kim, Duhachek, Briñol, Lee and Petty2020; Körner & Strack, Reference Körner and Strack2019), in the absence of such manipulations, people typically do construe physical acts of cleansing as separating contaminants. Default subjective construals of this sort are likely to characterize many physical acts of separation (e.g., destroying an object, throwing it away) and connection (e.g., touching an object, keeping it close). Second, actual sensorimotor experience (e.g., washing hands) tends to produce stronger effects than merely conceptual activation (e.g., scrambling cleansing-related words), suggesting that sensorimotor experience does contribute to cleansing effects (target article, sect. 4.3) and likely other grounded procedures. Overall, our stance is that both subjective construal and sensorimotor experience matter. We expect subjective construal (whether by default or by manipulation) to matter more for the effect direction and sensorimotor experience (varying from strongest to weakest engagement; related to Haberkamp & Schmidt's notion of parametric manipulation) to matter more for the effect size.
The role of subjective construal underlies an issue raised by Schubert and Grüning: “Bafflingly, many behaviors cited as implementing separation through cleansing are either pretend (participants hands are clean to begin with), or are even confounded with the opposite of separation, namely application (e.g., hand sanitizer) or outright contamination (e.g., burning incense).” Using hand sanitizer indeed involves applying it to one's hands, but the subjective construal of the physical act is sanitizing, that is, killing germs from one's hands, as is evident from product descriptions on its packaging. Burning incense, in the cultural context in which we discussed this example, is construed by traditional Chinese as purifying the air, driving away insects, and getting rid of negative energies (Incense – Chinese Customs, n.d.), all about separating things from oneself.
Beyond these consequences, subjective construal may also be relevant to antecedents of separation. Kardos notes, “The dilemma of dirty money is an example for desiring things that are not clean.” It may or may not be a dilemma. Dirty money has been shown to elicit “selfish, greedy, and exploitative” desires and behaviors (Yang et al., Reference Yang, Wu, Zhou, Mead, Vohs and Baumeister2013, p. 473), consistent with the metaphorical association of dirtiness with immorality (Lakoff & Johnson, Reference Lakoff and Johnson1999; Lee & Schwarz, Reference Lee and Schwarz2011, Reference Lee, Schwarz, Duschinsky, Schnall and Weiss2016). And dirty money, despite being dirty, is still money (Tasimi & Gross, Reference Tasimi and Gross2020). It affords at least two subjective construals: physical dirtiness and monetary value. Their relative salience and utility may determine the direction and strength of motivation toward dirty money.
These observations highlight that changing the subjective construal of a physical act can change its consequences and antecedents. Note that subjective construal can take place within an individual mind – or in a shared reality across minds, a theme we will pick up again in sect. R5.
R4. Mental mechanisms of grounded procedures
Findings reviewed in the target article indicate that physical acts of separation (e.g., cleansing) can attenuate the typical influence of a prior experience by way of psychological separation. A question arises: What exactly is being separated from what? Is an experience associated with the past self being separated from it? Or is the past self being separated from the present self? Our commentators postulate a rich variety of mental mechanisms, from neural to affective to cognitive to metacognitive ones, with empirical implications.
From the perspective of neural representation, a present object or event overlaps both spatially and temporally with a past version of itself, which in turn is associated with specific episodic experiences in the past (“intersecting object histories”; Altmann & Ekves, Reference Altmann and Ekves2019). Accordingly, “any event that reduces the overlap between the current and the prior self will have consequences for one's perception of objects and events associated with that past self” (Ekves, Prystauka, Davis, Yee, & Altmann [Ekves et al.]). Because cleansing “is a highly salient separation from the self,” it reduces the overlap between the past self and the present self, hence attenuating the influence of the former on the latter. We share Ekves et al.'s prediction that other salient acts of separation should do the same, such as “moving into a different room,” consistent with experimental evidence that changing physical contexts (e.g., walking through doorways) attenuates memory (Radvansky & Copeland, Reference Radvansky and Copeland2006) and fatigue (Mead & Levav, Reference Mead and Levav2016) from the previous context. Following this logic, physical acts of separation may produce other consequences of self-discontinuity, such as reduction in nostalgia (Newman, Sachs, Stone, & Schwarz, Reference Newman, Sachs, Stone and Schwarz2020; Sedikides, Wildschut, Routledge, & Arndt, Reference Sedikides, Wildschut, Routledge and Arndt2015) and amplification of self-directed change in gambling (Kim, Wohl, Salmon, & Santesso, Reference Kim, Wohl, Salmon and Santesso2017) and other addictive behaviors (Kim & Wohl, Reference Kim and Wohl2015).
Turning the focus to affective and cognitive processes, Körner and Strack offer an array of predictions: cleansing may neutralize or eliminate prior feelings, increase psychological distance between an event and the self, enhance abstract construal of the event, highlight its central and enduring features (Trope & Liberman, Reference Trope and Liberman2010), trigger a new mindset (“reset”), increase openness to new experience, and enhance breadth and flexibility in thought and behavior (McCrae & Costa, Reference McCrae, Costa, Hogan, Johnson and Briggs1997). Agreeing with these predictions (target article, sect. 6.2), we add that they are likely to occur fairly automatically, that is, efficiently and with little conscious awareness, intention, or effort (Bargh, Reference Bargh1994). Notice we said “little,” not “zero,” because some awareness is necessary for construing a physical act as being about cleansing or separation. Such construal tends to occur by default (sect. R3.2) and should not require much executive resources. Accordingly, we consider grounded procedures to be less dependent on executive resources than assumed by Ponsi, Era, Fini, and Falcinelli (Ponsi et al.), but we share their interest in testing if cognitive load would moderate the effects of grounded procedures.Footnote 1 To date, such tests are missing.
In addition to cognitive (what and how one thinks) and affective processes (how one feels), metacognitive processes (how one thinks and feels about one's thoughts) are also expected to be involved in grounded procedures. Briñol and Petty focus on “the important distinction between having thoughts and using them (i.e., primary vs. secondary cognition; Briñol & DeMarree, Reference Briñol and DeMarree2012; Jost, Kruglanski, & Nelson, Reference Jost, Kruglanski and Nelson1998).” We agree that the perceived informational value of one's own thoughts, which they refer to as validation of the thoughts (Briñol et al., Reference Briñol, Petty, Stavraki, Lamprinakos, Wagner and Díaz2018), plays a key role in any judgment (Schwarz, Sanna, Skurnik, & Yoon, Reference Schwarz, Sanna, Skurnik and Yoon2007).
Cognitive, affective, and metacognitive processes are not mutually exclusive. They can interact with each other, as highlighted in research on the interplay of feeling and thinking (for a review, see Schwarz & Clore, Reference Schwarz, Clore, Kruglanski and Higgins2007). Their relative contributions can be disentangled by testing process-specific moderators and outcomes (Lee & Cecutti, Reference Lee and Cecuttiin press), which we consider an important part of the “next generation” of investigation into grounded procedures.
R5. Social perspectives on grounded procedures
Several commentators highlight the utility of thinking about the operation of grounded procedures in sociocultural, historical, and existential contexts. Kwon, Glenberg, and Varnum (Kwon et al.), for example, identify four kinds of interplay among ecology, culture, and grounded procedures. We summarize them in Figure R1, which also organizes other commentators' suggestions about how sociocultural forces may matter.

Figure R1. Interplay among ecology, culture, and grounded procedures.
Path 1-2-3 highlights that physical acts of separation and connection may be one of the mechanisms by which ecological reality or features of the physical environment (“environmental inputs” in Kwon et al.'s terms) shape cultural tendencies (“cultural outputs”; e.g., independence vs. interdependence, high vs. low social class). Consistent with this point and adding to Kwon et al.'s examples of resource scarcity, research has found that different modes of physical labor, afforded by different ecological conditions, predict different cultural orientations and corresponding cognitive styles. Farming and fishing communities, which emphasize harmonious social coordination, showed more holistic cognitive styles than did herding communities, which emphasize individual decision-making and social independence, even though all three communities were in the same national, geographic, ethnic, and linguistic region of Turkey's eastern Black Sea (Uskul, Kitayama, & Nisbett, Reference Uskul, Kitayama and Nisbett2008). Within the category of farming, rice-growing requires more social coordination (e.g., irrigation networks) than wheat-growing; accordingly, rice farmers showed more interdependence and holistic cognitive styles (Talhelm et al., Reference Talhelm, Zhang, Oishi, Shimin, Duan, Lan and Kitayama2014) and tighter social norms (Talhelm & English, Reference Talhelm and English2020) than did wheat farmers, even within the same country and controlling for factors such as modernization, population density, and pathogen prevalence. Pathogens and diseases do matter though, as in Kwon et al.'s example of path 4-5 (see also sect. R7.2).
Path 6 points out that the link between cultural dimensions – from social class to religion to nationalism (Kwon et al.; Horner & Greenberg) – and psychological separation and connection (e.g., independent self-construal, religiosity, patriotism) can be strengthened by physical acts of separation and connection (e.g., moving away from home, bowing heads together in prayer, wearing a pin of national flag), because these acts concretize, symbolize, and stabilize the experience (Gilead, Trope, & Liberman [Gilead et al.]). Path 7 further notes that culture can shape the link between physical and psychological separation or connection, which can be manifest in at least three ways: shared reality, vicarious experience, and sociocultural connection.
A physical act is subject not only to an individual's own construal (sect. R3.2), but also to socially shared construal, or shared reality (Rossignac-Milon & Higgins). Just like individual construal, shared reality can go hand in hand with sensorimotor experience and accentuate its influence. This is compatible with Rossignac-Milon and Higgins's proposal “that acts of cleansing and other acts of separation and connection have more powerful effects when they are grounded in shared practices – in a shared reality.” Rossignac-Milon and Higgins go further though by suggesting that “it is the shared reality that makes baptism purifying and not the physical act of splashing water.” Our take is that the two are mutually compatible. Put it this way: Why is the physical act of purification by water such a common ritual, imbued with spiritual meanings, across religions in the first place? Because, we argue, spiritual purification is about separating one's past and present (especially in highly public forms of commitment to a new identity, as in baptism), and this abstract sense of psychological separation can be grounded in physical acts of separation that are common in daily life and relatable to all, such as cleansing, to both confer meaning and signal commitment (Gilead et al.). Essentially, a physical act and the socioculturally shared reality around it work together synergistically to reinforce each other's influence.
An offshoot of shared reality is that someone else's reality can feel like my reality – if I have an interdependent self-construal of which the other person is a part. That predicts that a close other's or an ingroup member's misdeed and underperformance may feel like one's own (Kwon et al.), especially in interdependent communities (Lee & Esposito), eliciting a vicarious desire to cleanse or engage in other acts of separation. Empirical details remain to be explored, including whose experience and what kind of vicarious experience triggers separation (or connection), what can versus cannot be separated (or connected), and whether the effects vary by culture. For example, are highly interdependent (vs. independent) Germans more aversive to wearing Hitler's sweater and more eager to have it washed?
Regardless of its particular content, any shared reality is, by definition, shared with others. It involves a sort of sociocultural connection, an idea central to Oyserman's commentary. This is a different kind of connection from our primary focus, one that may be called “third-order” connection. Purification rituals, for example, involve physical separation of contaminants from one's body (first order), which grounds psychological separation of sins from one's self (second order), and in doing so, provides sociocultural connection to one's religious community (third order). This involves a noteworthy duality of individual-level psychological separation (second order) and collective-level sociocultural connection (third order). Although the link between physical and psychological (i.e., first and second order; path 2 in Fig. R1) is robust (a view shared by Felisatti, Fischer, Kulkova, Kühne, & Michirev [Felisatti et al.]), whether the effect of a physical act (first order) is driven by the psychological experience it grounds (second order) or the sociocultural meaning it affords (third order) is likely to vary by context and culture.
Building on this duality, Oyserman notes prior evidence that individualistic (vs. collectivistic) cultural orientations tend to involve mental procedures of separation (vs. connection; Oyserman, Sorensen, Reber, & Chen, Reference Oyserman, Sorensen, Reber and Chen2009). As cultural mindsets of individualism–separation and collectivism–connection can be activated by situational cues (Oyserman & Lee, Reference Oyserman and Lee2008), she made a number of predictions (e.g., positive valence from sociocultural connection itself and from its cultural fit), one of which is that cleansing is more likely to be experienced as connection (rather than separation) when a collectivistic (rather than individualistic) cultural mindset is activated. It turns out even when a collectivistic cultural mindset was activated for members of a collectivistic culture, cleansing conferred a sense of separation from one's immorality (Lee, Tang, Wan, Mai, & Liu, Reference Lee, Tang, Wan, Mai and Liu2015). Such evidence does not rule out the possibility of heightened sociocultural connection, but does reinforce the robustness of the basic link between physical and psychological separation in cleansing behavior.
A different kind of sociocultural influence is hypothesized by Bilewicz and Bilewicz, who propose from a historical perspective “that the metaphor of cleansing was a by-product of modernisation processes in human culture and agriculture,” primarily in the last few centuries. Historical consideration, rare in social psychological theorizing and research, should deepen our understanding of contextual variations of grounded procedures. In this particular case, metaphorical links between cleansing and morality have been prevalent across diverse religious traditions for much longer than a few centuries. Despite historical changes in the prominence of cleansing metaphors in societal discourse, it seems likely that cleansing serves as a grounded procedure of separation across historical contexts.
Finally, sociocultural reality serves existential functions. Because culture is bigger than an individual, longer-lasting than their lifetime, and typically construed as uniquely human, conforming to one's sociocultural values and practices can alleviate one's existential angst (Greenberg, Solomon, & Pyszczynski, Reference Greenberg, Solomon and Pyszczynski1997; also Burke, Martens, & Faucher, Reference Burke, Martens and Faucher2010; for a recent debate, see Klein et al., Reference Klein, Cook, Ebersole, Vitiello, Nosek, Chartier and Ratliff2019 and Chatard, Hirschberger, & Pyszczynski, Reference Chatard, Hirschberger and Pyszczynski2020). Horner and Greenberg suggest that grounded procedures of separation and connection also serve existential functions, which seems plausible for several reasons. The same threats that activate death-related thoughts also elicit desires for separation such as cleansing. Reminders of humans' animality (e.g., feces, blood) elicit disgust and physical separation. And death anxiety, which is particularly intense among individuals with low self-esteem, is buffered by physical touch with a person or a teddy bear (Koole, Tjew, Sin, & Schneider, Reference Koole, Tjew, Sin and Schneider2014). These findings are compatible with the possibility that grounded procedures of separation (e.g., cleansing) and connection (e.g., touching) play a causal role in ameliorating existential concerns.
Sociocultural, historical, and existential perspectives highlight the social embeddedness and functions of grounded procedures. In addition to these contextual factors, individual differences exist in separation and connection effects, with clinical manifestations at the extreme ends. We turn to these variations now.
R6. Individual differences and clinical manifestations of grounded procedures
Complementary to the experimental study on grounded procedures reviewed in our target article, Fetterman, Robinson, and Meier (Fetterman et al.) suggest adopting an individual-differences approach. We agree. Converging multimethod evidence reduces the ambiguities associated with any single method, including the ambiguities of situational manipulations (emphasized by personality psychologists) and the ambiguities of observed individual differences (which can be confounded by other unknown individual differences; emphasized by social psychologists).
Both approaches complement one another and often predict interactive effects. “To the extent that purity concerns motivate cleansing behavior, for example, individuals who value purity more – as a moral foundation (Graham et al., Reference Graham, Nosek, Haidt, Iyer, Koleva and Ditto2011) – should display the effect to a greater extent” (Fetterman et al.). Indeed, political conservatives, who value purity more than liberals do, show stronger cleansing effects elicited by prejudice toward gay men (Golec de Zavala et al., Reference Golec de Zavala, Waldzus and Cypryanska2014, Study 4). Obsessive-compulsive disorder (OCD) patients, often with cleansing compulsions, show stronger cleansing effects related to morality than do people without OCD (Reuven et al., Reference Reuven, Liberman and Dar2014). And people can wash away their postdecisional dissonance (Lee & Schwarz, Reference Lee and Schwarz2010a) – unless they have compromised decision-making abilities (De Los Reyes, Aldao, Kundey, Lee, & Molina, Reference de Los Reyes, Aldao, Kundey, Lee and Molina2012). All of these findings demonstrate the moderating role of individual differences in cleansing effects.
At far ends of the individual-differences spectrum are clinical manifestations of grounded procedures, which are thought-provoking and worth examining. Cleansing-related thoughts and behaviors figure prominently in OCD and obsessive-compulsive personality disorder (OCPD). As Schnall and Henderson note, repetitive counting of things is another common symptom, which may reflect a function of grounded procedures of separation, namely, to separate entities, making them countable to take stock of their value as resources. Schnall and Henderson also point out that OCPD is associated with less temporal discounting (Pinto, Steinglass, Greene, Weber, & Simpson, Reference Pinto, Steinglass, Greene, Weber and Simpson2014), higher socioeconomic status, and greater material resources (Ullrich, Farrington, & Coid, Reference Ullrich, Farrington and Coid2007). Fascinating questions arise: Are these outcomes (generally seen as positive) driven by the heightened need for counting, separation, or both? Is counting merely associated with separation, or causally linked to it? If so, which causes which? Do the severity and symptomatology of OCD and OCPD track the effects of grounded procedures?
Beyond OCD and OCPD, other clinical predictions are made by Haberkamp and Schmidt. In moral contexts, grounded procedures of separation have shown stronger effects in clinical samples of hypermorality (e.g., OCD, as demonstrated by Reuven et al., Reference Reuven, Liberman and Dar2014 and D'Olimpio & Mancini, Reference D'Olimpio and Mancini2014) and may show weaker effects in clinical samples of hypomorality (e.g., antisocial personality disorder). In non-moral contexts, physical separation can reduce social threats (Lee et al., Reference Lee, Millet, Grinstein, Pauwels, Johnston, Volkov and van der Wal2020b), and this effect may be stronger among clinical samples of social anxiety disorder. Such considerations suggest that the efficacy of cognitive-behavioral therapies may be enhanced by explicitly incorporating cognitive processes of mental separation and behavioral practices of physical separation. Related ideas and practices are part of the popular pseudoscience of “neuro-linguistic programming” (Bandler & Grinder, Reference Bandler and Grinder1975) and may have contributed to its lay appeal. Systematic investigations into potential therapeutic effects of separation and connection can shed light on the clinical utility of grounded procedures.
R7. Developmental and evolutionary/functional analyses of grounded procedures
As the title of our target article indicates, grounded procedures are posited as a proximate mechanism. Theorizing about this mechanism can be extended to its ontogenetic basis, developmental trajectory, evolutionary process, and adaptive function.
R7.1. Developmental analyses
Conjectures about the ontogeny of the link between physical cleansing and psychological separation are offered by Gilead et al., who suggest that it may be the result of an innate primitive, statistical learning, or sociocultural meaning. Our perspective is that the goal of a procedure generalizes over developmental time, from the specific goal of cleansing in a particular domain (e.g., separating contaminants from one's body) to a more general goal of separating any physical entities from one's body, to a mental experience of separating psychological entities from one's self. It is a process of abstraction that involves both statistical learning (which, as Gilead et al. noted, requires subjective construal; sect. R3.2) and sociocultural reinforcement (sect. R5). We are agnostic about the presence of innate primitives. To illustrate why, consider the development of cleansing behavior.
Infants do not seem to show a strong desire for cleansing, perhaps because they are not disgusted by the things that disgust adults (e.g., feces and mess; Rozin & Fallon, Reference Rozin and Fallon1987). Because innate predispositions can emerge later in life (e.g., romantic attraction emerges during puberty; Curtis & Biran, Reference Curtis and Biran2001), the absence of an early desire for cleansing does not necessarily imply the absence of an innate primitive. But the extended effort involved in socializing young children about cleansing (Gerdin, Venkatesh, Rottman, & DeJesus [Gerdin et al.]) seems more compatible with sociocultural reinforcement of a learned construal of what needs to be cleansed and what cleansing means. We therefore join Gerdin et al.'s call for investigations into how grounded procedures unfold from infancy to childhood – in fact, even into adolescence and adulthood – and agree with many of their predictions. We doubt, however, that knowledge about the threatening nature of contaminants is required to learn about separation. Although parents are likely to emphasize this rationale in cleansing education, separation is just as well exemplified by washing one's favorite jam off one's sticky fingers.
Gerdin et al. also suggest, “If grounded procedures of separation are the proximate mechanism behind all of these domains, then one may predict that children will display cleansing effects and other ‘separation effects’ at similar developmental time points. Children should start cleansing themselves of dirt and germs at the same time they begin to separate themselves from social outgroup members.” Not necessarily. A proximate mechanism of cleansing does not necessitate that all forms of physical and mental separation emerge at the same developmental timepoint. To illustrate, consider disgust. Disgust can be a proximate mechanism for adults' disapproval of certain moral violations (Chapman & Anderson, Reference Chapman and Anderson2013), but this does not necessitate that physical and moral disgust emerge at the same developmental timepoint. Instead, disgust generalizes from physical to moral events as the child develops (Danovitch & Bloom, Reference Danovitch and Bloom2009). Similar trajectories may hold for grounded procedures of separation.
R7.2. Evolutionary/functional analyses
Schubert and Grüning highlight the broad utility of “dual inheritance approaches that argue that biology and culture co-evolve and jointly determine behavior.” Given the adaptive functions of cleansing and disgust (e.g., for pathogen avoidance; Tybur & Lieberman) and the rich sociocultural meanings around them (sects. R5 and R7.1), we have no doubt that they have been subject to processes of biological and cultural evolution. One prediction is that “the involvement of the innate blueprint differs among the provided examples. It may be particularly prominent in the avoidance response provided by the disgust reactions, and much more incidental in purification by smoke” (Schubert & Grüning). Testing whether differential adaptive values translate into differential effect sizes and elicitation likelihoods will bear on the evolutionary perspective. Related to this line of thinking, cleansing effects are overall stronger in sexual than non-sexual moral violations (Lee et al., Reference Lee, Chen, Ma and Hoang2020a). More generally, testing specific predictions derived from co-evolutionary perspectives on cleansing and other physical acts of separation and connection will facilitate integration of the proposed proximate mechanism with more distal explanations (Tinbergen, Reference Tinbergen1963/2010).
By outlining the functions, mechanisms, and byproducts of disgust and how these inform diverse topics (e.g., politics, psychopathology, social exclusion), Tybur and Lieberman argue that “A similar approach might contribute to our understanding of cleansing…. Myriad consequences of cleansing could also reflect byproducts of pathogen-neutralizing adaptations.” We share these interests and submit that separation is an adaptive aspect of disgust (sect. 3.2) that serves as a proximate link from disgust's primary functions (separation from disgust elicitors) to its byproduct phenomena (separation in general). Tybur and Lieberman further point out that “L&S's account of grounded procedures… does not address the function of the effects of cleansing, nor does it consider whether such effects might arise as byproducts, perhaps of pathogen-avoidance adaptations.” This is a fair critique and we elaborate on the functions of grounded procedures below.
Cleansing undoubtedly serves pathogen-avoidance functions, as shown in public health research and recommendations (Boyce & Pittet, Reference Boyce and Pittet2002; Kampf & Kramer, Reference Kampf and Kramer2004; Pittet, Allegranzi, & Boyce, Reference Pittet, Allegranzi and Boyce2009) as well as psychological investigations (Rozin & Fallon, Reference Rozin and Fallon1987). But there is more to cleansing than pathogen avoidance, as indicated by the domain-general consequences of cleansing (sect. 4.1), which may be overgeneralizations of the behavioral immune system (Schaller, Reference Schaller and Buss2015; Schaller & Park, Reference Schaller and Park2011). Zooming out from the specific case of cleansing, grounded procedures of separation and connection in general serve at least three functions. (i) They serve the epistemic function of using tangible, physical experience to scaffold intangible, mental operations (target article; Landau, Reference Landau2017; Williams, Huang, & Bargh, Reference Williams, Huang and Bargh2009). (ii) They serve the experiential function of concretizing (Gilead et al.) and intensifying (Horner & Greenberg; Kwon et al.) the psychological experience of separating from or connecting to objects and their associated events, experiences, and sense of self. (iii) They serve the sociocultural function of instantiating shared reality (Rossignac-Milon & Higgins), connecting people to their identified community (Oyserman), and helping them ameliorate existential concerns (Horner & Greenberg). Given these epistemic, experiential, and sociocultural functions of grounded procedures, both their phylogeny and ontogeny are likely to be driven by cultural forces alongside biological ones (Schubert & Grüning).
R8. Further extensions of grounded procedures
Several commentaries inspire further extensions of grounded procedures. These include additional candidates for intrapersonal and interpersonal forms of separation and connection as well as various physical forms of cleansing, separation, and connection.
R8.1. Additional candidates for intrapersonal and interpersonal forms of separation and connection
Felisatti et al. hypothesize that arithmetic operations of subtraction and addition confer a psychological sense of separation and connection, respectively. Supportive evidence for these links has been found in semantic priming (Bassok, Pedigo, & Oskarsson, Reference Bassok, Pedigo and Oskarsson2008), math education (Sinclair & Heyd-Metzuyanim, Reference Sinclair and Heyd-Metzuyanim2014), and attitude change (Paredes, Guyer, Briñol, & Petty, Reference Paredes, Guyer, Briñol and Petty2019). If mathematical thinking and psychological experience are not only related to each other (predicting cross-domain priming effects), but also similarly grounded in physical acts of separation and connection (Felisatti et al.), it would imply that physical experience scaffolds some of the most abstract mental representations key to humans' success, from math (Lakoff & Núñez, Reference Lakoff and Núñez2000) to culture (Oyserman et al., Reference Oyserman, Sorensen, Reber and Chen2009).
Physical acts of separation and connection can be contrasted with each other, but both involve bodily action. It seems obvious that one's body is owned by oneself; nevertheless, people differ in their subjective sense of body ownership. Scattolin, Panasiti, and Aglioti (Scattolin et al.) suggest that a high (vs. low) sense of body ownership may be experienced as connection to (vs. separation from) oneself, a possibility raised by their observation that variations in body ownership show parallel properties to those of grounded procedures, including domain- and valence-general consequences (target article, sects. 4.1 and 4.2) and valence-asymmetric antecedents (sect. 4.4). In addition to body ownership, continuity (vs. discontinuity) between one's past and present self may be another intrapersonal form of connection (vs. separation), according to Légeret and Hoffrage, who also suggest social inclusion (vs. exclusion) as an interpersonal form of connection (vs. separation).
Intrapersonal and interpersonal (i.e., non-physical) forms of separation can be recruited in the maintenance of a positive self-evaluation (e.g., by separating an immoral behavior from one's self-view or distancing oneself from an outperforming other; Tesser, Reference Tesser2000). When non-physical forms of separation as well as physical ones (e.g., cleansing) are all readily available, Wyer asks, which kind of strategies do people use? We suggest several determinants, including individual differences in (i) habitual behavior and (ii) chronic thought and feeling, and situational differences in (iii) fit and (iv) salience, reminiscent of the social cognition principles of accessibility and applicability (Higgins, Reference Higgins, Higgins and Kruglanski1996). People who habitually wash their hands or take a shower when they feel anxious, stressed, guilty, or unpleasant in other ways are likely to keep exhibiting these behaviors. The same applies to people who chronically think about and feel the urge for cleansing (e.g., OCD patients; sect. R6). Different situations can also trigger different emotions, motivations, and actions (target article, Table 2). A physical form of separation is more likely to occur when it matches the psychological features of a given situation. Such occurrence, contrary to Wyer's expectation, can be spontaneous, as when participants spontaneously cleansed themselves after thinking about unpleasant sexual encounters (Elliott & Radomsky, Reference Elliott and Radomsky2009, Reference Elliott and Radomsky2012; Fairbrother, Newth, & Rachman, Reference Fairbrother, Newth and Rachman2005; Herba & Rachman, Reference Herba and Rachman2007).
R8.2. Various physical forms of cleansing, separation, and connection
Vicarious cleansing (e.g., watching someone wash their hands) can influence one's attitudes and behaviors, though less strongly than actual cleansing does (e.g., washing one's own hands; Xu, Bègue, & Bushman, Reference Xu, Bègue and Bushman2014). The reason, Briñol and Petty speculate, is that actual experience, relative to vicarious or imagined experience, is more strongly linked to the self (see also target article, sect. 6.1). Ekves et al., drawing on the theory of intersecting object histories (sect. R4), further predict that the effect of watching someone else will be graded: “The more history the person you are watching shares with you (is it your partner, your friend, or a stranger?), the stronger the effect should be on you.” We agree with these predictions.
There are other physical forms of separation than cleansing, such as movement away from the self and enclosure of objects (target article, sect. 4.5). Recent research showed that when 5- to 6-year-olds were seated at a table and had the opportunity to cheat by peeking at an answer sheet on a nearby table without leaving their seat, simply having a physical barrier that separated the two tables reduced cheating behavior by half – even though the barrier was merely an empty frame that did not interfere with the ability to peek or when the barrier was merely imagined (Zhao et al., Reference Zhao, Zheng, Compton, Qin, Zheng, Fu and Heyman2020). When separation is less subtle and more intentional, and when the entity being separated is not a random object in an experiment but a personally meaningful object with strong associations with one's past self (e.g., a wedding ring), stronger effects are expected (Ekves et al.).
Turning from separation to connection, Wentzel, von Walter, and Scharfenberger (Wentzel et al.) recommend exploring different physical forms of grounded connection, including touching a physical entity, incorporating it (e.g., eating or drinking it), being encompassed by it (e.g., wearing it), and creating it. These can be redescribed (Fig. R2) as entity interfacing self, entity in self, self in entity, and self making entity. When the entity is another person, connection can also occur by sharing of physical space and coordination of physical activity (Kwon et al.). Such diverse forms may be construed as different versions of connection that underlie different but related psychological notions (e.g., ownership, interdependence), much like different forms of separation have different shades of meaning (target article, Table 2). Notwithstanding these differences (as noted by Urminsky), grounded procedures are posited at a level of abstraction that integrates multiple classes of phenomena, all of which involve various physical forms of separation and connection.

Figure R2. Varieties of grounded connection.
Although separation and connection can be examined independently of each other, predictions can also be made about their interplay. For example, if people expect opportunities of separation (e.g., handwashing) in the near future, they should be more willing to connect with negative entities (e.g., tainted money) at the moment (Kardos). More generally, expected opportunities of separation or connection should increase people's current willingness to engage with an undesirable entity or disengage from a desirable entity, respectively.
In daily life, physical acts of separation can precede connection (e.g., removing one's bad luck with incense before receiving good luck from the god of fortune; sect. R3.1) or vice versa (e.g., touching dirt to get rid of it from one's shoes; Kardos). What physical forms of separation and connection are capable of counteracting each other's influence? Wentzel et al. predict two determinants. (i) Procedures of separation/connection that serve specific (vs. more general) goals are applicable to specific (vs. broader) kinds of situations. (ii) Procedures of separation/connection with high sensorimotor engagement (e.g., actual movement) are counteracted only by procedures of connection/separation that also include high sensorimotor engagement, whereas procedures with low sensorimotor engagement (e.g., simulated movement) are counteracted by procedures with low or high sensorimotor engagement. Adding to these predictions, we draw on Figure R2 to predict that (iii) each form of connection is most likely to counteract and be counteracted by a form of separation that does the exact opposite (e.g., breaking the interface between an entity and oneself, taking an entity out of oneself). We are excited about future research into the spontaneous or strategic interplay between grounded procedures of separation and connection in people's mind and their social reality.
Target article
Grounded procedures: A proximate mechanism for the psychology of cleansing and other physical actions
Related commentaries (27)
A not-so proximate account of cleansing behavior
Bio-culturally grounded: why separation and connection may not be the same around the world
Body ownership as a proxy for individual and social separation and connection
Cleansing and separating: From modern agriculture and genocide to post-separation era
Cleansing and separation procedures reflect resource concerns
Considerations of the proximate mechanisms and ultimate functions of disgust will improve our understanding of cleansing effects
Cultural mindsets shape what grounded procedures mean: Cleansing can separate or connect and separating can feel good or not so good
Culture, ecology, and grounded procedures
Developmental antecedents of cleansing effects: Evidence against domain-generality
From washing hands to washing consciences and polishing reputations
Going beyond elementary mechanisms: the strategic interplay between grounded procedures
Grounded procedures of connection are not created equal
Grounded procedures of separation in clinical psychology: what's to be expected?
Grounded separation: can the sensorimotor be grounded in the symbolic?
Grounding together: Shared reality and cleansing practices
Incomplete grounding: the theory of symbolic separation is contradicted by pervasive stability in attitudes and behavior
It's a matter of (executive) load: Separation as a load-dependent resetting procedure
Leveraging individual differences to understand grounded procedures
Proper understanding of grounded procedures of separation needs a dual inheritance approach
Psychology of cleansing through the prism of intersecting object histories
Separation/connection procedures: From cleansing behavior to numerical cognition
Specifying separation: avoidance, abstraction, openness to new experiences
The impact of grounded procedures can vary as a function of perceived thought validity, meaning, and timing
The lack of robust evidence for cleansing effects
The role of goal-generalization processes in the effects of grounded procedures
The role of meta-analysis and preregistration in assessing the evidence for cleansing effects
The role of mortality concerns in separation and connection effects: comment on Lee and Schwarz
Author response
Grounded procedures in mind and society