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Mental imagery in psychiatry: conceptual & clinical implications

  • Julie L. Ji (a1), David J. Kavanagh (a2), Emily A. Holmes (a3), Colin MacLeod (a1) and Martina Di Simplicio (a4)...

Mental imagery refers to the experience of perception in the absence of external sensory input. Deficits in the ability to generate mental imagery or to distinguish it from actual sensory perception are linked to neurocognitive conditions such as dementia and schizophrenia, respectively. However, the importance of mental imagery to psychiatry extends beyond neurocognitive impairment. Mental imagery has a stronger link to emotion than verbal-linguistic cognition, serving to maintain and amplify emotional states, with downstream impacts on motivation and behavior. As a result, anomalies in the occurrence of emotion-laden mental imagery has transdiagnostic significance for emotion, motivation, and behavioral dysfunction across mental disorders. This review aims to demonstrate the conceptual and clinical significance of mental imagery in psychiatry through examples of mood and anxiety disorders, self-harm and suicidality, and addiction. We contend that focusing on mental imagery assessment in research and clinical practice can increase our understanding of the cognitive basis of psychopathology in mental disorders, with the potential to drive the development of algorithms to aid treatment decision-making and inform transdiagnostic treatment innovation.

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This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (, which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
*Address for correspondence: Dr. Julie L. Ji, School of Psychological Science, The University of Western Australia, 35 Stirling Hwy, Crawley 6009 WA Australia. (Email:
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1. Kosslyn, SM, Ganis, G, Thompson, WL. Neural foundations of imagery. Nat Rev Neurosci. 2001; 2(9): 635642.10.1038/35090055
2. Kosslyn, SM, Seger, C, Pani, JR, Hillger, LA. When is imagery used in everyday life? A diary study. J Ment Imagery. 1990; 14(3–4):131152.
3. Byrne, P, Becker, S, Burgess, N. Remembering the past and imagining the future: a neural model of spatial memory and imagery. Psychol Rev. 2007; 114(2): 340375.10.1037/0033-295X.114.2.340
4. Dils, AT, Boroditsky, L. Visual motion aftereffect from understanding motion language. Proc Natl Acad Sci USA. 2010; 107(37): 1639616400.10.1073/pnas.1009438107
5. Holmes, EA, Mathews, A. Mental imagery and emotion: a special relationship? Emotion. 2005; 5(4): 489497.10.1037/1528-3542.5.4.489
6. Kosslyn, SM. Image and Brain: The Resolution of the Imagery Debate. Cambridge, MA: MIT Press; 1994.
7. Taylor, SE, Pham, LB, Rivkin, ID. Armor D a. Harnessing the imagination. Am Psychol. 1998; 53(4): 429439.10.1037/0003-066X.53.4.429
8. Seligman, MEP, Railton, P, Baumeister, RF, Sripada, C. Navigating Into the Future or Driven by the Past. Perspect Psychol Sci. 2013; 8(2): 119141.10.1177/1745691612474317
9. Moulton, ST, Kosslyn, SM. Imagining predictions: mental imagery as mental emulation. Philos Trans R Soc Lond B Biol Sci. 2009; 364(1521): 12731280.10.1098/rstb.2008.0314
10. Di Simplicio, M, McInerney, JE, Goodwin, GM, Attenburrow, M–J, Holmes, EA. Revealing the mind’s eye: bringing (mental) images into psychiatry. Am J Psychiatry. 2012; 169(12): 12451246.10.1176/appi.ajp.2012.12040499
11. May, J, Kavanagh, DJ, Andrade, J. The Elaborated Intrusion Theory of desire: a 10-year retrospective and implications for addiction treatments. Addict Behav. 2015; 44(suppl C): 2934.10.1016/j.addbeh.2014.09.016
12. Irish, M, Piolino, P. Impaired capacity for prospection in the dementias—theoretical and clinical implications. Br J Clin Psychol. 2016; 55(1): 4968.10.1111/bjc.12090
13. Brébion, G, Ohlsen, RI, Pilowsky, LS, David, AS. Visual hallucinations in schizophrenia: confusion between imagination and perception. Neuropsychology. 2008; 22(3): 383389.10.1037/0894-4105.22.3.383
14. Di Simplicio, M, McInerney, JE, Goodwin, GM, Attenburrow, MJ, Holmes, EA. Revealing the mind’s eye: bringing (mental) images into psychiatry. Am J Psychiatry. 2012; 169(12): 12451246.10.1176/appi.ajp.2012.12040499
15. Kahneman, D. Experienced utility and objective happiness: A moment-based approach. In: Kahneman D, Tversky A, eds. Choices, Values and Frames. New York: Cambridge University Press; 2003.
16. Boukhechba, M, Gong, J, Kowsari, K, et al. Physiological changes over the course of cognitive bias modification for social anxiety. In: 2018 IEEE EMBS International Conference on Biomedical & Health Informatics (BHI). 2018: 422425 10.1109/BHI.2018.8333458
17. Chow, PI, Fua, K, Huang, Y, et al. Using Mobile Sensing to Test Clinical Models of Depression, Social Anxiety, State Affect, and Social Isolation Among College Students. Calvo R, ed. J Med Internet Res. 2017; 19(3): e62.
18. Marks, DF. Visual imagery differences in the recall of pictures. Br J Psychol. 1973; 64(1): 1724.10.1111/j.2044-8295.1973.tb01322.x
19. Andrade, J, May, J, Deeprose, C, Baugh, S-J, Ganis, G. Assessing vividness of mental imagery: The Plymouth Sensory Imagery Questionnaire. Br J Psychol. 2014; 105(4): 547563.10.1111/bjop.12050
20. Reisberg, D, Pearson, DG, Kosslyn, SM. Intuitions and introspections about imagery: the role of imagery experience in shaping an investigator’s theoretical views. Appl Cogn Psychol. 2003; 17(2): 147160.10.1002/acp.858
21. May, J, Andrade, J, Kavanagh, DJ, et al. The craving experience questionnaire: a brief, theory-based measure of consummatory desire and craving. Addiction. 2014; 109(5): 728735.10.1111/add.12472
22. Kavanagh, DJ, Robinson, N, Connolly, J, Connor, J, Andrade, J, May, J. The revised four-factor motivational thought frequency and state motivation scales for alcohol control. Addict Behav. 2018; 87: 6973.10.1016/j.addbeh.2018.05.026
23. Paivio, A. Comparisons of mental clocks. J Exp Psychol Hum Percept Perform. 1978; 4(1): 6171.10.1037/0096-1523.4.1.61
24. O’Craven, KM, Kanwisher, N. Mental imagery of faces and places activates corresponding stiimulus-specific brain regions. J Cogn Neurosci. 2000; 12(6): 10131023.10.1162/08989290051137549
25. Holmes, EA, Lang, TJ, Moulds, ML, Steele, AM. Prospective and positive mental imagery deficits in dysphoria. Behav Res Ther. 2008; 46(8): 976981.10.1016/j.brat.2008.04.009
26. Szpunar, KK, Schacter, DL. Get real: effects of repeated simulation and emotion on the perceived plausibility of future experiences. J Exp Psychol Gen. 2013; 142(2): 323327.10.1037/a0028877
27. Di Simplicio, M, Alfarano, G, Ji, JL, Suri, S, Visser, RM, Holmes, EA. Neural activity during simulation of future negative scenarios in individuals with bipolar disorder phenotype. (In prep).
28. Ji, JL, Holmes, EA, MacLeod, C, Murphy, FC. Spontaneous cognition in dysphoria: reduced positive bias in imagining the future. Psychol Res. 2018
29. Pearson, DG, Deeprose, C, Wallace-Hadrill, SMA, Burnett Heyes, S, Holmes, EA. Assessing mental imagery in clinical psychology: a review of imagery measures and a guiding framework. Clin Psychol Rev. 2013; 33(1): 123.10.1016/j.cpr.2012.09.001
30. Galton, F. Psychometric experiments. Brain. 1879; 2(2): 149162.10.1093/brain/2.2.149
31. Pearson, J, Kosslyn, SM. The heterogeneity of mental representation: ending the imagery debate. Proc Natl Acad Sci USA. 2015; 112(33): 1008910092.10.1073/pnas.1504933112
32. Barsalou, LW. Grounded cognition. Annu Rev Psychol. 2008; 59(1): 617645.10.1146/annurev.psych.59.103006.093639
33. Pylyshyn, ZW. What the mind’s eye tells the mind’s brain: A critique of mental imagery. Psychol Bull. 1973; 80(1): 124.10.1037/h0034650
34. Dijkstra, N, Zeidman, P, Ondobaka, S, van Gerven, MAJ, Friston, K. Distinct top-down and bottom-up brain connectivity during visual perception and imagery. Sci Rep. 2017; 7(1): 5677.10.1038/s41598-017-05888-8
35. Slotnick, SD, Thompson, WL, Kosslyn, SM. Visual mental imagery induces retinotopically organized activation of early visual areas. Cereb Cortex. 2005; 15(10): 15701583.10.1093/cercor/bhi035
36. Ehrsson, HH, Geyer, S, Naito, E. Imagery of voluntary movement of fingers, toes, and tongue activates corresponding body-part-specific motor representations. J Neurophysiol. 2003; 90(5): 33043316.10.1152/jn.01113.2002
37. Hubbard, TL. Auditory imagery: empirical findings. Psychol Bull. 2010; 136(2): 302329.10.1037/a0018436
38. Berger, CC, Ehrsson, HH. Mental imagery induces cross-modal sensory plasticity and changes future auditory perception. Psychol Sci. 2018; 29(6): 926935.10.1177/0956797617748959
39. Pearson, J, Naselaris, T, Holmes, EA, Kosslyn, SM. Mental imagery: functional mechanisms and clinical applications. Trends Cogn Sci. 2015; 19(10): 590602.10.1016/j.tics.2015.08.003
40. Ji, JL, Heyes, SB, MacLeod, C, Holmes, EA. Emotional mental imagery as simulation of reality: fear and beyond-a tribute to Peter Lang. Behav Ther. 2016; 47(5): 702719.10.1016/j.beth.2015.11.004
41. Stokes, M, Thompson, R, Cusack, R, Duncan, J. Top-down activation of shape-specific population codes in visual cortex during mental imagery. J Neurosci. 2009; 29(5): 1565 LP1572.10.1523/JNEUROSCI.4657-08.2009
42. Mechelli, A, Price, CJ, Friston, KJ, Ishai, A. Where bottom-up meets top-down: neuronal interactions during perception and imagery. Cereb Cortex. 2004; 14(11): 12561265.10.1093/cercor/bhh087
43. Schacter, DL, Addis, DR, Buckner, RL. Remembering the past to imagine the future: the prospective brain. Nat Rev Neurosci. 2007; 8(9): 657661.10.1038/nrn2213
44. Baddeley, AD, Andrade, J. Working memory and the vividness of imagery. J Exp Psychol Gen. 2000; 129(1): 126145.10.1037/0096-3445.129.1.126
45. Palombo, DJ, Alain, C, Söderlund, H, Khuu, W, Levine, B. Severely deficient autobiographical memory (SDAM) in healthy adults: A new mnemonic syndrome. Neuropsychologia. 2015; 72(suppl C): 105118.10.1016/j.neuropsychologia.2015.04.012
46. Zeman, A, Dewar, M, Della Sala, S. Lives without imagery - congenital aphantasia. Cortex. 2015; 73(suppl C): 378380.10.1016/j.cortex.2015.05.019
47. Keogh, R, Pearson, J. The perceptual and phenomenal capacity of mental imagery. Cognition. 2017; 162:124132.10.1016/j.cognition.2017.02.004
48. Keogh, R, Pearson, J. The blind mind: no sensory visual imagery in aphantasia. Cortex. 2018; 105:5360.10.1016/j.cortex.2017.10.012
49. Buckner, RL, Snyder, AZ, Shannon, BJ, et al. Molecular, structural, and functional characterization of Alzheimer’s disease: evidence for a relationship between default activity, amyloid, and memory. J Neurosci. 2005; 25(34): 7709 LP7717.10.1523/JNEUROSCI.2177-05.2005
50. Addis, DR, Wong, AT, Schacter, DL. Remembering the past and imagining the future: common and distinct neural substrates during event construction and elaboration. Neuropsychologia. 2007; 45(7): 13631377.10.1016/j.neuropsychologia.2006.10.016
51. Hassabis, D, Kumaran, D, Vann, SD, Maguire, EA. Patients with hippocampal amnesia cannot imagine new experiences. Proc Natl Acad Sci USA. 2007; 104(5): 17261731.10.1073/pnas.0610561104
52. Okuda, J, Fujii, T, Ohtake, H, et al. Thinking of the future and past: the roles of the frontal pole and the medial temporal lobes. Neuroimage. 2003; 19(4): 13691380.10.1016/S1053-8119(03)00179-4
53. Szpunar, KK, Watson, JM, McDermott, KB. Neural substrates of envisioning the future. Proc Natl Acad Sci USA. 2007; 104(2):642647.10.1073/pnas.0610082104
54. Addis, DR, Schacter, DL. Constructive episodic simulation: temporal distance and detail of past and future events modulate hippocampal engagement. Hippocampus. 2008; 18(2):227237.10.1002/hipo.20405
55. Addis, DR, Sacchetti, DC, Ally, BA, Budson, AE, Schacter, DL. Episodic simulation of future events is impaired in mild Alzheimer’s disease. Neuropsychologia. 2009; 47(12): 26602671.10.1016/j.neuropsychologia.2009.05.018
56. Irish, M, Halena, S, Kamminga, J, Tu, S, Hornberger, M, Hodges, JR. Scene construction impairments in Alzheimer’s disease – A unique role for the posterior cingulate cortex. Cortex. 2015; 73(suppl C): 1023.10.1016/j.cortex.2015.08.004
57. Irish, M, Addis, DR, Hodges, JR, Piguet, O. Exploring the content and quality of episodic future simulations in semantic dementia. Neuropsychologia. 2012; 50(14): 34883495.10.1016/j.neuropsychologia.2012.09.012
58. Irish, M, Hodges, JR, Piguet, O. Episodic future thinking is impaired in the behavioural variant of frontotemporal dementia. Cortex. 2013; 49(9): 23772388.10.1016/j.cortex.2013.03.002
59. Irish, M, Piguet, O. The pivotal role of semantic memory in remembering the past and imagining the future. Front Behav Neurosci. 2013; 7: 27.10.3389/fnbeh.2013.00027
60. Bechara, A, Tranel, D, Damasio, H. Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions. Brain. 2000; 123(Pt 11): 21892202.10.1093/brain/123.11.2189
61. Hsiao, JJ, Kaiser, N, Fong, SS, Mendez, MF. Suicidal behavior and loss of the future self in semantic dementia. Cogn Behav Neurol. 2013; 26(2): 8592.10.1097/WNN.0b013e31829c671d
62. Seal, ML, Aleman, A, McGuire, PK. Compelling imagery, unanticipated speech and deceptive memory: neurocognitive models of auditory verbal hallucinations in schizophrenia. Cogn Neuropsychiatry. 2004; 9(1–2): 4372.10.1080/13546800344000156
63. Aynsworth, C, Nemat, N, Collerton, D, Smailes, D, Dudley, R. Reality monitoring performance and the role of visual imagery in visual hallucinations. Behav Res Ther. 2017; 97: 115122.10.1016/j.brat.2017.07.012
64. Winfield, H, Kamboj, SK. Schizotypy and mental time travel. Conscious Cogn. 2010; 19(1): 321327.10.1016/j.concog.2009.11.011
65. Holmes, EA, Steel, C. Schizotypy: a vulnerability factor for traumatic intrusions. J Nerv Ment Dis. 2004; 192(1): 2834.10.1097/01.nmd.0000105997.28152.4b
66. Steel, C, Fowler, D, Holmes, EA. Trauma-related intrusions and psychosis: an information processing account. Behav Cogn Psychother. 2005; 33(2): 139152.10.1017/S1352465804001924
67. Barrett, TR. Verbal hallucinations in normals—II: self-reported imagery vividness. Pers Individ Dif. 1993; 15(1): 6167.10.1016/0191-8869(93)90041-Z
68. Crespi, B, Leach, E, Dinsdale, N, Mokkonen, M, Hurd, P. Imagination in human social cognition, autism, and psychotic-affective conditions. Cognition. 2016; 150: 181199.10.1016/j.cognition.2016.02.001
69. Brébion, G, Ohlsen, RI, Bressan, RA, David, AS. Source memory errors in schizophrenia, hallucinations and negative symptoms: a synthesis of research findings. Psychol Med. 2012; 42(12):25432554.10.1017/S003329171200075X
70. Bentall, RP, Baker, GA, Havers, S. Reality monitoring and psychotic hallucinations. Br J Clin Psychol. 1991; 30(Pt 3): 213222.10.1111/j.2044-8260.1991.tb00939.x
71. Barnes, J, Boubert, L, Harris, J, Lee, A, David, AS. Reality monitoring and visual hallucinations in Parkinson’s disease. Neuropsychologia. 2003; 41(5): 565574.10.1016/S0028-3932(02)00182-3
72. Keefe, RSE, Harvey, PD. Cognitive impairment in schizophrenia bt - novel antischizophrenia treatments. In: Geyer MA, Gross G, eds. Berlin, Heidelberg: Springer Berlin Heidelberg; 2012: 1137.
73. D’Argembeau, A, Raffard, S, Van, der Linden, M. Remembering the past and imagining the future in schizophrenia. J Abnorm Psychol. 2008; 117(1): 247251.10.1037/0021-843X.117.1.247
74. Steel, C, Wykes, T, Ruddle, A, Smith, G, Shah, DM, Holmes, EA. Can we harness computerised cognitive bias modification to treat anxiety in schizophrenia? A first step highlighting the role of mental imagery. Psychiatry Res. 2010; 178(3): 451455.10.1016/j.psychres.2010.04.042
75. Sack, AT, van de Ven, VG, Etschenberg, S, Schatz, D, Linden, DEJ. Enhanced vividness of mental imagery as a trait marker of schizophrenia? Schizophr Bull. 2005; 31(1): 97104.10.1093/schbul/sbi011
76. Oertel, V, Rotarska-Jagiela, A, van de Ven, V, et al. Mental imagery vividness as a trait marker across the schizophrenia spectrum. Psychiatry Res. 2009; 167(1–2): 111.10.1016/j.psychres.2007.12.008
77. Morrison, AS, Amir, N, Taylor, CT. A behavioral index of imagery ability in social anxiety. Cognit Ther Res. 2011; 35(4): 326332.10.1007/s10608-009-9274-6
78. Zarrinpar, A, Deldin, P, Kosslyn, SM. Effects of depression on sensory/motor vs. central processing in visual mental imagery. Cogn Emotion. 2006; 20(6): 737758.10.1080/02699930500405600
79. Di Simplicio, M, Renner, F, Blackwell, SE, et al. An investigation of mental imagery in bipolar disorder: Exploring “the mind’s eye”. Bipolar Disord. 2016; 18(8): 669683.10.1111/bdi.12453
80. Wu, JQ, Szpunar, KK, Godovich, SA, Schacter, DL, Hoffman, SG. Episodic future thinking in generalized anxiety disorder. 2016; (617): 18.
81. Vrana, SR, Lang, PJ. Fear imagery and the startle-probe reflex. J Abnorm Psychol. 1990; 99(2): 189197.10.1037/0021-843X.99.2.189
82. Witvliet, CVO, Vrana, SR. Psychophysiological responses as indices of affective dimensions. Psychophysiology. 1995; 32(5): 436443.10.1111/j.1469-8986.1995.tb02094.x
83. Lang, PJ, Levin, DN, Miller, GA, Kozak, MJ. Fear behavior, fear imagery, and the psychophysiology of emotion: the problem of affective response integration. J Abnorm Psychol. 1983; 92(3): 276306.10.1037/0021-843X.92.3.276
84. Weerts, TC, Lang, PJ. Psychophysiology of fear imagery: differences between focal phobia and social performance anxiety. J Consult Clin Psychol. 1978; 46(5): 11571159.10.1037/0022-006X.46.5.1157
85. Cuthbert, BN, Lang, PJ, Strauss, C, Drobes, D, Patrick, CJ, Bradley, MM. The psychophysiology of anxiety disorder: fear memory imagery. Psychophysiology. 2003; 40(3): 407422.10.1111/1469-8986.00043
86. Sabatinelli, D, Bradley, MM, Lang, PJ, Costa, VD, Versace, F. Pleasure rather than salience activates human nucleus accumbens and medial prefrontal cortex. J Neurophysiol. 2007; 98(3): 13741379.10.1152/jn.00230.2007
87. Costa, VD, Lang, PJ, Sabatinelli, D, Versace, F, Bradley, MM. Emotional imagery: assessing pleasure and arousal in the brain’s reward circuitry. Hum Brain Mapp. 2010; 31(9): 14461457.10.1002/hbm.20948
88. Kim, S-E, Kim, J-W, Kim, J-J, et al. The neural mechanism of imagining facial affective expression. Brain Res. 2007; 1145(suppl C): 128137.10.1016/j.brainres.2006.12.048
89. Lee, S, Ruiz, S, Caria, A, Veit, R, Birbaumer, N, Sitaram, R. Detection of cerebral reorganization induced by real-time fMRI feedback training of insula activation: a multivariate investigation. Neurorehabil Neural Repair. 2011; 25(3): 259267.10.1177/1545968310385128
90. Andrade, J, Kavanagh, D, Baddeley, A. Eye-movements and visual imagery: a working memory approach to the treatment of post-traumatic stress disorder. Br J Clin Psychol. 1997; 36(Pt 2):209223.10.1111/j.2044-8260.1997.tb01408.x
91. Kavanagh, DJ, Freese, S, Andrade, J, May, J. Effects of visuospatial tasks on desensitization to emotive memories. Br J Clin Psychol. 2001; 40(Pt 3): 267280.10.1348/014466501163689
92. Engelhard, IM, van den Hout, MA, Janssen, WC, van der Beek, J. Eye movements reduce vividness and emotionality of “flashforwards”. Behav Res Ther. 2010; 48(5): 442447.10.1016/j.brat.2010.01.003
93. Engelhard, IM, van den Hout, MA, Dek, ECP, et al. Reducing vividness and emotional intensity of recurrent “flashforwards” by taxing working memory: an analogue study. J Anxiety Disord. 2011; 25(4): 599603.10.1016/j.janxdis.2011.01.009
94. Lilley, SA, Andrade, J, Turpin, G, Sabin-Farrell, R, Holmes, EA. Visuospatial working memory interference with recollections of trauma. Br J Clin Psychol. 2009; 48(Pt 3): 309321.10.1348/014466508X398943
95. Lau-Zhu, A, Holmes, EA, Butterfield, S, Holmes, J. Selective association between tetris game play and visuospatial working memory: a preliminary investigation. Appl Cogn Psychol. 2017; 31(4): 438445.10.1002/acp.3339
96. James, EL, Lau-Zhu, A, Clark, IA, Visser, RM, Hagenaars, MA, Holmes, EA. The trauma film paradigm as an experimental psychopathology model of psychological trauma: intrusive memories and beyond. Clin Psychol Rev. 2016; 47: 106142.10.1016/j.cpr.2016.04.010
97. Holmes, EA, James, EL, Coode-Bate, T, Deeprose, C. Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS One. 2009; 4(1): e4153.10.1371/journal.pone.0004153
98. Iyadurai, L, Blackwell, SE, Meiser-Stedman, R, et al. Preventing intrusive memories after trauma via a brief intervention involving Tetris computer game play in the emergency department: a proof-of-concept randomized controlled trial. Mol Psychiatry. 2017; (March).
99. Horsch, A, Vial, Y, Favrod, C, et al. Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study. Behav Res Ther. 2017; 94: 3647.10.1016/j.brat.2017.03.018
100. Holmes, EA, Lang, TJ, Shah, DM. Developing interpretation bias modification as a “cognitive vaccine” for depressed mood: imagining positive events makes you feel better than thinking about them verbally. J Abnorm Psychol. 2009; 118(1): 7688.10.1037/a0012590
101. Holmes, EA, Mathews, A, Mackintosh, B, Dalgleish, T. The causal effect of mental imagery on emotion assessed using picture-word cues. Emotion. 2008; 8(3): 395409.10.1037/1528-3542.8.3.395
102. Nelis, S, Holmes, EA, Palmieri, R, Bellelli, G, Raes, F. Thinking back about a positive event: the impact of processing style on positive affect. Front Psychiatry. 2015; 6: 3.10.3389/fpsyt.2015.00003
103. Holmes, EA, Coughtrey, AE, Connor, A. Looking at or through rose-tinted glasses? Imagery perspective and positive mood. Emotion. 2008; 8(6): 875879.10.1037/a0013617
104. Holmes, EA, Geddes, JR, Colom, F, Goodwin, GM. Mental imagery as an emotional amplifier: application to bipolar disorder. Behav Res Ther. 2008; 46(12): 12511258.10.1016/j.brat.2008.09.005
105. Carver, CS. Approach, avoidance, and the self-regulation of affect and action. Motiv Emot. 2006; 30(2): 105110.10.1007/s11031-006-9044-7
106. Lang, PJ, Bradley, MM. Emotion and the motivational brain. Biol Psychol. 2010; 84(3): 437450.10.1016/j.biopsycho.2009.10.007
107. Kavanagh, DJ, Andrade, J, May, J. Imaginary relish and exquisite torture: the elaborated intrusion theory of desire. Psychol Rev. 2005; 112(2): 446467.10.1037/0033-295X.112.2.446
108. Tiggemann, M, Kemps, E. The phenomenology of food cravings: the role of mental imagery. Appetite. 2005; 45(3): 305313.10.1016/j.appet.2005.06.004
109. Harvey, K, Kemps, E, Tiggemann, M. The nature of imagery processes underlying food cravings. Br J Health Psychol. 2005; 10(Pt 1): 4956.10.1348/135910704X14249
110. May, J, Andrade, J, Kavanagh, DJ, Penfound, L. Imagery and strength of craving for eating, drinking, and playing sport. Cogn Emotion. 2008; 22(4): 633650.10.1080/02699930701446296
111. Maude-Griffin, P, Tiffany, ST. Production of smoking urges through imagery: the impact of affect and smoking abstinence. Exp Clin Psychopharmacol. 1996; 4(2): 198208.10.1037/1064-1297.4.2.198
112. Tiffany, ST, Drobes, DJ. Imagery and smoking urges: the manipulation of affective content. Addict Behav. 1990; 15(6):531539.10.1016/0306-4603(90)90053-Z
113. Drobes, DJ, Tiffany, ST. Induction of smoking urge through imaginal and in vivo procedures: physiological and self-report manifestations. J Abnorm Psychol. 1997; 106(1): 1525.10.1037/0021-843X.106.1.15
114. Heishman, SJ, Lee, DC, Taylor, RC, Singleton, EG. Prolonged duration of craving, mood, and autonomic responses elicited by cues and imagery in smokers: effects of tobacco deprivation and sex. Exp Clin Psychopharmacol. 2010; 18(3): 245256.10.1037/a0019401
115. Vanhaudenhuyse, A, Bruno, M-A, Brédart, S, Plenevaux, A, Laureys, S. The challenge of disentangling reportability and phenomenal consciousness in post-comatose states. Behav Brain Sci. 2007; 30(5–6): 529530.10.1017/S0140525X0700310X
116. Morewedge, CK, Huh, YE, Vosgerau, J. Thought for food: imagined consumption reduces actual consumption. Science. 2010; 330(6010): 15301533.10.1126/science.1195701
117. Kilts, CD, Schweitzer, JB, Quinn, CK, et al. Neural activity related to drug craving in cocaine addiction. Arch Gen Psychiatry. 2001; 58(4): 334341.10.1001/archpsyc.58.4.334
118. Tiggemann, M, Kemps, E, Parnell, J. The selective impact of chocolate craving on visuospatial working memory. Appetite. 2010; 55(1): 4448.10.1016/j.appet.2010.03.010
119. Littel, M, van den Hout, MA, Engelhard, IM. Desensitizing addiction: using eye movements to reduce the intensity of substance-related mental imagery and craving. Front Psychiatry. 2016; 7:14.10.3389/fpsyt.2016.00014
120. Schumacher, S, Kemps, E, Tiggemann, M. Acceptance- and imagery-based strategies can reduce chocolate cravings: A test of the elaborated-intrusion theory of desire. Appetite. 2017; 113: 6370.10.1016/j.appet.2017.02.012
121. Skorka-Brown, J, Andrade, J, Whalley, B, May, J. Playing Tetris decreases drug and other cravings in real world settings. Addict Behav. 2015; 51: 165170.10.1016/j.addbeh.2015.07.020
122. Andrade, J, Pears, S, May, J, Kavanagh, DJ. Use of a clay modeling task to reduce chocolate craving. Appetite. 2012; 58(3): 955963.10.1016/j.appet.2012.02.044
123. Kemps, E, Tiggemann, M. Hand-held dynamic visual noise reduces naturally occurring food cravings and craving-related consumption. Appetite. 2013; 68: 152157.10.1016/j.appet.2013.05.001
124. May, J, Andrade, J, Panabokke, N, Kavanagh, D. Visuospatial tasks suppress craving for cigarettes. Behav Res Ther. 2010; 48(6):476485.10.1016/j.brat.2010.02.001
125. Hamilton, J, Fawson, S, May, J, Andrade, J, Kavanagh, DJ. Brief guided imagery and body scanning interventions reduce food cravings. Appetite. 2013; 71: 158162.10.1016/j.appet.2013.08.005
126. May, J, Andrade, J, Batey, H, Berry, L-M, Kavanagh, DJ. Less food for thought. Impact of attentional instructions on intrusive thoughts about snack foods. Appetite . 2010; 55(2): 279287.
127. Firmin, MW, Gillette, AL, Hobbs, TE, Wu, D. Effects of olfactory sense on chocolate craving. Appetite. 2016; 105: 700704.10.1016/j.appet.2016.07.004
128. Kemps, E, Tiggemann, M. Competing visual and olfactory imagery tasks suppress craving for coffee. Exp Clin Psychopharmacol. 2009; 17(1): 4350.10.1037/a0014962
129. Versland, A, Rosenberg, H. Effect of brief imagery interventions on craving in college student smokers. Addict Res Theory. 2007; 15(2): 177187.10.1080/16066350701200582
130. Kemps, E, Tiggemann, M. Modality-specific imagery reduces cravings for food: an application of the elaborated intrusion theory of desire to food craving. J Exp Psychol Appl. 2007; 13(2): 95104.10.1037/1076-898X.13.2.95
131. Morina, N, Deeprose, C, Pusowski, C, Schmid, M, Holmes, EA. Prospective mental imagery in patients with major depressive disorder or anxiety disorders. J Anxiety Disord. 2011; 25(8):10321037.10.1016/j.janxdis.2011.06.012
132. Pile, V, Lau, JYF. Looking forward to the future: impoverished vividness for positive prospective events characterises low mood in adolescence. J Affect Disord. 2018; 238(April): 269276.10.1016/j.jad.2018.05.032
133. Hirsch, CR, Holmes, EA. Mental imagery in anxiety disorders. Psychiatry. 2007; 6(4): 161165.10.1016/j.mppsy.2007.01.005
134. Association, AP. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.10.1176/appi.books.9780890425596
135. Ehlers, A, Hackmann, A, Michael, T. Intrusive re-experiencing in post-traumatic stress disorder: phenomenology, theory, and therapy. Memory. 2004; 12(4): 403415.10.1080/09658210444000025
136. Grey, N, Holmes, EA. “Hotspots” in trauma memories in the treatment of post-traumatic stress disorder: a replication. Memory. 2008; 16(7): 788796.10.1080/09658210802266446
137. Coughtrey, AE, Shafran, R, Lee, M, Rachman, S. The treatment of mental contamination: a case series. Cognit Behav Pract. 2013; 20(2): 221231.10.1016/j.cbpra.2012.07.002
138. Hirsch, CR, Clark, DM, Mathews, A, Williams, R. Self-images play a causal role in social phobia. Behav Res Ther. 2003; 41(8): 909921.10.1016/S0005-7967(02)00103-1
139. Borkovec, TD, Alcaine, O, Behar, E. Avoidance theory of worry and generalized anxiety disorder. In: Heimberg RG, Turk CL, Mennin DS, eds. Generalized Anxiety Disorder: Advances in Research and Practice. New York: The Guildford Press; 2004.
140. Stöber, J. Worry, problem elaboration and suppression of imagery: the role of concreteness. Behav Res Ther. 1998; 36(7–8): 751756.10.1016/S0005-7967(98)00027-8
141. Behar, E, DiMarco, ID, Hekler, EB, Mohlman, J, Staples, AM. Current theoretical models of generalized anxiety disorder (GAD): conceptual review and treatment implications. J Anxiety Disord. 2009; 23(8): 10111023.10.1016/j.janxdis.2009.07.006
142. Dadds, MR, Hawes, D, Schaefer, B, Vaka, K. Individual differences in imagery and reports of aversions. Memory. 2004; 12(4): 462466.10.1080/09658210444000070
143. Dadds, MR, Bovbjerg, DH, Redd, WH, Cutmore, TRH. Imagery in human classical conditioning. Psychol Bull. 1997; 122(1): 89103.10.1037/0033-2909.122.1.89
144. Holmes, EA, Blackwell, SE, Burnett Heyes, S, Renner, F, Raes, F. Mental imagery in depression: phenomenology, potential mechanisms, and treatment implications. Annu Rev Clin Psychol. 2016; 12(1): 249280.10.1146/annurev-clinpsy-021815-092925
145. Weßlau, C, Cloos, M, Höfling, V, Steil, R. Visual mental imagery and symptoms of depression - results from a large-scale web-based study. BMC Psychiatry. 2015; 15(1): 308.10.1186/s12888-015-0689-1
146. MacLeod, AK, Conway, C. Well-being and positive future thinking for the self versus others. Cogn Emotion. 2007; 21(5): 11141124.10.1080/02699930601109507
147. MacLeod, AK, Salaminiou, E. Reduced positive future-thinking in depression: cognitive and affective factors. Cogn Emotion. 2001; 15(1): 99107.10.1080/02699930125776
148. MacLeod, AK, Tata, P, Tyrer, P, Schmidt, U, Davidson, K, Thompson, S. Hopelessness and positive and negative future thinking in parasuicide. Br J Clin Psychol. 2005; 44(Pt 4): 495504.10.1348/014466505X35704
149. Szőllősi, Á, Pajkossy, P, Racsmány, M. Depressive symptoms are associated with the phenomenal characteristics of imagined positive and negative future events. Appl Cogn Psychol. 2015; 29(5): 762767.10.1002/acp.3144
150. Murphy, F, Veers, P V, Blackwell, SE, Holmes, EA, Manly, T. Anticipated and imagined futures: prospective cognition and depressed mood following brain injury. 2017
151. Patel, T, Brewin, CR, Wheatley, J, Wells, A, Fisher, P, Myers, S. Intrusive images and memories in major depression. Behav Res Ther. 2007; 45(11): 25732580.10.1016/j.brat.2007.06.004
152. Renner, F, Ji, JL, Pictet, A, Holmes, EA, Blackwell, SE. Effects of engaging in repeated mental imagery of future positive events on behavioural activation in individuals with major depressive disorder. Cognit Ther Res. 2017; 41(3): 369380.10.1007/s10608-016-9776-y
153. Hales, SA, Deeprose, C, Goodwin, GM, Holmes, EA. Cognitions in bipolar affective disorder and unipolar depression: imagining suicide. Bipolar Disord. 2011; 13(7–8): 651661.10.1111/j.1399-5618.2011.00954.x
154. Ivins, A, Di Simplicio, M, Close, H, Goodwin, GM, Holmes, E. Mental imagery in bipolar affective disorder versus unipolar depression: investigating cognitions at times of ‘positive’ mood. J Affect Disord. 2014; 166: 234242.10.1016/j.jad.2014.05.007
155. Gregory, JD, Brewin, CR, Mansell, W, Donaldson, C. Intrusive memories and images in bipolar disorder. Behav Res Ther. 2010; 48(7): 698703.10.1016/j.brat.2010.04.005
156. Meyer, TD, Finucane, L, Jordan, G. Is risk for mania associated with increased daydreaming as a form of mental imagery? J Affect Disord. 2011; 135(1–3): 380383.10.1016/j.jad.2011.06.002
157. O’Donnell, C, Di Simplicio, M, Brown, R, Holmes, EA, Burnett Heyes, S. The role of mental imagery in mood amplification: an investigation across subclinical features of bipolar disorders. Cortex. 2017; 105: 114.
158. Hasking, PA, Di Simplicio, M, McEvoy, PM, Rees, CS. Emotional cascade theory and non-suicidal self-injury: the importance of imagery and positive affect. Cogn Emot. August 2017: 112.
159. McEvoy, PM, Hayes, S, Hasking, PA, Rees, CS. Thoughts, images, and appraisals associated with acting and not acting on the urge to self-injure. J Behav Ther Exp Psychiatry. 2017; 57(suppl C):163171.10.1016/j.jbtep.2017.05.010
160. Holmes, EA, Crane, C, Fennell, MJV, Williams, JMG. Imagery about suicide in depression—“Flash-forwards”? J Behav Ther Exp Psychiatry. 2007; 38(4): 423434.10.1016/j.jbtep.2007.10.004
161. Crane, C, Shah, D, Barnhofer, T, Holmes, EA. Suicidal imagery in a previously depressed community sample. Clin Psychol Psychother. 2012; 19(1): 5769.10.1002/cpp.741
162. Van Orden, KA, Witte, TK, Cukrowicz, KC, Braithwaite, SR, Selby, EA, Joiner, TE Jr. The interpersonal theory of suicide. Psychol Rev. 2010; 117(2): 575600.10.1037/a0018697
163. Selby, EA, Anestis, MD, Joiner, TE, Selby, EA, Anestis, MD, Joiner, TE. Behavior modification emotion dysregulation in suicidality. 2007: 867–879.
164. Holaday, TC, Brausch, AM. Suicidal imagery, history of suicidality, and acquired capability in young adults. J Aggress Conflict Peace Res. 2015; 7(3): 127138.10.1108/JACPR-10-2014-0146
165. Ng, RMK, Di Simplicio, M, McManus, F, Kennerley, H, Holmes, EA. ‘Flash-forwards’ and suicidal ideation: A prospective investigation of mental imagery, entrapment and defeat in a cohort from the Hong Kong Mental Morbidity Survey. Psychiatry Res. 2016; 246(suppl C): 453460.10.1016/j.psychres.2016.10.018
166. Wetherall, K, Cleare, S, Eschle, S, et al. From ideation to action: differentiating between those who think about suicide and those who attempt suicide in a national study of young adults. J Affect Disord. 2018; 241(June): 475483.10.1016/j.jad.2018.07.074
167. Kavanagh, DJ, May, J, Andrade, J. Tests of the elaborated intrusion theory of craving and desire: features of alcohol craving during treatment for an alcohol disorder. Br J Clin Psychol. 2009; 48(Pt 3): 241254.10.1348/014466508X387071
168. Fox, HC, Bergquist, KL, Hong, K-I, Sinha, R. Stress-induced and alcohol cue-induced craving in recently abstinent alcohol-dependent individuals. Alcohol Clin Exp Res. 2007; 31(3): 395403.10.1111/j.1530-0277.2006.00320.x
169. Tiffany, ST. A cognitive model of drug urges and drug-use behavior: role of automatic and nonautomatic processes. Psychol Rev. 1990; 97(2): 147168.10.1037/0033-295X.97.2.147
170. Connor, JP, Kavanagh, DJ, Andrade, J, et al. Alcohol consumption in young adults: the role of multisensory imagery. Addict Behav. 2014; 39(3): 721724.10.1016/j.addbeh.2013.11.023
171. Coates, JM, Gullo, MJ, Feeney, GFX, et al. The mini alcohol craving experience questionnaire: development and clinical application. Alcohol Clin Exp Res. 2017; 41(1): 156164.10.1111/acer.13278
172. Clark, IA, Holmes, EA, Woolrich, MW, Mackay, CE. Intrusive memories to traumatic footage: the neural basis of their encoding and involuntary recall. Psychol Med. 2016; 46(3):505518.10.1017/S0033291715002007
173. Holmes, EA, Arntz, A, Smucker, MR. Imagery rescripting in cognitive behaviour therapy: images, treatment techniques and outcomes. J Behav Ther Exp Psychiatry. 2007; 38(4):297305.10.1016/j.jbtep.2007.10.007
174. Blackwell, SE, Browning, M, Mathews, A, et al. Positive imagery-based cognitive bias modification as a web-based treatment tool for depressed adults: a randomized controlled trial. Clin Psychol Sci. 2015; 3(1): 91111.10.1177/2167702614560746
175. Wilson, AC, Schwannauer, M, McLaughlin, A, Ashworth, F, Chan, SWY. Vividness of positive mental imagery predicts positive emotional response to visually presented Project Soothe pictures. Br J Psychol. 2017; 109(2): 259 10.1111/bjop.12267
176. Naismith, I, Mwale, A, Feigenbaum, J. Inhibitors and facilitators of compassion-focused imagery in personality disorder. Clin Psychol Psychother. 2018; 25(2): 283291.10.1002/cpp.2161
177. Solbrig, L, Whalley, B, Kavanagh, DJ, et al. Functional imagery training versus motivational interviewing for weight loss: a randomised controlled trial of brief individual interventions for overweight and obesity. Int J Obes. 2018.10.1038/s41366-018-0122-1
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CNS Spectrums
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