At the mercy of myself: A thematic analysis of beliefs about losing control.

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  • Author(s): Kelly-Turner K;Kelly-Turner K; Radomsky AS; Radomsky AS
  • Source:
    Psychology and psychotherapy [Psychol Psychother] 2024 Jun; Vol. 97 (2), pp. 271-287. Date of Electronic Publication: 2023 Dec 22.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101135751 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2044-8341 (Electronic) Linking ISSN: 14760835 NLM ISO Abbreviation: Psychol Psychother Subsets: MEDLINE
    • Publication Information:
      Publication: 2011- : West Sussex, England : Wiley-Blackwell
      Original Publication: Leicester, UK : British Psychological Society, c2002-
    • Subject Terms:
    • Abstract:
      Purpose: Concerns about the likelihood, consequences, and meaning of losing control are commonplace across anxiety-related disorders. However, several experimental studies have suggested that individuals without a diagnosis of a mental disorder also believe that they can and will lose control under the right circumstances. Understanding the range of beliefs about the nature and consequences of losing control can help us to better understand the continuum of negative beliefs about losing control.
      Methods: The present study used thematic analysis to identify common beliefs about losing control in an unselected sample. Twenty-one participants, half of whom met criteria for at least one anxiety-related disorder, were interviewed about their beliefs about losing control.
      Results: All 21 participants reported that losing control was possible. Losses of control were defined as multifaceted cognitive-behavioural processes and were seen as negative considering the perceived consequences of the losses. Commonly described consequences were harm to oneself or others, powerlessness, and unpleasant emotions during (e.g., sadness, frustration, and anxiety) and following (e.g., regret, shame, and humiliation) a loss of control.
      Conclusions: These results suggest that perceived losses of control are common and that negative beliefs about losing may only become problematic when the losses are personally significant. Further, they offer important insight into what is common among clinical and non-clinical beliefs about losing control and inform how these beliefs might be worth targeting in cognitive and behavioural interventions.
      (© 2023 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of The British Psychological Society.)
    • References:
      Abramowitz, J. S., Fabricant, L. E., Taylor, S., Deacon, B. J., McKay, D., & Storch, E. A. (2014). The relevance of analogue studies for understanding obsessions and compulsions. Clinical Psychology Review, 34(3), 206–217. https://doi.org/10.1016/j.cpr.2014.01.004.
      Bandura, A., Barbaranelli, C., Caprara, G. V., & Pastorelli, C. (2001). Self‐efficacy beliefs as shapers of children's aspirations and career trajectories. Child Development, 72(1), 187–206. https://doi.org/10.1111/1467‐8624.00273.
      Boddy, C. R. (2016). Sample size for qualitative research. Qualitative Market Research: An International Journal, 19(4), 426–432. https://doi.org/10.1108/QMR‐06‐2016‐0053.
      Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa.
      Braun, V., & Clarke, V. (2016). (Mis)conceptualising themes, thematic analysis, and other problems with Fugard and Potts' (2015) sample‐size tool for thematic analysis. International Journal of Social Research Methodology, 19(6), 739–743. https://doi.org/10.1080/13645579.2016.1195588.
      Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589–597. https://doi.org/10.1080/2159676X.2019.1628806.
      Braun, V., & Clarke, V. (2021). To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample‐size rationales. Qualitative Research in Sport, Exercise and Health, 13(2), 201–216. https://doi.org/10.1080/2159676X.2019.1704846.
      Braun, V., & Clarke, V. (2023). Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher. International Journal of Transgender Health, 24(1), 1–6. https://doi.org/10.1080/26895269.2022.2129597.
      Chang, J.‐J., Ji, Y., Li, Y.‐H., Pan, H.‐F., & Su, P.‐Y. (2021). Prevalence of anxiety symptom and depressive symptom among college students during COVID‐19 pandemic: A meta‐analysis. Journal of Affective Disorders, 292, 242–254. https://doi.org/10.1016/j.jad.2021.05.109.
      Clark, D. A. (2004). Cognitive‐behavioral therapy for OCD. The Guilford Press.
      Clark, D. A., & Purdon, C. (1993). New perspectives for a cognitive theory of obsessions. Australian Psychologist, 28(3), 161–167. https://doi.org/10.1080/00050069308258896.
      Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24(4), 461–470. https://doi.org/10.1016/0005‐7967(86)90011‐2.
      Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. Heimberg, M. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment and treatment (pp. 69–93). Guilford Press.
      Clarke, V., Braun, V., & Hayfield, N. (2015). Thematic analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to research methods (3rd ed.). SAGE Publications, Inc.
      Cloitre, M., Heimberg, R. G., Liebowitz, M. R., & Gitow, A. (1992). Perceptions of control in panic disorder and social phobia. Cognitive Therapy and Research, 16(5), 569–577. https://doi.org/10.1007/BF01175142.
      Dudley, R. E. J., & Over, D. E. (2003). People with delusions jump to conclusions: A theoretical account of research findings on the reasoning of people with delusions. Clinical Psychology & Psychotherapy, 10(5), 263–274. https://doi.org/10.1002/cpp.376.
      Everly, G. S., & Lating, J. M. (2019). A clinical guide to the treatment of the human stress response. Springer New York. https://doi.org/10.1007/978‐1‐4939‐9098‐6.
      Freeston, M. H., & Ladouceur, R. (1997). What do patients do with their obsessive thoughts? Behaviour Research and Therapy, 35(4), 335–348. https://doi.org/10.1016/S0005‐7967(96)00094‐0.
      Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17(6), 791–802. https://doi.org/10.1016/0191‐8869(94)90048‐5.
      Gagné, J.‐P., Kelly‐Turner, K., & Radomsky, A. S. (2018). From the laboratory to the clinic (and back again): How experiments have informed cognitive–behavior therapy for obsessive–compulsive disorder. Journal of Experimental Psychopathology, 9(4), 1–22. https://doi.org/10.1177/2043808718810030.
      Gagné, J.‐P., & Radomsky, A. S. (2017). Manipulating beliefs about losing control causes checking behaviour. Journal of Obsessive‐Compulsive and Related Disorders, 15, 34–42. https://doi.org/10.1016/j.jocrd.2017.08.013.
      Gagné, J.‐P., & Radomsky, A. S. (2020). Beliefs about losing control, obsessions, and caution: An experimental investigation. Behaviour Research and Therapy, 126, 103574. https://doi.org/10.1016/j.brat.2020.103574.
      Gagné, J.‐P., Radomsky, A. S., & O'Connor, R. M. (2020). Manipulating alcohol expectancies in social anxiety: A focus on beliefs about losing control. Cognitive Therapy and Research, 45, 61–73. https://doi.org/10.1007/s10608‐020‐10165‐6.
      Gillham, B. (2005). Research interviewing: The range of techniques. McGraw‐Hill Education (UK).
      Hackmann, A., Surawy, C., & Clark, D. M. (1998). Seeing yourself through others' eyes: A study of spontaneously occurring images in social phobia. Behavioural and Cognitive Psychotherapy, 26(1), 3–12. https://doi.org/10.1017/S1352465898000022.
      Harvey, A. G., Watkins, E., Mansell, W., & Shafran, R. (Eds.). (2004). Cognitive behavioural processes across psychological disorders: A transdiagnostic approach to research and treatment. Oxford University Press.
      Hazlett‐Stevens, H., & Craske, M. G. (2003). The catastrophizing worry process in generalized anxiety disorder: A preliminary investigation of an analog population. Behavioural and Cognitive Psychotherapy, 31(4), 387–401. https://doi.org/10.1017/S1352465803004016.
      Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36(4), 193–209. https://doi.org/10.1080/16506070701421313.
      Kelly‐Turner, K., & Radomsky, A. S. (2020). The fear of losing control in social anxiety: An experimental approach. Cognitive Therapy and Research, 44(4), 834–845. https://doi.org/10.1007/s10608‐020‐10104‐5.
      Kelly‐Turner, K., & Radomsky, A. S. (2022). Always saying the wrong thing: Negative beliefs about losing control cause symptoms of social anxiety. Cognitive Therapy and Research, 46, 1137–1149. https://doi.org/10.1007/s10608‐022‐10325‐w.
      Klinger, E. (1975). Consequences of commitment to and disengagement from incentives. Psychological Review, 82(1), 1–25. https://doi.org/10.1037/h0076171.
      Lee‐Jones, C., Humphris, G., Dixon, R., & Bebbington Hatcher, M. (1997). Fear of cancer recurrence—A literature review and proposed cognitive formulation to explain exacerbation of recurrence fears. Psycho‐Oncology, 6(2), 95–105. https://doi.org/10.1002/(SICI)1099‐1611(199706)6:2<95::AID‐PON250>3.0.CO;2‐B.
      Levitt, H. M. (2021). Qualitative generalization, not to the population but to the phenomenon: Reconceptualizing variation in qualitative research. Qualitative Psychology, 8(1), 95–110. https://doi.org/10.1037/qup0000184.
      Moulding, R., & Kyrios, M. (2006). Anxiety disorders and control related beliefs: The exemplar of obsessive–compulsive disorder (OCD). Clinical Psychology Review, 26(5), 573–583. https://doi.org/10.1016/j.cpr.2006.01.009.
      Naragon‐Gainey, K. (2010). Meta‐analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. Psychological Bulletin, 136(1), 128–150. https://doi.org/10.1037/a0018055.
      Ness, L., & Fusch, P. I. (2015). Are we there yet—Data saturation in qualitative research. The Qualitative Report, 20(9), 1408–1416.
      Patton, M. Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice (Fourth ed.). SAGE Publications, Inc.
      Purdon, C., & Clark, D. A. (1993). Obsessive intrusive thoughts in nonclinical subjects. Part I. Content and relation with depressive, anxious and obsessional symptoms. Behaviour Research and Therapy, 31(8), 713–720. https://doi.org/10.1016/0005‐7967(93)90001‐B.
      Purdon, C., & Clark, D. A. (1994). Obsessive intrusive thoughts in nonclinical subjects. Part II. Cognitive appraisal, emotional response and thought control strategies. Behaviour Research and Therapy, 32(4), 403–410. https://doi.org/10.1016/0005‐7967(94)90003‐5.
      Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35(9), 793–802. https://doi.org/10.1016/s0005‐7967(97)00040‐5.
      Rachman, S. (1998). A cognitive theory of obsessions: Elaborations. Behaviour Research and Therapy, 36(4), 385–401. https://doi.org/10.1016/S0005‐7967(97)10041‐9.
      Rachman, S., & de Silva, P. (1978). Abnormal and normal obsessions. Behaviour Research and Therapy, 16(4), 233–248. https://doi.org/10.1016/0005‐7967(78)90022‐0.
      Rachman, S., & Hodgson, R. J. (1980). Obsessions and compulsions. Prentice Hall.
      Radomsky, A. S. (2022). The fear of losing control. Journal of Behavior Therapy and Experimental Psychiatry, 77, 101768. https://doi.org/10.1016/j.jbtep.2022.101768.
      Radomsky, A. S., Alcolado, G. M., Abramowitz, J. S., Alonso, P., Belloch, A., Bouvard, M., Clark, D. A., Coles, M. E., Doron, G., Fernández‐Álvarez, H., Garcia‐Soriano, G., Ghisi, M., Gomez, B., Inozu, M., Moulding, R., Shams, G., Sica, C., Simos, G., & Wong, W. (2014). Part 1—You can run but you can't hide: Intrusive thoughts on six continents. Journal of Obsessive‐Compulsive and Related Disorders, 3(3), 269–279. https://doi.org/10.1016/j.jocrd.2013.09.002.
      Radomsky, A. S., & Gagné, J.‐P. (2019). The development and validation of the beliefs about losing control inventory (BALCI). Cognitive Behaviour Therapy, 1–16, 97–112. https://doi.org/10.1080/16506073.2019.1614978.
      Radomsky, A. S., & Gagné, J.‐P. (2020). The development and validation of the beliefs about losing control inventory (BALCI). Cognitive Behaviour Therapy, 49(2), 97–112. https://doi.org/10.1080/16506073.2019.1614978.
      Rapee, R. M., Mattick, R., & Murrell, E. (1986). Cognitive mediation in the affective component of spontaneous panic attacks. Journal of Behavior Therapy and Experimental Psychiatry, 17(4), 245–253. https://doi.org/10.1016/0005‐7916(86)90059‐5.
      Reuven‐Magril, O., Dar, R., & Liberman, N. (2008). Illusion of control and behavioral control attempts in obsessive‐compulsive disorder. Journal of Abnormal Psychology, 117(2), 334–341. https://doi.org/10.1037/0021‐843X.117.2.334.
      Rotter, J. B. (1954). Social learning and clinical psychology (pp. ix–466). Prentice‐Hall, Inc. https://doi.org/10.1037/10788‐000.
      Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs: General and Applied, 80(1), 1–28. https://doi.org/10.1037/h0092976.
      Saldaña, J. (2016). The coding manual for qualitative researchers (3rd ed.). SAGE.
      Salkovskis, P. M. (1985). Obsessional‐compulsive problems: A cognitive‐behavioural analysis. Behaviour Research and Therapy, 23(5), 571–583. https://doi.org/10.1016/0005‐7967(85)90105‐6.
      Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: A cognitive‐behavioural analysis. Behaviour Research and Therapy, 40(7), 773–791. https://doi.org/10.1016/s0005‐7967(01)00059‐6.
      Shapiro, D. H., Schwartz, C. E., & Astin, J. A. (1996). Controlling ourselves, controlling our world. American Psychologist, 51(12), 1213–1230.
      Sheehan, D., Lecrubier, Y., Harnett Sheehan, K., Janavs, J., Weiller, E., Keskiner, A., Schinka, J., Knapp, E., Sheehan, M., & Dunbar, G. (1997). The validity of the Mini international neuropsychiatric interview (MINI) according to the SCID‐P and its reliability. European Psychiatry, 12(5), 232–241. https://doi.org/10.1016/S0924‐9338(97)83297‐X.
      Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T. Baker, R., & Dunbar, G. C. (1998). The Mini‐International Neuropsychiatric Interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM‐IV and ICD‐10. The Journal of Clinical Psychiatry, 59(Suppl 20), 22–33. https://www.psychiatrist.com/JCP/article/Pages/1998/v59s20/v59s2005.aspx.
      Simard, S., Thewes, B., Humphris, G., Dixon, M., Hayden, C., Mireskandari, S., & Ozakinci, G. (2013). Fear of cancer recurrence in adult cancer survivors: A systematic review of quantitative studies. Journal of Cancer Survivorship, 7(3), 300–322. https://doi.org/10.1007/s11764‐013‐0272‐z.
      Smith, J. A., & Osborn, M. (2015). Interpretative phenomenological analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to research methods (3rd ed.). SAGE Publications, Inc.
      Wells, A. (1999). A cognitive model of generalized anxiety disorder. Behavior Modification, 23(4), 526–555. https://doi.org/10.1177/0145445599234002.
      White, K. S., Brown, T. A., Somers, T. J., & Barlow, D. H. (2006). Avoidance behavior in panic disorder: The moderating influence of perceived control. Behaviour Research and Therapy, 44(1), 147–157. https://doi.org/10.1016/j.brat.2005.07.009.
    • Grant Information:
      Social Sciences and Humanities Research Council of Canada
    • Contributed Indexing:
      Keywords: losing control; phenomenology; qualitative; transdiagnostic
    • Publication Date:
      Date Created: 20231222 Date Completed: 20240509 Latest Revision: 20240509
    • Publication Date:
      20240509
    • Accession Number:
      10.1111/papt.12515
    • Accession Number:
      38131416