Incautiously Optimistic: Positively-Valenced Cognitive Avoidance in Adult ADHD.
Clinicians who conduct cognitive-behavioral therapy (CBT) targeting attention-deficit/hyperactivity disorder (ADHD) in adulthood have noted that their patients sometimes verbalize overly positive automatic thoughts and set overly optimistic goals. These cognitions are frequently related to failure to engage in compensatory behavioral strategies emphasized in CBT. In this paper, we offer a functional analysis of this problematic pattern, positively-valenced cognitive avoidance, and suggest methods for addressing it within CBT for adult ADHD. We propose that maladaptive positive cognitions function to relieve aversive emotions in the short-term and are therefore negatively reinforced but that, in the long-term, they are associated with decreased likelihood of active coping and increased patterns of behavioral avoidance. Drawing on techniques from Behavioral Activation (BA), we offer a case example to illustrate these concepts and describe step-by-step methods for clinicians to help patients recognize avoidant patterns and engage in more active coping.
Duke Scholars
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- Clinical Psychology
- 5204 Cognitive and computational psychology
- 5203 Clinical and health psychology
- 5201 Applied and developmental psychology
- 1702 Cognitive Sciences
- 1701 Psychology
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Clinical Psychology
- 5204 Cognitive and computational psychology
- 5203 Clinical and health psychology
- 5201 Applied and developmental psychology
- 1702 Cognitive Sciences
- 1701 Psychology