The elaborated intrusion theory of desire: a 10-year retrospective and implications for addiction treatments
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Introduction Ten years after the publication of Elaborated Intrusion (EI) Theory, there is now substantial research into its key predictions. The distinction between intrusive thoughts, which are driven by automatic processes, and their elaboration, involving controlled processing, is well established. Desires for both addictive substances and other desired targets are typically marked by imagery, especially when they are intense. Attention training strategies such as body scanning reduce intrusive thoughts, while concurrent tasks that introduce competing sensory information interfere with elaboration, especially if they compete for the same limited-capacity working memory resources.Conclusion EI Theory has spawned new assessment instruments that are performing strongly and offer the ability to more clearly delineate craving from correlated processes. It has also inspired new approaches to treatment. In particular, training people to use vivid sensory imagery for functional goals holds promise as an intervention for substance misuse, since it is likely to both sustain motivation and moderate craving.
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Intrusive thoughts on the addictive activity can be tormenting if there is little chance of realizing them in action.
“They argue that intrusive thoughts on the addictive activity can be tormenting if there is little chance of realizing them in action.”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as May et al., 2015
PFM strategies might disrupt the elaboration of smoking-related cognition (especially mental imagery)-which is implicated in craving-by competing for the limited cognitive resources that normally subserve such elaboration.
“Thirdly, PFM strategies might disrupt the elaboration of smoking-related cognition (especially mental imagery)—which is implicated in craving—by competing for the limited cognitive resources that normally subserve such elaboration (May et al. 2015).”
From Mindfulness, Acceptance and Defusion Strategies in Smokers: A Systematic Review of Laboratory Studies (2018) · cites this paper as May et al. 2015
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- Authors
- May, J., Kavanagh, D. J., & Andrade, J.
- Affiliations
- University of Plymouth (GB)
- Queensland University of Technology (AU)
- Corresponding author
- May, Jon
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 44
- Pages
- 29-34
- ISSN
- 0306-4603 (ISSN-L)
- OpenAlex
- W2124288307
- Cited by
- 216
- References
- 92
- Citations by year
- 2026: 15 · 2025: 13 · 2024: 14 · 2023: 59 · 2022: 18 · 2021: 15 · 2020: 20 · 2019: 17 · 2018: 15 · 2017: 14 · 2016: 10 · 2015: 4 · 2014: 2
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- green
- pearl.plymouth.ac.uk
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- PEARL (University of Plymouth) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- intrusive thoughts, desire, craving, elaboration, sensory imagery, body scanning, attentional control, working memory, substance use disorders, addiction treatment, motivation, assessment instruments
- MeSH terms
- Cognition, Humans, Motivation, Psychological Theory, Behavior, Addictive, Mindfulness, Craving
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