Nonconscious processes and health.
Abstract
OBJECTIVES: Health behavior theories focus on the role of conscious, reflective factors (e.g., behavioral intentions, risk perceptions) in predicting and changing behavior. Dual-process models, on the other hand, propose that health actions are guided not only by a conscious, reflective, rule-based system but also by a nonconscious, impulsive, associative system. This article argues that research on health decisions, actions, and outcomes will be enriched by greater consideration of nonconscious processes. METHODS: A narrative review is presented that delineates research on implicit cognition, implicit affect, and implicit motivation. In each case, we describe the key ideas, how they have been taken up in health psychology, and the possibilities for behavior change interventions, before outlining directions that might profitably be taken in future research. RESULTS: Correlational research on implicit cognitive and affective processes (attentional bias and implicit attitudes) has recently been supplemented by intervention studies using implementation intentions and practice-based training that show promising effects. Studies of implicit motivation (health goal priming) have also observed encouraging findings. There is considerable scope for further investigations of implicit affect control, unconscious thought, and the automatization of striving for health goals. CONCLUSION: Research on nonconscious processes holds significant potential that can and should be developed by health psychologists. Consideration of impulsive as well as reflective processes will engender new targets for intervention and should ultimately enhance the effectiveness of behavior change efforts.
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Research in unconscious processes has ranked habit as possibly the strongest unconscious determinant of behavior.
“By contrast, research in unconscious processes have ranked habit as possibly the strongest unconscious determinant of behavior (Sheeran et al., 2013).”
From Exercise habit formation in new gym members: a longitudinal study (2015) · cites this paper as Sheeran et al., 2013
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Intergroup relations and health disparities: A social psychological perspective.
Major, B., Mendes, W. B., & Dovidio, J. F. (2013) · Health Psychology · doi:10.1037/a0030358 · Cited by 226 · see citing works
Identifying good opportunities to act: Implementation intentions and cue discrimination
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Separable brain systems supporting cued versus self-initiated realization of delayed intentions.
Gilbert, S. J., Gollwitzer, P. M., Cohen, A.-L., Oettingen, G., & Burgess, P. W. (2009) · Journal of Experimental Psychology: Learning, Memory, and Cognition · doi:10.1037/a0015535 · Cited by 211 · cited 2× · see citing works
“Gollwitzer, P. M., & Moskowitz, G. B. (1996). Goal effects on action and”
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Veling, H., Aarts, H., & Papies, E. K. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.08.005 · Cited by 207 · see citing works
Experimental manipulation of attentional biases in heavy drinkers: do the effects generalise?
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Overcoming the urge to splurge: Influencing eating behavior by manipulating inhibitory control
Houben, K. (2011) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2011.02.008 · Cited by 191 · see citing works
Houben, K., Schoenmakers, T. M., & Wiers, R. W. (2010) · Addictive Behaviors · doi:10.1016/j.addbeh.2010.08.012 · Cited by 184 · see citing works
Houben, K., Havermans, R. C., & Wiers, R. W. (2010) · Psychopharmacology · doi:10.1007/s00213-010-1872-1 · Cited by 183 · see citing works
Parks‐Stamm, E. J., Gollwitzer, P. M., & Oettingen, G. (2007) · Social Cognition · doi:10.1521/soco.2007.25.2.248 · Cited by 178 · see citing works
Self-citationHofmann, W., & Friese, M. (2008) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.117.2.420 · Cited by 170 · see citing works
Implicit Attitudes and Explicit Motivation Prospectively Predict Physical Activity
Conroy, D. E., Hyde, A. L., Doerksen, S. E., & Ribeiro, N. F. (2010) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9161-0 · Cited by 162 · see citing works
Developmental Sources of Implicit Attitudes
Rudman, L. A., Phelan, J. E., & Heppen, J. B. (2007) · Personality and Social Psychology Bulletin · doi:10.1177/0146167207307487 · Cited by 161 · see citing works
Healthy Cognition: Processes of Self-Regulatory Success in Restrained Eating
Papies, E. K., Stroebe, W., & Aarts, H. (2008) · Personality and Social Psychology Bulletin · doi:10.1177/0146167208320063 · Cited by 159 · see citing works
Brug, J., Kremers, S. P., Lenthe, F. V., Ball, K., & Crawford, D. (2008) · Proceedings of the Nutrition Society · doi:10.1017/s0029665108008616 · Cited by 157 · see citing works
Goal Setting and Goal Striving
Oettingen, G., & Gollwitzer, P. M. (2001) · Wiley eBooks · doi:10.1002/9780470998519.ch15 · Cited by 156 · see citing works
Self-citationPleasure in the mind: Restrained eating and spontaneous hedonic thoughts about food
Papies, E. K., Stroebe, W., & Aarts, H. (2006) · Journal of Experimental Social Psychology · doi:10.1016/j.jesp.2006.08.001 · Cited by 154 · see citing works
Reich, R. R., Below, M. C., & Goldman, M. S. (2010) · Psychology of Addictive Behaviors · doi:10.1037/a0016556 · Cited by 152 · see citing works
Self-Regulation of Priming Effects on Behavior
Gollwitzer, P. M., Sheeran, P., Trötschel, R., & Webb, T. L. (2011) · Psychological Science · doi:10.1177/0956797611411586 · Cited by 147 · see citing works
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A Meta-Analysis on Unconscious Thought Effects
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Self and motivation: emerging psychological perspectives
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Conner, M. T., Perugini, M., O'Gorman, R., Ayres, K., & Prestwich, A. (2007) · Personality and Social Psychology Bulletin · doi:10.1177/0146167207309194 · Cited by 129 · see citing works
Effect of Exposure to Small Pharmaceutical Promotional Items on Treatment Preferences
Grande, D., Frosch, D. L., Perkins, A. W., & Kahn, B. E. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.64 · Cited by 126 · see citing works
Unconscious reward cues increase invested effort, but do not change speed–accuracy tradeoffs
Bijleveld, E., Ruud Custers, A., & Aarts, H. (2010) · Cognition · doi:10.1016/j.cognition.2009.12.012 · Cited by 124 · see citing works
Cognitive Biases to Healthy and Unhealthy Food Words Predict Change in BMI
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Self-citationCalitri, R., Lowe, R., Eves, F. F., & Bennett, P. D. (2008) · Psychology and Health · doi:10.1080/08870440802245306 · Cited by 107 · see citing works
Automatic affective responses to smoking cues.
Payne, B. K., McClernon, F. J., & Dobbins, I. G. (2007) · Experimental and Clinical Psychopharmacology · doi:10.1037/1064-1297.15.4.400 · Cited by 99 · see citing works
Conscious and Nonconscious Processes:Distinct Forms of Evidence Accumulation?
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Scarabis, M., Florack, A., & Gosejohann, S. (2006) · Psychology and Marketing · doi:10.1002/mar.20144 · Cited by 68 · see citing works
Fadardi, J. S., & Cox, W. M. (2008) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2008.03.027 · Cited by 67 · see citing works
Implicit Attitudes as Potential Protection From Risky Sex: Predicting Condom Use With the IAT
Czopp, A. M., Monteith, M. J., Zimmerman, R. S., & Lynam, D. R. (2004) · Basic and Applied Social Psychology · doi:10.1080/01973533.2004.9646407 · Cited by 60 · see citing works
Immediate Increase in Food Intake Following Exercise Messages
Albarracín, D., Wang, W., & Leeper, J. (2009) · Obesity · doi:10.1038/oby.2009.16 · Cited by 57 · see citing works
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Self-citationThe Unconscious Thought Effect in Clinical Decision Making: An Example in Diagnosis
de Vries, M., Witteman, C. L. M., Holland, R. W., & Dijksterhuis, A. (2010) · Medical Decision Making · doi:10.1177/0272989x09360820 · Cited by 56 · see citing works
General Action and Inaction Goals
Albarracín, D., Hepler, J., & Tannenbaum, M. B. (2011) · Current Directions in Psychological Science · doi:10.1177/0963721411402666 · Cited by 55 · see citing works
Nonconscious goal pursuit: Acting in an explanatory vacuum
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Self-citationTaking a closer look: On the operation of nonconscious impression formation
Culloch, K. C. M., Ferguson, M. J., Kawada, C. L. K., & Bargh, J. A. (2007) · Journal of Experimental Social Psychology · doi:10.1016/j.jesp.2007.02.001 · Cited by 53 · see citing works
Self-citationCooling the heat of temptation: Mental self‐control and the automatic evaluation of tempting stimuli
Hofmann, W., Deutsch, R., Lancaster, K., & Banaji, M. R. (2009) · European Journal of Social Psychology · doi:10.1002/ejsp.708 · Cited by 50 · see citing works
How to like yourself better, or chocolate less: Changing implicit attitudes with one IAT task
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Implicit shopping: Attitudinal determinants of the purchasing of healthy and unhealthy foods
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Self-citationAn Ontological Test of the IAT
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Self-esteem regulation after success and failure to attain unconsciously activated goals
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Understanding dieting: A social cognitive analysis of hedonic processes in self-regulation
Papies, E. K., Stroebe, W., & Aarts, H. (2008) · European Review of Social Psychology · doi:10.1080/10463280802563723 · Cited by 31 · see citing works
Goubert, L., Crombez, G., Hermans, D., & Vanderstraeten, G. (2003) · European Journal of Pain · doi:10.1016/s1090-3801(02)00054-x · Cited by 30 · see citing works
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Spontaneous cognition and HIV risk behavior.
Stacy, A. W., Ames, S. L., Ullman, J. B., Zogg, J. B., & Leigh, B. C. (2006) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.20.2.196 · Cited by 20 · see citing works
Predicting Dental Flossing Behavior: The Role of Implicit and Explicit Responses and Beliefs
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How the Brain Translates Money into Force
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Analytic Thought Disrupts Familiarity-Based Decision Making
Halberstadt, J. B., & Catty, S. (2008) · Social Cognition · doi:10.1521/soco.2008.26.6.755 · Cited by 15 · see citing works
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Time to retire the theory of planned behaviour
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- Authors
- Sheeran, P., Gollwitzer, P. M., & Bargh, J. A.
- Affiliations
- University of Sheffield (GB)
- New York University (US)
- Yale University (US)
- Venue
- Health Psychology
- Published
- 2013
- Volume
- 32
- Issue
- 5
- Pages
- 460-473
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W1999699043
- Semantic Scholar
- 31774db28c959e2c4975408d52374c1bbd2d0abc
- Cited by
- 579
- References
- 171
- Citations by year
- 2026: 15 · 2025: 40 · 2024: 35 · 2023: 35 · 2022: 34 · 2021: 53 · 2020: 76 · 2019: 50 · 2018: 48 · 2017: 44 · 2016: 58 · 2015: 35 · 2014: 27 · 2013: 27 · 2012: 1
- FWCI
- 40.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Economic and Social Research Council (000–22-0262 and 060–25-0044)
- German Research Foundation
- National Institute on Alcohol Abuse and Alcoholism
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Keywords
- unconscious processes, implicit cognition, implicit affect, implicit motivation, dual-process models, health behavior change, implementation intentions, practice-based training, attentional bias, implicit attitudes, unconscious thought, behaviour change interventions
- MeSH terms
- Affect, Cognition, Humans, Mental Processes, Models, Psychological, Motivation, Unconscious, Psychology, Health Behavior, Risk Assessment, Intention
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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