Theory A The Problem Is ... The Problem Is Worry That ..

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Theory A Theory B

Theory B

Theory A
The problem is ...

The problem is worry that ...

Evidence

Evidence

What do I need to do if Theory A is true?

What do I need to do if Theory B is true?

PSYCHOLOGYT

LS.org

Theory A Theory B

Theory B

Theory A

The problem is worry that ...

The problem is ...

I have brain cancer

Evidence

Evidence

I have these symptoms:


Headaches
Dizziness
Vision goes blurry sometimes
What do I need to do if Theory A is true?

Go to the doctor and insist that they treat me


straight away - brain cancer is serious!

PSYCHOLOGYT

I have brain cancer

LS.org

Doctor tells me it is not caner


The headaches are worse when I am stressed
Focusing on my symptoms makes them worse
Reassurance makes my symptoms better
Ive had these symptoms a long time and
they have not got any more serious

What do I need to do if Theory B is true?

Learn how to deal with my worry

This technique has been described as: Dual model strategy in Wells, A. (1997). Cognitive therapy for anxiety disorders. John Wiley & Sons.
Hypothesis A / Hypothesis B in Salkovskis, P. M. & Bass, C. (1997). Hypochondriasis. In The Science and Practice of Cognitive-Behaviour Therapy
(ed. Clark &Fairburn). Oxford University Press : Oxford.

Theory A Theory B

Theory B

Theory A

There is a problem with my appearance


Theory A is the theory that you have been acting
on for the last X years, it argues that the problem
you have is your appearance
What are the implications of following Theory A?

It means that you have to try very hard to hide


or alter your appearance. Unfortunately, your
solutions then become your problem and cause
increasing handicap

I have a body image problem


Theory B is that you have a body image problem.
This problem makes you excessively self-conscious
about your appearance. This has probably
developed from some of your early experiences of
being teased & bullied. Have you noticed that
solving it as an appearance problem makes your
preoccupation and distress worse?
Would you be prepared to act as if it were
Theory B for at least 4 months? You can always
go back to theory A if its not working.
If theory B were true what would this mean in how
you act?

PSYCHOLOGYT

LS.org

This example is adapted from a workshop given by Veale & Neziroglu at the WCBCT conference in Boston in 2010.

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