Association Splitting

Beginning with a description of a semantic network conceptualization of intrusions in obsessive-compulsive disorder (OCD), the authors lay the groundwork for the development of the cognitive therapeutic technique of association splitting. The basic principles of association splitting are then elaborated. The existing research evidence for the efficacy of association splitting for treating various forms of obsessions is also described in detail. This is followed by an extensive discussion of the pragmatic utility of association splitting for complementing established cognitive-behavior therapy programs for OCD (e.g., exposure and response/ritual prevention) in overcoming certain treatment barriers. The chapter concludes with an easy-to-understand walk-through of the steps that therapists can take to guide their clients in their practice of association splitting for sexual obsessions, within and outside of therapy sessions.