Abstract

Absolutist thinking is considered a cognitive distortion by most cognitive therapies for anxiety and depression. Yet, there is little empirical evidence of its prevalence or specificity. Across three studies, we conducted a text analysis of 63 Internet forums (over 6,400 members) using the Linguistic Inquiry and Word Count software to examine absolutism at the linguistic level. We predicted and found that anxiety, depression, and suicidal ideation forums contained more absolutist words than control forums (ds > 3.14). Suicidal ideation forums also contained more absolutist words than anxiety and depression forums (ds > 1.71). We show that these differences are more reflective of absolutist thinking than psychological distress. It is interesting that absolutist words tracked the severity of affective disorder forums more faithfully than negative emotion words. Finally, we found elevated levels of absolutist words in depression recovery forums. This suggests that absolutist thinking may be a vulnerability factor.

Highlights

  • Absolutist thinking underlies many of the cognitive distortions (Beck, 1979; Burns, 1989) and irrational beliefs (A. Ellis & Harper, 1975) that are purported to mediate the core affective disorders

  • Members were nested within forums, and forums were nested within groups

  • The data we have presented confirm that the use of absolutist words is elevated in the natural language of various affective disorder forum groups

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Summary

Introduction

Absolutist thinking underlies many of the cognitive distortions (Beck, 1979; Burns, 1989) and irrational beliefs (A. Ellis & Harper, 1975) that are purported to mediate the core affective disorders. Phrases, and ideas that denote totality, either of magnitude or probability, are often referred to as “absolute.” Absolutist thoughts are independent of context and unqualified by nuance In this observational study, we aimed to measure absolutist thinking in a specific and ecologically valid manner. In a notable exception, Teasdale et al (2001) found that an “absolutist, dichotomous thinking style” predicted future depressive relapse, over and above the content of responses This was evidenced by both positive and negative “extreme responses” on Likert-type scales. We had two specific hypotheses: Hypothesis 1 (H1): The percentage of absolutist words in anxiety, depression, and suicidal ideation test forum groups will be significantly greater than in Study 1 control forum groups

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