What intrusive thoughts are

Thoughts Are Not Actions: What the Research Shows

The belief that thinking something makes it more likely, or is morally equivalent to doing it, has a name and a research literature. Both halves of it are wrong, and the wrongness is measurable.

5 min readBy Everyday Psychology

There is a belief sitting underneath almost every stuck intrusive thought, and it is so quiet that most people holding it have never said it out loud. It comes in two forms.

Thinking it makes it more likely to happen. And: thinking it is nearly as bad as doing it.

Researchers gave this a name in the 1990s: thought-action fusion. It has been measured, tested and reviewed for three decades, which means the question "is my thought dangerous" has something better than reassurance available. It has evidence.

Where the term came from

In 1996, Roz Shafran, Dana Thordarson and Stanley Rachman set out to measure the belief directly, and found it separated into the two halves above. The likelihood form is the belief that a thought about a bad event increases its chance of occurring. The moral form is the belief that having the thought is nearly equivalent to acting on it.

Both turn up in people with no diagnosis, at low levels. Both are stronger in people struggling with obsessive thoughts, and stronger again in people whose upbringing placed heavy weight on the moral content of thoughts as well as of deeds. A 2005 review by David Berle and Vladan Starcevic gathered a decade of work on it and found the association held across studies, while noting the belief is not unique to any one condition.

That last point is worth holding on to. This is not a strange belief held by strange people. It is a very human intuition, held mildly by most of us, that becomes expensive when it lands on a frightening thought.

The experiment that made it concrete

The most instructive work on this asked people to actually do the thing they were afraid of.

In one line of research, participants were asked to write a sentence naming a specific person they cared about, in the form of a wish that something bad would happen to them. Simply writing it. What the researchers observed was consistent: participants felt genuinely anxious and guilty, they wanted to neutralise what they had written, and many did, by crossing it out, rewriting it or mentally cancelling it. Those who were prevented from neutralising found their discomfort faded on its own.

Nothing happened to anyone's relative.

The finding worth taking from that is not "thoughts have no power", which is obvious when written down. It is that the urge to cancel a thought is itself the thing that maintains the belief. Every time you neutralise, you never find out that you did not need to. The belief survives on the fact that it is never tested.

Why the belief is so convincing from the inside

Knowing the research does not make the thought stop feeling significant, and there is a mechanical reason for that.

Your threat-detection system responds to an imagined event with the same machinery it uses for a real one. That is a feature: an alarm that only fired at confirmed danger would be useless. So when a horrifying image arrives, you get a genuine jolt of fear, complete with adrenaline, muscle tension and a lurch in the stomach.

Then your mind does what minds do. It reasons backwards from the feeling to a cause. I feel terrified, so something terrifying must be true. The body's evidence feels far more compelling than any argument, which is exactly why you can read a page like this, agree with every word, and still be frightened at 3am.

An alarmed body is the least reliable narrator you have access to.

The moral half, dealt with plainly

The likelihood half is easy to dismiss on paper. The moral half is the one that keeps people awake, because it does not feel like a factual claim. It feels like a verdict.

So, plainly: an unwanted intrusive thought is unbidden by definition. It arrives without permission and against your wishes. Every legal system in the world and most ethical traditions distinguish between what occurs to a person and what a person chooses, and they do so precisely because the first is not controllable.

And there is a further point that most people miss about their own case. The thought distresses you. That distress is generated by the collision between the thought and your values, which means it is evidence of the gap between them, not of a hidden agreement. A thought about harming someone does not horrify a person who wants to harm someone.

This is worth absorbing once, properly, and then not re-litigating nightly. Re-checking it is itself part of the fight, and part of what keeps the thought loud.

What the belief actually does to you

The most damaging consequence is not the belief. It is the behaviour it justifies.

If thinking something makes it more likely, then thoughts have to be prevented, which means monitoring your own mind. If thinking something makes you guilty, then thoughts have to be cancelled, confessed or atoned for. Both conclusions produce compulsions: checking, neutralising, mental reviewing, avoidance of anything that might trigger a thought.

And those compulsions do two things at once. They give a few minutes of relief, and they teach your alarm system that the thought was a genuine threat which the ritual averted. So the alarm gets louder, the ritual gets bigger, and the belief gets stronger, because it has never once been contradicted by experience.

Why understanding this is not enough, and what is

Here is the uncomfortable part of writing an article like this.

Brains do not update from arguments. They update from experience. That is the central finding of modern work on exposure, notably the inhibitory learning research of Michelle Craske and colleagues: fear reduces when you repeatedly do the thing and the predicted catastrophe does not arrive, not when you are persuaded that it will not.

Which is why the hundred times you have proved to yourself that thoughts are not actions have never held past breakfast. You were arguing with a system that does not read.

What does reach it is the ten seconds after a thought arrives, done differently. The thought lands. You name it flatly: "there it is." You do nothing about it. You do not cancel it, confess it, argue with it or check what it means. You let the anxiety surge, because your alarm expected a ritual and did not get one. Then you carry on with what you were doing.

Nothing happens. And then nothing happens again. And after enough repetitions, in a way you will not be able to date, the belief loosens on its own, because it finally met the only kind of evidence it responds to.

The full path from there, in order and at the right pace, is what how to stop intrusive thoughts opens up. If your thoughts are mostly about harm, harm OCD covers the specifics, and if they are religious or moral, scrupulosity does. And the free two-minute self-check will tell you which theme you are dealing with.

Common questions

Does thinking about something make it more likely to happen?

No. There is no mechanism by which a private thought changes events in the world, and the belief that it does is well documented in the research literature under the name thought-action fusion. It appears in many people, and more strongly in people struggling with intrusive thoughts. Experiments in which participants deliberately write a thought about harm coming to a loved one find no effect on the world, only on the participant's anxiety.

Is thinking about something as bad as doing it?

Morally, no, and this is the second half of thought-action fusion. Every legal system and most ethical traditions distinguish between an unbidden thought and a chosen act, and unwanted intrusive thoughts are unbidden by definition. The distress you feel at the thought is itself evidence that it runs against your values rather than expressing them.

What is thought-action fusion?

It is a term from cognitive behavioural research for two related beliefs: that thinking about an event makes it more likely to happen (the likelihood form), and that thinking about an act is morally close to performing it (the moral form). It was first measured in the 1990s and is now one of the best-studied beliefs in the obsessive-compulsive literature.

Why does the thought feel so real if it is not?

Because your alarm system responds to imagined threats with the same machinery it uses for real ones. The jolt of fear you feel is genuine and physical, and your mind then reasons backwards from the feeling to a cause. That is why the thought feels significant: not because it is, but because something in your body confirmed it, and an alarmed body is an unreliable narrator.

How do I stop believing my thoughts mean something?

Not by arguing, which produces a new "but what if" every time. Belief in this area shifts through experience rather than persuasion: repeatedly letting a thought be present without neutralising it, and noticing that nothing happens. That is the principle underneath exposure-based treatment, and it is why understanding this page will help a little and not nearly enough on its own.

References

  1. Shafran, R., Thordarson, D. S., & Rachman, S. (1996). Thought-action fusion in obsessive compulsive disorder. Journal of Anxiety Disorders . doi:10.1016/0887-6185(96)00018-7
  2. Rachman, S., Shafran, R., Mitchell, D., Trant, J., & Teachman, B. (1996). How to remain neutral: An experimental analysis of neutralization. Behaviour Research and Therapy . doi:10.1016/S0005-7967(96)00051-4
  3. Berle, D., & Starcevic, V. (2005). Thought-action fusion: Review of the literature and future directions. Clinical Psychology Review . doi:10.1016/j.cpr.2004.12.001
  4. Rachman, S., & de Silva, P. (1978). Abnormal and normal obsessions. Behaviour Research and Therapy . doi:10.1016/0005-7967(78)90022-0
  5. Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy . doi:10.1016/j.brat.2014.04.006