The OCD Whisperer Podcast with Kristina Orlova

69. Interview with Catherine Goldhouse about Inference Based CBT

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Aug 24, 2022
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INSIGHT

I-CBT Targets The Story Behind Obsessions

  • Inference-based CBT (I-CBT) targets the reasoning process that creates obsessions rather than focusing first on behaviors.
  • Catherine Goldhouse explains I-CBT looks at the story or lens you use to interpret intrusive thoughts so changing that story changes behavior.
INSIGHT

I-CBT Restores Functional Certainty Not Passive Acceptance

  • I-CBT differs from ACT by refusing to accept uncertainty as the default; it aims to restore functional certainty when reality supports it.
  • Goldhouse contrasts ACT's 'accept uncertainty and live by values' with I-CBT's 'challenge unfounded doubts and rebuild certainty.'
INSIGHT

Clusters Of Doubt Reveal Underlying Identity Stories

  • I-CBT frames many obsessions as arising from identity vulnerabilities and recurring themes in doubt (e.g., 'I'm a bad person').
  • Goldhouse shows that clusters of doubts reveal a single underlying story shaping interpretations.
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