The technique consists of confronting the worst-case scenario of a feared event or object, using mental imagery to examine whether the effects of the event or object have been overestimated (magnified or exaggerated) and where the patient's coping skills have been underestimated. The term was coined by
Albert Ellis,[3] and various versions of the technique have been developed, most notably by
Aaron T. Beck.[4]
Decatastrophizing is also called the "what if" technique,[5][6] because the worst-case scenario is confronted by asking: "What if the feared event or object happened, what would occur then?"
The following is an example:
"I could make an absolute fool of myself if I say the wrong thing."
"What if you say the wrong thing, what would happen then?"
^Steffen Moritz; Lisa Schilling; Katja Wingenfeld; Ulf Köther; Charlotte Wittekind; Kirsten Terfehr; Carsten Spitzer (September 2011). "Persecutory delusions and catastrophic worry in psychosis: Developing the understanding of delusion distress and persistence". Journal of Behavior Therapy and Experimental Psychiatry. 42 (September 2011): 349–354.
doi:
10.1016/j.jbtep.2011.02.003.
PMID21411041.
^Reason and Emotion In Psychotherapy. NY: Lyle Stuart, 1962