05/05/2022
Great write up by Catherine Goldhouse. Catherine is a colleague who also treats OCD with I-CBT (Inferential Based Therapy).
What is Possible?
Itâs important that we get clear what the word âpossibleâ means because itâs often used interchangeably with âprobable,â which is incorrect. When something is âprobable,â it is likely to occur or be true. When something is âimprobable,â it is unlikely to occur or be true. Regardless of whether something is likely or unlikely, we are talking about the real world.
When something is âpossible,â on the other hand, this means it is imaginable or conceivable. It is a hypothetical reality. What makes something possible? Being able to imagine it. Thatâs it. Thatâs all it takes. The ocean turning purple? Sure, it's possible, because almost anything is possible. Suddenly going blind and not being able to finish reading this page? Possible. Something being possible has nothing to do with the real world. When we are talking about reality and likelihood, we are talking about probability, whereas possibility only exists in the imagination.
For example, letâs say your partner asks you if you are going to be stopping by the grocery store on your way home. If you were to answer by saying âitâs possible,â this would not be helpful. Why? Because your partner isnât asking if you could hypothetically go to the store. They already know that, hypothetically, of course you can. They know that going to the grocery store on the way home from work doesnât defy the laws of the physics or time or some sort of universal truth so, of course, itâs hypothetically possible. But something being possible just means one can imagine it taking place. Simply being able to imagine you going to the grocery store doesnât give your partner any information about you actually going or not going to the grocery store in reality.
So, if your partner asks you if you plan to swing by the grocery on your way home, a useful answer would be âyes,â âno,â âprobably,â âprobably not,â or some variation thereof. Because that provides them with information that is relevant to reality rather than information from the land of hypotheticals.
Why does this matter? Because people with OCD tend to blur these two worlds together such that something being possible gets morphed into being understood as probable. This is called âinferential confusion.â When this happens, your imagination trumps the information from the real world around you and you start living in an imaginary story as if it were real. Being able to identify this critical point when the OCD crosses over from the real world into the imagination is the most important step to moving on from OCD.
By Catherine Goldhouse, LICSW, LCSW www.catherinegoldhouse.com
Clinicianâs Handbook for Obsessive-Compulsive Disorder: Inference-Based Therapy, First Edition. K. OâConner and F. Aardema. Š 2012 John Wiley & Sons, Ltd. Published 2012 by John Wiley & Sons, Ltd.
Catherine Goldhouse is a Licensed Psychotherapist offering Online Therapy to Individuals and Couples in Florida, Maine, and Massachusetts. Catherine Goldhouse specializes in OCD (including intrusive thoughts/ Pure O), Anxiety, and Relationships.