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the partner. A person jokingly makes a statement that the<br />
partner is “weird”. The sufferer takes this seriously and<br />
thinks about whether his partner really is weird. “Well, if he<br />
thinks she's weird, maybe she is,” he thinks. This is a<br />
thought the precedes a spike.<br />
The response is the obsession that follows, in which the<br />
sufferer will start obsessing over possible clues that he is<br />
<strong>with</strong> a “weird” woman. Her behavior comes under his microscope<br />
as he obsesses about whether she truly is weird.<br />
This unfailingly leads to the conclusion that she is weird,<br />
and he doesn't love her. After all, he can't love someone if<br />
he thinks she's weird.<br />
Response prevention is the process of disallowing the<br />
sufferer to begin the behavior of substantiating the relationship.<br />
He or she is intentionally exposed to spike themes, but<br />
cannot engage the behavior that is done to bring relief. This<br />
can be especially difficult when the behavior is secret, or in<br />
the sufferer's mind. He or she is not allowed to begin the<br />
analyzing the relationship. This usually goes on anywhere<br />
from hours to days, and works to give the sufferer practice<br />
in not letting these thoughts develop into obsessional behaviors.<br />
Over time, restraint from acting out the response<br />
becomes easier until the sufferer has little to no difficulty.<br />
This therapy often includes homework. The sufferer may<br />
be given assignments to complete in between sessions.<br />
A common assignment is to practice “Self-Directed ERP”.<br />
An example of these assignments is keeping a stack of index<br />
cards, on which are written statements about the partner.<br />
“She laughs loudly”<br />
“I find other men attractive”<br />
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