articulated fears of disasters tended to improve more than
those who did not articulate these kinds of fears
(posttreatment Y-BOCS mean scores were 8.2 and 14.9,
respectively). Although this difference was not statistically
significant (P = 0.06), the authors concluded that the inability
to articulate feared consequences of exposure decreases the
therapist's ability to contrive exposure exercises that provide
disconfirming information. This, in turn, could hinder treatment
with ERP.