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Validity of Cognition Scale (VoC)

Validity of Cognition Scale (VoC)
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A numeric scale from 1 to 7 measuring how much the client believes the positive cognition (PC) when recalling the target image. It is measured twice: before reprocessing (usually 2–4) and after installation (target — 6–7). A rising VoC shows that the adaptive belief is consolidating in memory. The scale lets the therapist track progress in real time and recognize when the Installation phase is complete.

Step-by-step guide

  1. Have the client recall the target image
  2. Offer the PC and ask for a rating: "How true does [PC] feel right now? From 1 to 7"
  3. Record the initial VoC (usually 2–4 at the start)
  4. After desensitization is complete (SUD = 0) repeat the measurement
  5. Continue BLS until VoC reaches 6–7
  6. VoC < 6 after several sets — look for a blocking belief

When to use

  • The Assessment phase (Phase 3) — initial measurement
  • The Installation phase (Phase 5) — monitoring after each BLS set

Key phrases

Recall the image and tell me: how true does "I am able to cope" feel? From 1 to 7, where 1 is not at all true, 7 is completely true.

Follow-up questions

What is the VoC now, after this set?
What is keeping it from being a 7? What is in the way of fully believing it?

Alternative phrasings

Rate it not with the mind but intuitively — what does the body sense say?

Warnings

  • ⚠️ VoC < 6 after the Installation phase is a signal to continue BLS or look for a blocking belief
  • ⚠️ Sometimes "6 — the maximum for this situation" is ecologically realistic and normal

Source: Shapiro, 2001, 2018

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Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.