This text investigates the role of mental imagery in the maintenance and treatment of psychological disorders within the framework of cognitive behavioral therapy. Ann Hackmann, a clinical psychologist, synthesizes clinical research and therapeutic practice to argue that imagery is a primary driver of emotional distress. The book provides a structured methodology for clinicians to identify, assess, and modify maladaptive imagery in patients suffering from conditions such as post-traumatic stress, social anxiety, and depression.

Clinicians and researchers frequently cite this work as a foundational resource for integrating imagery-based interventions into standard cognitive therapy protocols. Experts note the text provides a high level of clinical utility for practitioners seeking to address the non-verbal components of patient distress.