COPE cards are a critical element of the SEE FAR CBT protocol, designed for the treatment of PTSD and anxiety disorders. Utilizing associative artistic paintbrush drawings, COPE cards facilitate the therapeutic process by aiding in the re-narration of traumatic narratives. Despite promising subjective evidence from the field, an objective examination of the cards' behavioral and neurophysiological effects is necessary. The primary goal was to assess the efficacy of COPE cards in eliciting distinct emotional/arousal states through objective neurophysiological measures, focusing on brain Event-Related Potentials (ERPs). The study engaged 92 undergraduate participants from the general population, evaluating their behavioral responses and neural activity in reaction to cards categorized by negative, ambivalent, and positive emotional valences. Analysis demonstrated distinct differences in subjective ratings among the various conditions. Emotional conditions diverged in terms of response times (RTs) and RT variability; ambivalent cards resulted in the slowest RTs and highest RT variability, whereas positively valenced cards led to the fastest RTs and the least RT variability. Electrophysiological brain responses to different cards varied significantly, with negative images producing markedly greater mean amplitudes of the P1, P2, and P3 ERP components than ambivalent and positive ones, providing direct evidence of differential neural processing of cards with varying emotional content. These findings contribute to the ongoing validation of COPE cards, reinforcing their potential value for modulating emotional experiences and internal psychophysiological/neural states not only in therapeutic settings but also as a novel tool for investigating emotions and emotional arousal within the wider field of psychology research.

COPE 卡是 SEE FAR CBT 方案的关键要素，旨在治疗 PTSD 和焦虑症。COPE 卡利用联想艺术画笔绘图，通过帮助重新叙述创伤性叙述来促进治疗过程。尽管来自该领域的主观证据很有希望，但有必要对卡片的行为和神经生理学影响进行客观检查。主要目标是评估 COPE 卡通过客观的神经生理学测量引发不同情绪/唤醒状态的功效，重点关注大脑事件相关电位 (ERP)。这项研究吸引了来自普通人群的 92 名本科生参与者，评估他们对按消极、矛盾和积极情绪效价分类的卡片的行为反应和神经活动。分析表明，不同条件下的主观评分存在明显差异。情绪状况在反应时间 (RT) 和 RT 变异性方面存在差异；矛盾的卡导致最慢的 RT 和最高的 RT 变异性，而正价卡导致最快的 RT 和最小的 RT 变异性。大脑对不同卡片的电生理反应差异很大，负面图像产生的 P1、P2 和 P3 ERP 成分的平均振幅明显大于矛盾和正面图像，这提供了具有不同情感内容的卡片的差异神经处理的直接证据。这些发现有助于 COPE 卡的持续验证，增强其在调节情绪体验和内部心理生理/神经状态方面的潜在价值，不仅在治疗环境中，而且作为更广泛的心理学研究领域中调查情绪和情绪唤醒的新工具。