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Covert sensitization was first described in the mid-1960s by psychologist Joseph Cautela as a new strategy to individuals who engage in undesirable actions. In previous times 30 years it has been researched as a strategy to alcoholism, smoking, obesity, and various sexual deviations such as pedophilia and exhibitionism.

Covert sensitization discourages individuals from engaging in undesirable actions by developing an association between those actions and an upsetting impact. Because of this, it is classified as a type of aversion therapy. What is exclusive about secret sensitization, however, is that the undesirable impact is never actually current in therapy. This is best illustrated with an example. If a personal was undergoing secret sensitization to stop using alcohol, for example, a common therapy session would include the specialist instructing the client to think about himself consuming and becoming very sick. Then the client would be encouraged to think about himself becoming so sick that he starts vomiting all over himself, the space he is in, and in the beer mug from which he was consuming. By imagining this disgusting field over and over again, the client starts associating alcohol with vomit, and consuming becomes much less appealing. Finally, the specialist would instruct the client to think about accepting a drink, becoming sick again, and then deciding to refuse the drink. In the imagined field, the nausea (which is an upsetting stimulus for almost everyone) goes away as a impact of the client's option not to drink.

The big benefit secret sensitization has over other techniques of aversion therapy is that it performs without the existence of the undesirable behaviour and the upsetting impact. This has genuine and ethical advantages. For example, when treating exhibitionists, it would be difficult to justify encouraging individuals to expose themselves to others while a specialist administered a shock or some other upsetting stimulus. It is important to note that aversion therapy is not the only way to break bad routines. Large-scale studies comparing several techniques have found that other techniques, such as behavioural family associates affiliates counselling and self-management techniques, are also efficient.

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