Cerca una Pubblicazione
1.
Tenore, Katia; Mancini, Francesco; Basile, Barbara
Schemas, Modes and coping strategies in obsessive-compulsive like symptoms Journal Article
In: Clinical Neuropsychiatry, vol. 15, no 6, pp. 384-392, 2018.
Abstract | Links | BibTeX | Tag: coping, Early maladaptive schemas, modes, OCD, Schema therapy
@article{Tenore2018b,
title = {Schemas, Modes and coping strategies in obsessive-compulsive like symptoms},
author = {Katia Tenore and Francesco Mancini and Barbara Basile},
editor = {Giovanni Fioriti Editore},
url = {https://apc.it/wp-content/uploads/2019/04/2018-schemas-modes-and-coping-strategies-tenore-mancini-basile.pdf},
year = {2018},
date = {2018-10-01},
journal = {Clinical Neuropsychiatry},
volume = {15},
number = {6},
pages = {384-392},
abstract = {Objective: Schema Therapy (ST) integrates cognitive-behavior therapy with emotion-focused, gestalt and object relations approaches. ST postulates that unmet emotional core needs in childhood play a role in the development of Early Maladaptive Schemas, that are maintained by dysfunctional coping strategies, and reveal themselves through specific modes. Ad hoc ST conceptualizations for personality disorders or for specific psychological conditions, have been proposed in the last years. The purpose of this study was to investigate the role of schemas, modes and coping styles in non-clinical subjects, exploring the association with Obsessive-Compulsive Disorder (OCD) symptoms severity. Moreover, we explored schemas, modes and coping styles constructs in two sub-groups, characterized by higher and lower obsessive symptoms. Finally, those constructs have been investigated in specific OC subtypes.
Method: Selected from a sample of two-hundred, fifty-one subjects with high OCD symptoms (assessed through the Obsessive Compulsive Inventory–R) and fifty-nine healthy controls were recruited. Measures of schemas, modes and coping styles were collected. Additional indexes of depression were collected. Descriptive, between-group and
correlation analyses were performed. Participants were selected from a normal population, thus, the study should be
replicated involving a clinical population.
Results: Specific schemas (i.e., mistrust/abuse, vulnerability to harm and high standards), modes (i.e., demanding parent) and coping styles (i.e., intra-psychic avoidance) were identified in the high OCD symptoms group, with precise peculiarities for OCD characteristics (i.e., washing, checking and obsessions). Further, OC symptoms severity was positively associated with specific schemas and dysfunctional modes.
Conclusions: Our results confirm previous findings investigating schemas and modes in OCD populations. },
keywords = {coping, Early maladaptive schemas, modes, OCD, Schema therapy},
pubstate = {published},
tppubtype = {article}
}
Objective: Schema Therapy (ST) integrates cognitive-behavior therapy with emotion-focused, gestalt and object relations approaches. ST postulates that unmet emotional core needs in childhood play a role in the development of Early Maladaptive Schemas, that are maintained by dysfunctional coping strategies, and reveal themselves through specific modes. Ad hoc ST conceptualizations for personality disorders or for specific psychological conditions, have been proposed in the last years. The purpose of this study was to investigate the role of schemas, modes and coping styles in non-clinical subjects, exploring the association with Obsessive-Compulsive Disorder (OCD) symptoms severity. Moreover, we explored schemas, modes and coping styles constructs in two sub-groups, characterized by higher and lower obsessive symptoms. Finally, those constructs have been investigated in specific OC subtypes.
Method: Selected from a sample of two-hundred, fifty-one subjects with high OCD symptoms (assessed through the Obsessive Compulsive Inventory–R) and fifty-nine healthy controls were recruited. Measures of schemas, modes and coping styles were collected. Additional indexes of depression were collected. Descriptive, between-group and
correlation analyses were performed. Participants were selected from a normal population, thus, the study should be
replicated involving a clinical population.
Results: Specific schemas (i.e., mistrust/abuse, vulnerability to harm and high standards), modes (i.e., demanding parent) and coping styles (i.e., intra-psychic avoidance) were identified in the high OCD symptoms group, with precise peculiarities for OCD characteristics (i.e., washing, checking and obsessions). Further, OC symptoms severity was positively associated with specific schemas and dysfunctional modes.
Conclusions: Our results confirm previous findings investigating schemas and modes in OCD populations.
Method: Selected from a sample of two-hundred, fifty-one subjects with high OCD symptoms (assessed through the Obsessive Compulsive Inventory–R) and fifty-nine healthy controls were recruited. Measures of schemas, modes and coping styles were collected. Additional indexes of depression were collected. Descriptive, between-group and
correlation analyses were performed. Participants were selected from a normal population, thus, the study should be
replicated involving a clinical population.
Results: Specific schemas (i.e., mistrust/abuse, vulnerability to harm and high standards), modes (i.e., demanding parent) and coping styles (i.e., intra-psychic avoidance) were identified in the high OCD symptoms group, with precise peculiarities for OCD characteristics (i.e., washing, checking and obsessions). Further, OC symptoms severity was positively associated with specific schemas and dysfunctional modes.
Conclusions: Our results confirm previous findings investigating schemas and modes in OCD populations.
2.
Basile, Barbara; Sanctis, Brunetto De; Fadda, Stefania; Luppino, Olga Ines; Perdighe, Claudia; Saliani, Angelo Maria; Tenore, Katia; Mancini, Francesco
Early life experiences in ocd and other disorders: a retrospective observational study using imagery with re-scripting Journal Article
In: Clinical Neuropsychiatry , vol. 15, no 5, pp. 299-305, 2018.
Abstract | Links | BibTeX | Tag: early experiences, guilt, Imagery with Rescripting, OCD, Schema therapy
@article{Basile2018c,
title = {Early life experiences in ocd and other disorders: a retrospective observational study using imagery with re-scripting},
author = {Barbara Basile and Brunetto De Sanctis and Stefania Fadda and Olga Ines Luppino and Claudia Perdighe and Angelo Maria Saliani and Katia Tenore and Francesco Mancini},
editor = {Giovanni Fioriti Editore},
url = {https://apc.it/wp-content/uploads/2018/10/2018-Early-life-Experiences-in-ocd-2.pdf},
year = {2018},
date = {2018-02-01},
journal = {Clinical Neuropsychiatry },
volume = {15},
number = {5},
pages = {299-305},
abstract = {Objective: The close link between obsessive symptomatology, guilt and inflated responsibility is well documented, although one might suppose that guilt sensitiveness and dysfunctional beliefs about responsibility are rooted further in time. imagery with rescripting (iwr) is an emotion-focused technique that binds actual stressful emotions to past memories where similar feelings were activated. it is used to change the meaning of emotionally distressing memories, turning aversive mental images into positive ones, and achieving a healthier prospective on the event. the aim of this study was to compare the content of iwr exercises, collected during an on-going cognitive-behavioral psychotherapy, in OcD and non-OcD patients, in order to explore eventual differences in their early negative childhood memories. we expected guilt and blame-related childhood episodes to be more frequent in OcD, compared against non-OcD patients.
Method: forty-one imagery exercises were collected and categorized according to their content, emotions, needs, type of re-scripting, and fnal cognitive re-attribution.
Results: OCD patients reported signifcantly more blame/reproach memories, expressing more guilt emotion and needs for acceptance. within the re-scripting phase, all patients, regardless of their diagnosis, concluded the exercise protecting, reassuring and fostering emotional and needs expression, with no specifc difference between groups.
Conclusions: this work has several limitations, including the subjective nature of the study, the small sample size and unbalanced gender distribution across samples. However, our fndings are in line with cognitive models on OCD, supporting the role of guilt-related early experiences that seem to be specifc to this disorder
},
keywords = {early experiences, guilt, Imagery with Rescripting, OCD, Schema therapy},
pubstate = {published},
tppubtype = {article}
}
Objective: The close link between obsessive symptomatology, guilt and inflated responsibility is well documented, although one might suppose that guilt sensitiveness and dysfunctional beliefs about responsibility are rooted further in time. imagery with rescripting (iwr) is an emotion-focused technique that binds actual stressful emotions to past memories where similar feelings were activated. it is used to change the meaning of emotionally distressing memories, turning aversive mental images into positive ones, and achieving a healthier prospective on the event. the aim of this study was to compare the content of iwr exercises, collected during an on-going cognitive-behavioral psychotherapy, in OcD and non-OcD patients, in order to explore eventual differences in their early negative childhood memories. we expected guilt and blame-related childhood episodes to be more frequent in OcD, compared against non-OcD patients.
Method: forty-one imagery exercises were collected and categorized according to their content, emotions, needs, type of re-scripting, and fnal cognitive re-attribution.
Results: OCD patients reported signifcantly more blame/reproach memories, expressing more guilt emotion and needs for acceptance. within the re-scripting phase, all patients, regardless of their diagnosis, concluded the exercise protecting, reassuring and fostering emotional and needs expression, with no specifc difference between groups.
Conclusions: this work has several limitations, including the subjective nature of the study, the small sample size and unbalanced gender distribution across samples. However, our fndings are in line with cognitive models on OCD, supporting the role of guilt-related early experiences that seem to be specifc to this disorder
Method: forty-one imagery exercises were collected and categorized according to their content, emotions, needs, type of re-scripting, and fnal cognitive re-attribution.
Results: OCD patients reported signifcantly more blame/reproach memories, expressing more guilt emotion and needs for acceptance. within the re-scripting phase, all patients, regardless of their diagnosis, concluded the exercise protecting, reassuring and fostering emotional and needs expression, with no specifc difference between groups.
Conclusions: this work has several limitations, including the subjective nature of the study, the small sample size and unbalanced gender distribution across samples. However, our fndings are in line with cognitive models on OCD, supporting the role of guilt-related early experiences that seem to be specifc to this disorder
3.
Mancini, Francesco; Gangemi, Amelia
Fear of guilt from behaving irresponsibly in obsessive–compulsive disorder Journal Article
In: Journal of Behavior Therapy and Experimental Psychiatry, vol. 35, no 2, pp. 109 - 120, 2004, ISSN: 0005-7916, (Experimental approaches to understanding OCD).
Abstract | Links | BibTeX | Tag: beliefs, guilt, OCD, Responsibility
@article{Mancini2004109,
title = {Fear of guilt from behaving irresponsibly in obsessive–compulsive disorder},
author = {Francesco Mancini and Amelia Gangemi},
editor = {Elsevier ScienceDirect},
url = {https://apc.it/wp-content/uploads/2013/06/Fear-of-guilt-from-behaving-irresponsibly-in-obsessive-compulsive-disorder-Mancini_Gangemi.pdf},
doi = {10.1016/j.jbtep.2004.04.003},
issn = {0005-7916},
year = {2004},
date = {2004-01-01},
journal = {Journal of Behavior Therapy and Experimental Psychiatry},
volume = {35},
number = {2},
pages = {109 - 120},
abstract = {Previous cognitive models of obsessive–compulsive disorder (OCD) propose that inflated responsibility plays a key role in the maintenance of symptoms (Behav.Res.Ther. 28 (1985) 571). In this manuscript, we propose that this thesis may be improved by emphasizing that instead, OCD may be characterized by a fear of guilt that would result from behaving irresponsibly and/or from not behaving responsibly. We believe that this concept provides a better explanation for the anxious and fearful nature of OCD than do more traditional conceptualizations of inflated responsibility. We support this idea with empirical evidence and propose that OCD symptoms are consistent with patients acting in a prudential mode because of their fears of guilt.},
note = {Experimental approaches to understanding OCD},
keywords = {beliefs, guilt, OCD, Responsibility},
pubstate = {published},
tppubtype = {article}
}
Previous cognitive models of obsessive–compulsive disorder (OCD) propose that inflated responsibility plays a key role in the maintenance of symptoms (Behav.Res.Ther. 28 (1985) 571). In this manuscript, we propose that this thesis may be improved by emphasizing that instead, OCD may be characterized by a fear of guilt that would result from behaving irresponsibly and/or from not behaving responsibly. We believe that this concept provides a better explanation for the anxious and fearful nature of OCD than do more traditional conceptualizations of inflated responsibility. We support this idea with empirical evidence and propose that OCD symptoms are consistent with patients acting in a prudential mode because of their fears of guilt.