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1.
Basile, Barbara; Luppino, Olga Ines; Mancini, Francesco; Tenore, Katia
In: Psychology, vol. 9, no 9, pp. 2296-2311, 2018, ISSN: 2152-7199.
Abstract | Links | BibTeX | Tag: Acceptance, Chairwork, cognitive therapy, Imagery with Rescripting, obsessive-compulsive disorder, Schema therapy
@article{Basile2018b,
title = {A Theoretical Integration of Schema Therapy and Cognitive Therapy in OCD Treatment: Experiential Techniques and Cognitive-Based Interventions in Action (Part III)},
author = {Barbara Basile and Olga Ines Luppino and Francesco Mancini and Katia Tenore},
editor = {Scientific Research Publishing},
url = {https://apc.it/2018-a-theoretical-integration-part-3/},
doi = {https://doi.org/10.4236/psych.2018.99131},
issn = {2152-7199},
year = {2018},
date = {2018-09-11},
journal = {Psychology},
volume = {9},
number = {9},
pages = {2296-2311},
abstract = {This final article is part of the trilogy presenting a possible integration of Schema Therapy (ST) and Cognitive Therapy (CT) in Obsessive-compulsive disorder (OCD) treatment. It aims at describing how experiential and cognitive based acceptance techniques might be applied to treat this psychopathological condition. In the first article published in this special issue ( Luppino et al., 2018 ) we reported the main data supporting the role of proximal psychological determinants in the genesis and maintenance of the obsessive symptomatology, highlighting the role of deontological guilt and disgust, and of the Not Just Right Experience. According to these, we described the internal profile of the disorder as conceptualized by Mancini’s (2018)cognitive model. In the second manuscript ( Tenore et al., 2018 ) we proposed a conceptualization of OCD, in terms of schemas and modes (as proposed by ST), integrating it with the previously described cognitive model. In agreement with these two articles, the aim of this work is to explain how experiential and cognitive techniques can be integrated to explain obsessive functioning and to achieve a successful treatment. We first describe emotion focused-experiential procedures derived from the ST framework, specifically focusing on imagery techniques, such as diagnostic imagery, rescripting and Healthy Adult imagery. Secondly we explain how chairwork can be applied to change obsessive dysfunctional schema modes. Finally, we focus on cognitive based acceptance intervention aimed at reducing the typical feelings of deontological guilt and disgust, two core emotions in OCD. In the conclusion we briefly resume the major aspects proposed in the three articles, and we present some potential further applications of a joined approach applied to other psychopathological conditions.},
keywords = {Acceptance, Chairwork, cognitive therapy, Imagery with Rescripting, obsessive-compulsive disorder, Schema therapy},
pubstate = {published},
tppubtype = {article}
}
This final article is part of the trilogy presenting a possible integration of Schema Therapy (ST) and Cognitive Therapy (CT) in Obsessive-compulsive disorder (OCD) treatment. It aims at describing how experiential and cognitive based acceptance techniques might be applied to treat this psychopathological condition. In the first article published in this special issue ( Luppino et al., 2018 ) we reported the main data supporting the role of proximal psychological determinants in the genesis and maintenance of the obsessive symptomatology, highlighting the role of deontological guilt and disgust, and of the Not Just Right Experience. According to these, we described the internal profile of the disorder as conceptualized by Mancini’s (2018)cognitive model. In the second manuscript ( Tenore et al., 2018 ) we proposed a conceptualization of OCD, in terms of schemas and modes (as proposed by ST), integrating it with the previously described cognitive model. In agreement with these two articles, the aim of this work is to explain how experiential and cognitive techniques can be integrated to explain obsessive functioning and to achieve a successful treatment. We first describe emotion focused-experiential procedures derived from the ST framework, specifically focusing on imagery techniques, such as diagnostic imagery, rescripting and Healthy Adult imagery. Secondly we explain how chairwork can be applied to change obsessive dysfunctional schema modes. Finally, we focus on cognitive based acceptance intervention aimed at reducing the typical feelings of deontological guilt and disgust, two core emotions in OCD. In the conclusion we briefly resume the major aspects proposed in the three articles, and we present some potential further applications of a joined approach applied to other psychopathological conditions.
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