Treating guilt-inducing self-talk in OCD with dramatized Socratic dialogue: A step by step intervention

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Angelo Maria Saliani, Claudia Perdighe, Vittoria Zaccari, Olga Ines Luppino, Alessandra Mancini, Katia Tenore, Francesco Mancini: Treating guilt-inducing self-talk in OCD with dramatized Socratic dialogue: A step by step intervention. In: 2024, ISSN: 2385-0787.

Abstract

Objective: Fear of moral guilt and conseque:nt increased attention to personal actions and intentions are the main ingredients of the self-criticism in patients
suffering from obsessive-compulsive disorder (OCD). This pathogenic attitude takes shape in a typical guilt-inducing self-talk.
The purpose of this work is to describe in detail a novel cognitive therapeutic procedure for OCD called “Dramatized Socratic Dialogue” (DSD).
Method: DSD is a theory-oriented intervention that combine elements of Socratic dialogue, chairwork, and cognitive acceptance strategies derived from Mancini’s
model, which posits that obsessive-compulsive (OC) symptoms stem from a fear of deontological guilt.
Results: DSD appears to have many strengths, being a theory-oriented treatment and focusing, as a therapeutic target, on the cognitive structures that determine
pathogenic processes and OC symptoms. Furthermore, it is a short, flexible and tailormade intervention.
Conclusions: Detailed description of the intervention could foster future research perspectives and thus be used in evidence-based effectiveness studies to establish whether DSD reduces OC symptoms and to investigate its mechanism of action.

BibTeX (Download)

@article{Saliani2024,
title = {Treating guilt-inducing self-talk in OCD with dramatized Socratic dialogue: A step by step intervention},
author = {Angelo Maria Saliani and Claudia Perdighe and Vittoria Zaccari and Olga Ines Luppino and Alessandra Mancini and Katia Tenore and Francesco Mancini},
editor = {Franco Angeli Editore},
url = {https://apc.it/2024-mancini-treating-guilt-inducing-self-talk-in-ocd-with-dramatized-socratic-dialogue/},
doi = {doi.org/10.36131/cnfioritieditore},
issn = {2385-0787},
year  = {2024},
date = {2024-02-01},
urldate = {2024-02-01},
abstract = {Objective: Fear of moral guilt and conseque:nt increased attention to personal actions and intentions are the main ingredients of the self-criticism in patients
suffering from obsessive-compulsive disorder (OCD). This pathogenic attitude takes shape in a typical guilt-inducing self-talk.
The purpose of this work is to describe in detail a novel cognitive therapeutic procedure for OCD called “Dramatized Socratic Dialogue” (DSD).
Method: DSD is a theory-oriented intervention that combine elements of Socratic dialogue, chairwork, and cognitive acceptance strategies derived from Mancini’s
model, which posits that obsessive-compulsive (OC) symptoms stem from a fear of deontological guilt.
Results: DSD appears to have many strengths, being a theory-oriented treatment and focusing, as a therapeutic target, on the cognitive structures that determine
pathogenic processes and OC symptoms. Furthermore, it is a short, flexible and tailormade intervention.
Conclusions: Detailed description of the intervention could foster future research perspectives and thus be used in evidence-based effectiveness studies to establish whether DSD reduces OC symptoms and to investigate its mechanism of action.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}

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