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.
Links
- https://apc.it/2024-mancini-treating-guilt-inducing-self-talk-in-ocd-with-dramat[...]
- doi:doi.org/10.36131/cnfioritieditore
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} }