Imagery Rescripting for Obsessive Compulsive Disorder: A single case experimental design in 12 cases

Veale, David; Page, Nicholas; Woodward, Elizabeth; Šalkovskis, Paul M.

doi:10.1016/j.jbtep.2015.03.003

Cited by 62 publications

(50 citation statements)

References 41 publications

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“…This has prompted the search for new target areas for intervention, in the hope that outcomes can be improved (Veale, Page, Woodward, & Salkovskis, 2015). The data reviewed in this paper could contribute to suggest these new targets.…”

Section: Discussionmentioning

confidence: 97%

Obsessive Patients and Deontological Guilt: A Review

Gangemi

Mancini

2017

Psychopathology Review

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In line with the Appraisal Theories of Obsessive-Compulsive Disorder (OCD), in this review we present some experiments aimed at demonstrating the role of fear of guilt in OCD. What kind of guilt do OC patients want to prevent? Several studies suggest the existence of two different types of guilt emotions, namely deontological guilt and altruistic guilt. This research suggests that the former, more than the latter, is involved in OCD. Moreover, it demonstrates that the deontological guilt is related to disgust, and that this relationship could explain why both fear of contamination and fear of guilt are often co-present in obsessive patients. Finally, research shows that the Not Just Right Experience (NJRE) in OCD can be influenced by the deontological guilt. Future research should further verify the actual role of deontological guilt in OCD, and its therapeutical implications.

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Section: Discussionmentioning

confidence: 97%

Obsessive Patients and Deontological Guilt: A Review

Gangemi

Mancini

2017

Psychopathology Review

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“…3) To identify more precisely schemas that are central to the patient by eliciting core images linked to primary emotions like fear, loneliness, hopelessness, shame, guilt, grief and so on. In the case of OCD, the most relevant emotions are usually guilt Veale et al, 2012), often associated with parental reproach/blame experiences , and fear of being disgusting Mancini, 2018). 4) To help the patient feel and accept the emotions associated with those images more fully (see also the acceptance intervention paragraph, in the second part of the article).…”

Section: Healthy Adult Strengthen the Healthy Adult Mode Of The Clientmentioning

confidence: 99%

“…Evidence about the efficacy of ImRS in OCD (Veale et al, 2012;Tenore, Basile, Cosentino et al, 2018;Fink et al, 2018) and in other disorders (see Arntz, 2012 andMorina et al, 2017, for a review) has been collected in the last decade. Imagery exercises have been found to reduce the valence of the associated memory (Dibbets, Poort, & Arntz, 2012) and the strength of the encapsulated negative beliefs (Lee & Kwon, 2013;Wild et al, 2007Wild et al, , 2008.…”

Section: Evidences About Imrs Efficacymentioning

confidence: 99%

A Theoretical Integration of Schema Therapy and Cognitive Therapy in OCD Treatment: Experiential Techniques and Cognitive-Based Interventions in Action (Part III)

Basile¹,

Luppino²,

Mancini³

et al. 2018

PSYCH

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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 How to cite this paper:

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“…They found a significant reduction in symptoms of social phobia across a number of measures. ImR has demonstrated some efficacy mainly in people suffering from a range of conditions such as social phobia (Nilsson et al, 2012;Wild & Clark, 2011;Wild, Hackmann, & Clark, 2008), PTSD (Hackmann, 2011), depression (Wheatley & Hackmann, 2011), personality disorder (Arntz & Weertman, 1999), simple phobia (Hunt & Fenton, 2007) and obsessive compulsive disorder (OCD) (Veale, Page, Woodward, & Salkovskis, 2015).…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

Imagery Rescripting for Body Dysmorphic Disorder: A Multiple-Baseline Single-Case Experimental Design

2016

Self Cite

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Individuals with body dysmorphic disorder (BDD) often experience negative distorted images of their appearance, and research suggests these may be linked to memories of adverse events such as bullying or teasing. This study evaluates imagery re-scripting (ImR) as an intervention for BDD. In this article we present a multiple-baseline single case experimental design testing imagery re-scripting as a brief, standalone intervention, with six individuals with BDD that related to aversive memories. The impact of the intervention was assessed by self-reported daily measures of symptom severity (preoccupation with appearance; appearance-related checking behaviors; appearance related distress; strength of belief that their main problem is their appearance) and standardized clinician ratings of BDD severity (Yale-Brown Obsessive Compulsive Scale modified for BDD). Four out of six of the participants responded positively to the intervention, with clinically meaningful improvement in their symptomatology. Overall response was rapid; improvements began within the first week post ImR intervention. From a small sample it is cautiously concluded that imagery rescripting may show promise as a module in cognitive behavior therapy for BDD, and is worthy of further investigation.

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Imagery Rescripting for Obsessive Compulsive Disorder: A single case experimental design in 12 cases

Abstract: Imagery Rescripting is a promising therapeutic technique for OCD as an adjunct to CBT where intrusive images are linked to aversive memories.

Cited by 62 publications

References 41 publications

Obsessive Patients and Deontological Guilt: A Review

Obsessive Patients and Deontological Guilt: A Review

A Theoretical Integration of Schema Therapy and Cognitive Therapy in OCD Treatment: Experiential Techniques and Cognitive-Based Interventions in Action (Part III)

Imagery Rescripting for Body Dysmorphic Disorder: A Multiple-Baseline Single-Case Experimental Design

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