Using Imagery Rescripting to Treat Major Depression: Theory and Practice

Wheatley, Jon; Hackmann, Ann

doi:10.1016/j.cbpra.2010.06.004

Cited by 38 publications

(35 citation statements)

References 28 publications

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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

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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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Section: Accepted M Manuscriptmentioning

confidence: 99%

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

2016

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“…sadness, difficulty, or shame)', some gave positive responses, such as 'change of belief', 'feeling better' and 'change of image'. Although the results of recent studies on the effectiveness of IR for patients with SAD are promising (Frets et al, 2014;Lee and Kwon, 2013;Nilsson et al, 2012;Wild et al, 2007Wild et al, , 2008, using IR in CBT sessions can sometimes be daunting for therapists (Wheatley and Hackmann, 2011). One of the reasons for therapists' hesitation to use this new method might be that, although IR causes strong emotions, especially in reliving of aversive events, therapists may be unfamiliar with the reactions of patients in IR and may be afraid of the negative impact on them.…”

Section: Discussionmentioning

confidence: 99%

“…Her comment indicates that she could obtain mastery sense over the aversive event, but that mastery was not enough to make the IR session effective for her. Wheatley and Hackmann (2011) reported their clinical observation of IR for patients with depression and suggested that the best time to end IR is when the patient can access and experience the feeling of compassion rather than feelings of mastery, with reference to the work of Gilbert (2008). This patient may have benefited from a more compassionate image of the past self to overcome the aversive past.…”

Section: Discussionmentioning

confidence: 99%

Patients’ perspectives on imagery rescripting for aversive memories in social anxiety disorder

Takanashi

Yoshinaga

Oshiro

et al. 2019

Behav. Cogn. Psychother.

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Background:Imagery rescripting (IR) for early aversive memories in patients with social anxiety disorder (SAD) has shown promising results, but no study has investigated the reactions and perspectives of patients who received IR.Aims:This study aimed to gain understanding of patients’ experiences/perspectives on IR as an adjunct to cognitive behavioural therapy (CBT) for SAD.Method:Twenty-five individuals with SAD received one or two sessions of IR over 16 CBT sessions. Contents of recurrent images and linked memories were identified during IR. Outcome measures included social anxiety, image and memory distress and vividness, and encapsulated belief. Patients completed a questionnaire about their perspectives of IR after the session. Thematic analysis was used to analyse the qualitative data.Results:IR resulted in significant within-session improvement in most outcome measures. Linked memories to negative recurrent images in social situations were categorized into nine groups. Common memories were ‘Being criticized by others’, ‘Being made fun of’, ‘Failing or not doing something well’ and ‘Being left out in a group’. Most patients (82%) experienced IR as impressive, and more than half of patients (59%) found IR effective. Themes of reasons of impressiveness and effectiveness were categorized as ‘Results of IR session’ and ‘Processes of IR session’. The theme ‘Results of IR session’ included six subthemes, and the theme ‘Processes of the IR session’ included five subthemes.Conclusions:Regarding patients’ perspectives, although they may experience negative emotions in the process of an IR session, our results suggest that many patients with SAD found IR sessions effective.

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“…From the introduction of cognitive therapy, the role of mental imagery in psychological difficulties has been acknowledged, with early observation that modifying distressing imagery can realise affective change (Beck, 1976). However, cognitive therapy in adult depression has typically focused on verbal restructuring and techniques exploring imagery have received less attention (Holmes et al, 2007;Wheatley & Hackmann, 2011). As discussed, intrusive memories are considered a diagnostic feature and hallmark of PTSD and cognitive treatments typically focus on intrusive experience.…”

Section: Clinical Relevance and Applicationmentioning

confidence: 99%