In-congress workshop “Treating Obsessive-Compulsive Disorder (OCD) with Schema Therapy: The use of Experiential Techniques to promote guilt acceptance”
Francesco Mancini, Katia Tenore, Olga Luppino, Alessandra Mancini
Born to treat personality disorders, a growing body of empirical evidences has shown that Schema Therapy (ST) is effective for treating several other mental disorders.
The aim of the current workshop is to provide a practical demonstration of the use of ST- experiential techniques, such as Imagery Rescripting (IR), in the treatment of Obsessive-Compulsive Disorders (OCD).
Clinical observations show that in cases of reproach, parents of future OCD patients withdraw love, ignore the child and are not prone to forgive. Therefore, the meaning that is associated with early reproach experiences in OC patients is that guilt signals catastrophic consequences, that is, the end of the attachment relation.
A recent work has shown that IR intervention, as stand-alone treatment, focusing on patients’ early experiences of guilt-inducing reproaches produces clinically significant changes in OCD symptomatology. Building on data showing the pivotal role played by fear of guilt in the genesis and maintenance of OCD, the workshop will present how to reduce its pervasiveness, promoting guilt acceptance.
Experiential techniques can boost treatment and help the clinician especially treating patients with particularly high self-criticism levels and perfectionistic coping modes and with those OCD patients who are resistant to standard CBT.
After presenting the theoretical framework and the model of OCD, it will be shown how to implement ST- experiential techniques specifically targeting guilt. In particular, IR can be used to address guilt-inducing memories, changing the attached meaning.
Practice exercises, will allow participants to undergo the potential power of these techniques to treat OCD.