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2018

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314

A theorical integration of Schema Therapy and Cognitive Therapy in OCD tratment: goals and beliefs of the Obsessive Mind (part 1)

Olga Ines Luppino, Katia Tenore, Francesco Mancini, Barbara Basile

ABSTRACT: The present work is the first of a trilogy of articles whose purpose, as a whole, is to present a theoretical conceptualization of OCD functioning, which results from the integration between the Cognitive Therapy model, as proposed by Mancini (2018), and the Schema Therapy Mode model. In particular, this first paper aims to synthetically present the cognitive model of OCD functioning. According to the frame offered ...

Journal Article: Psychology, 9 (9), pp. 2261-2277, 2018, ISSN: 2152-7199.

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325

A Theoretical Integration of Schema Therapy and Cognitive Therapy in OCD Treatment: Conceptualization and Rationale (Part II)

Katia Tenore, Barbara Basile, Francesco Mancini, Olga Ines Luppino

ABSTRACT: Cognitive Behavioral Therapy has been identified as the first choice treatment for Obsessive Compulsive Disorder (OCD). Although a significant proportion of patients benefit from Cognitive Behavioral Therapy, another still fails to respond to CBT. To improve outcomes, new targets of intervention have been broadened, but no clear and comprehensive conceptualizations of the disorder have been suggested. In the last ...

Journal Article: Psychology, 9 (9), pp. 2278-2295, 2018, ISBN: 2152-7199.

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278

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

Barbara Basile, Olga Ines Luppino, Francesco Mancini, Katia Tenore

ABSTRACT: 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 ...

Journal Article: Psychology, 9 (9), pp. 2296-2311, 2018, ISSN: 2152-7199.

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523

I obsessively clean because deontological guilt makes me feel physiologically disgusted!

Cristina Ottaviani, Alberto Collazzoni, Francesca D'Olimpio, Tania Rovetta, Francesco Mancini

ABSTRACT: The emotions of guilt and disgust play a pivotal role in obsessive-compulsive disorder (OCD). The present study hypothesized the existence of a distinctive relation between deontological (but not altruistic) guilt and subjective and physiological correlates of disgust. Moreover, we aimed at testing whether the evoked emotion of disgust may activate OCD-like washing behaviors. Gender-matched healthy participants were ...

Journal Article: Journal of Obsessive-Compulsive and Related Disorders, 2018.

2017

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1168

Schema Therapy mode model applied to OCD

Barbara Basile, Katia Tenore, Olga Ines Luppino, Francesco Mancini

ABSTRACT: Objective: Schema Therapy (ST) places particular emphasis on affective experiences, therapeutic relationship and early life experiences. Ad hoc ST conceptualizations for specific psychological conditions, mainly focusing on personality disorders, have been suggested in the last decade. The aim of this study was to explore schemas, modes and coping styles in outpatients with Obsessive-Compulsive Disorder (OCD). ...

Journal Article: Clinical Neuropsychiatry, 14 (6), pp. 407-414, 2017.

Obsessive patients and deontological guilt: a review
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863

Obsessive patients and deontological guilt: a review

Francesco Mancini, Amelia Gangemi

ABSTRACT: 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, ...

Journal Article: Psychopathology Review, 4 (2), pp. 155-168, 2017, ISSN: 2051-8315.

2016

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722

Obsessive-compulsive disorder: the strength of psycological models of mental illness

Barbara Barcaccia, Francesco Mancini

ABSTRACT:  ...

Journal Article: 13 (6), pp. 85-87, 2016.

2015

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916

Family accommodation in obsessive-compulsive disorder: a study on associated variables

Teresa Cosentino, Palmira Faraci, Daniela Coda, Rosaria D’Angelo, Lorena Assunta De Pari, Maria Rosaria di Crescenzo, Luisa Esposito, Amalia Scelza

ABSTRACT: The present study aimed to examine family accommodation in relatives of obesessive-compulsive disease (OCD) patients. Accommodation was assessed in a sample of 31 relatives of OCD patients by means of the Family Accommodation Scale. Other variables measured as predictor of accommodation were tendency of a familymember to feel guilty, sensitivity to guilt, anxiety sensitivity and the prevalence of a passive ...

Journal Article: Clinical Neuropsychiatry, 12 (5), pp. 128-134, 2015.

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1219

Individual differences in guilt sensitivity scale (GSS)

Claudia Perdighe, Teresa Cosentino, Faraci P., Andrea Gragnani, Angelo Maria Saliani, Francesco Mancini

ABSTRACT: Individual differences can be observed in the propensity to experience certain emotions; for some emotions, most notably anxiety and disgust, the notion of sensitivity was also explored, namely one's tendency to evaluate negatively a given emotion and its effects. Based on observations made in the clinical practice, the authors suggest that this distinction may be usefully applied also to guilt, creating a specific ...

Journal Article: Testing, Psychometrics, Methodology in Applied Psychology, 22 (3), pp. 349-362, 2015.

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942

Deontological guilt and obsessive compulsive disorder

Francesco Mancini, Amelia Gangemi

ABSTRACT: Background and objectives The emotion of guilt plays a pivotal role in the genesis and maintenance of Obsessive-Compulsive Disorder (OCD). But what kind of guilt do OC patients want to prevent? Several studies suggest the existence of two different types of guilt emotions, namely deontological and altruistic guilt. This research suggests that the former, more than the latter, is involved in OCD. Studies in which ...

Journal Article: Journal of Behavior Therapy and Experimental Psychiatry, 49, Part B , pp. 157 - 163, 2015, ISSN: 0005-7916, (Special Issue: Innovations in Understanding and Treating Obsessive-Compulsive Disorder).

2014

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456

Neurobiological mechanisms underlying abnormal processing of guilt, disgust and intentionality in obsessive-compulsive disorder: A critical review

Barbara Basile, Francesco Mancini

ABSTRACT: Many different and innovative neuroimaging techniques have been developed in the last decades. Functional neuroimaging allows detecting what is happening in our brain at rest or while performing a specific cognitive or emotional task, while structural methods are concerned with the physical organization of the brain, considering both micro- and macro-structural aspects. Starting from these recent developments, ...

Journal Article: Clinical Neuropsychiatry, 11 (6), pp. 187-193, 2014.

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788

Towards a deeper understanding of Obsessive-Compulsive Disorder

Barbara Barcaccia, Francesco Mancini

ABSTRACT: Obsessive-Compulsive Disorder (OCD) has been ranked by the World Health Organization as one of the ten most handicapping illnesses by lost income and decreased quality of life (Veale 2007). It is well known that the disorder is not limited to one culture or one period of time, since it has been found in different culture or one period of time, since it has been found in different cultures and in different parts of ...

Journal Article: Clinical Neuropsychiatry, 11 (6), pp. 149-151, 2014.

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792

Do we need a cognitive theory for obsessive-compulsive disorder? Yes, we do

Francesco Mancini, Barbara Barcaccia

ABSTRACT: Nowadays a general trend in psychiatry and clinical psychology, claming to explain mental illness and Obsessive-Compulsive Disorder (OCD) in particular as a neurological disease, seems to be in ascendant. The purpose of this position paper is to rebut this perspective on OCD and demonstrate that an Appraisal Theory (AT) of the disorder, is necessary and sufficient in order to account for proximal determinants in the ...

Journal Article: Clinical Neuropsychiatry, 11 (6), pp. 197-203, 2014.

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707

Behavior as information about threat in anxiety disorders: A comparison of patients with anxiety disorders and non-anxious controls

Marcel van den Hout, Amelia Gangemi, Francesco Mancini, Iris M. Engelhard, Marleen M. Rijkeboer, Marcel van Dams, Irene Klugkist

ABSTRACT: AbstractBackground Gangemi, Mancini, and van den Hout (2012) argued that anxious patients use safety behaviors as information that the situation in which the safety behaviors are displayed is dangerous, even when that situation is objectively safe. This was concluded from a vignette study in which anxious patients and non-clinical controls rated the dangerousness of scripts that were safe or dangerous and in which ...

Journal Article: Journal of Behavior Therapy and Experimental Psychiatry, 45 (4), pp. 489 - 495, 2014, ISSN: 0005-7916.

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227

Role of Deontological Guilt in Obsessive-Compulsive Disorder–Like Checking and Washing Behaviors

Francesca D’Olimpio, Francesco Mancini

ABSTRACT: Questa è una bozza quindi questa versione non corrisponde esattamente all'orginale. Obsessions and compulsions are driven by the goal of preventing or neutralizing guilt. We investigated whether inducing deontological versus altruistic guilt in healthy volunteers could activate checking behaviors and physical cleaning. Participants were asked to listen to stories that induced deontological guilt, altruistic ...

Journal Article: Clinical Psychological Science, 2 (6), pp. 727-739, 2014.

2013

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840

Obsessive-compulsive disorder and propensity to guilt feelings and to disgust

Francesca D’Olimpio, Teresa Cosentino, Barbara Basile, Katia Tenore, Andrea Gragnani, Francesco Mancini

ABSTRACT: Objective: According to a large scientific literature, propensity to guilt feeling and to disgust plays an important role in pathogenesis and maintenance of OCD. However it is still not completely clear whether OC patients show greater guilt and disgust propensity, when compared to healthy subjects and other anxiety disorders, whether checkers and washers OCD subtypes show some differences in their guilt and disgust ...

Journal Article: Clinical Neuropsychiatry, 10 (3), pp. 20-29, 2013.

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802

Why is research so important and why should scholars, researchers and psychotherapists in the field of obsessive-compulsive disorder join forces in order to deepen their knowledge of this highly disabling disorder?

Barbara Barcaccia, Francesco Mancini

ABSTRACT: Obsessive-Compulsive disorder (oCd) has been ranked by the world Health organization as one of the ten most handicapping illnesses by lost income and decreased quality of life (veale 2007). it is well known that the disorder is not limited to one culture or one period of time, since it has been found in different cultures and in different parts of the world, with its basic characteristics ...

Journal Article: Clinical Neuropsychiatry, 11 (6), pp. 149-151, 2013.

2012

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741

«Do I love her or not?!» Intervention on fear of being despised: An obsessive-compulsive disorder case presentation

Teresa Cosentino, Francesco Mancini

ABSTRACT: In this article we present a patient with obsessive-compulsive (OCD), treated with cognitive-behavioural therapy (CBT). The patient was afraid of behaving immorally and of being despised by others or by himself because of his behaviour. We focused on his acceptance of the possibility that one could be despised instead of focusing on intrusive thoughts and compulsive behaviour (originating from his fear), as is the ...

Journal Article: Psicoterapia Cognitiva e Comportamentale, 18 (2), pp. 1-3, 2012.

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1185

Acceptance of being guilty in the treatment of obsessive-compulsive disorder

Teresa Cosentino, Francesca D’Olimpio, Claudia Perdighe, Giuseppe Romano, Angelo Maria Saliani, Francesco Mancini

ABSTRACT: Results of different studies support the notion that obsessive activity is aimed at preventing misdeeds in the symptomatic domain and that OC patients judge the possibility of being guiltyas unacceptable. These findings lead to the hypothesis that increasing acceptability of being guilty, even in non-symptomatic domains, reduces OC symptoms. This paper reports the outcomes of 4 patients with obsessive-compulsive ...

Journal Article: Psicoterapia Cognitiva e Comportamentale, (Monograph Supplement), pp. 39-56, 2012.

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1030

Behavior as information: “If I avoid, then there must be a danger”

Amelia Gangemi, Francesco Mancini, Marcel van den Hout

ABSTRACT: Background and objectives Cognitive models of anxiety disorders view safety-seeking behaviors (i.e., avoidance, washing, etc.) as playing a crucial role in the maintenance of irrational fear. An explanation of how these behaviors may contribute to the maintenance of unrealistic beliefs is that patients use their safety behaviors as a source of information about the situation (behavior as information): the behavior ...

Journal Article: Journal of Behavior Therapy and Experimental Psychiatry, 43 (4), pp. 1032 - 1038, 2012, ISSN: 0005-7916.

2007

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783

Feeling guilty as a source of information about threat and performance

Amelia Gangemi, Francesco Mancini, Marcel van den Hout

ABSTRACT: OCD patients experience increased feelings of guilt, threat and uncertainty about harm prevention. As to the relation between these phenomena, it was hypothesised that the experience of guilt acts as “information” that increases the sense of threat and decreases the sense that preventive action is effective. We tested whether state guilt is used as information about risk and prevention effects and whether people ...

Journal Article: Behaviour Research and Therapy, 45 (10), pp. 2387 - 2396, 2007, ISSN: 0005-7967.

2006

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951

The role of responsibility and fear of guilt in hypothesis-testing

Francesco Mancini, Amelia Gangemi

ABSTRACT: Recent theories argue that both perceived responsibility and fear of guilt increase obsessive-like behaviours. We propose that hypothesis-testing might account for this effect. Both perceived responsibility and fear of guilt would influence subjects’ hypothesis-testing, by inducing a prudential style. This style implies focusing on and confirming the worst hypothesis, and reiterating the testing process. In our ...

Journal Article: Journal of Behavior Therapy and Experimental Psychiatry, 37 (4), pp. 333 - 346, 2006, ISSN: 0005-7916.

2001

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730

The connection between disgust and obsessions and compulsions in a non-clinical sample

Francesco Mancini, Andrea Gragnani, Francesca D'Olimpio

ABSTRACT: Although obsessive-compulsive patients (OCD) frequently report thoughts and compulsions about dirt and contamination, there is scarce evidence for a relationship between disgust and OCD. This study investigates whether there is a specific relationship between obsessive symptoms and disgust, independently of general psychological distress symptoms. We tested 278 non-clinical volunteers, through the Disgust Scale ...

Journal Article: Personality and Individual Differences, 31 (7), pp. 1173 - 1180, 2001, ISSN: 0191-8869.

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795

Responsibility attitude, obsession and compulsion: further support in a non-clinical sample

Francesco Mancini, Francesca D'Olimpio, Stefania D'Ercole

ABSTRACT: Responsibility is one of the most investigated constructs in obsessive-compulsive disorder (OCD). Although there are an increasing number of studies on this topic, results seem to be questionable. Whereas several authors reported a significant link between OC behaviour and responsibility in nonclinical as well as in clinical samples, the findings of many authors failed to demonstrate the presence of such an ...

Journal Article: Clinical Psychology & Psychotherapy, 8 (4), pp. 274–281, 2001, ISSN: 1099-0879.