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Imagery Rescripting on Guilt-Inducing Memories in OCD: A Single Case Series Study

Katia Tenore, Barbara Basile, Teresa Cosentino, Brunetto De Sanctis, Stefania Fadda, Giuseppe Femia, Andrea Gragnani, Olga I. Luppino, Valerio,Pellegrini, Claudia Perdighe, Giuseppe Romano, Angelo M. Saliani, Francesco Mancini

ABSTRACT: Background and objectives: Criticism is thought to play an important role in obsessive-compulsive disorder (OCD), and obsessive behaviors have been considered as childhood strategies to avoid criticism. Often, patients with OCD report memories characterized by guilt-inducing reproaches. Starting from these assumptions, the aim of this study is to test whether intervening in memories of guilt-inducing reproaches can ...

Journal Article: Frontiers in Psychiatry, 11 , pp. 1018, 2020, ISSN: 1664-0640 .



Moral Judgment and empathic/Deontological Guilt

Simone Migliore, Giulia D'Aurizio, Francesca Parisi, Sabrina Maffi, Barbara Squitieri, Giuseppe Curcio, Francesco Mancini

ABSTRACT: People often make complicated decisions to help or to punish perfect strangers. Harming someone or breaking some moral imperative is usually linked to feeling guilt, and several researches suggested the existence of two different kinds of guilt: altruistic/empathic and deontological. Aim Our study aimed to investigate the decision-making processes in moral and nonmoral judgments and assess how specific ...

Journal Article: Psychological Reports, pp. 1-17, 2018.


Early life experiences in ocd and other disorders: a retrospective observational study using imagery with re-scripting

Barbara Basile, Brunetto De Sanctis, Stefania Fadda, Olga Ines Luppino, Claudia Perdighe, Angelo Maria Saliani, Katia Tenore, Francesco Mancini

ABSTRACT: Objective: The close link between obsessive symptomatology, guilt and inflated responsibility is well documented, although one might suppose that guilt sensitiveness and dysfunctional beliefs about responsibility are rooted further in time. imagery with rescripting (iwr) is an emotion-focused technique that binds actual stressful emotions to past memories where similar feelings were activated. it is used to change ...

Journal Article: Clinical Neuropsychiatry , 15 (5), pp. 299-305, 2018.



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.


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.



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.


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.



Abnormal processing of deontological guilt in obsessive--compulsive disorder

Barbara Basile and Francesco Mancini and Emiliano Macaluso and Carlo Caltagirone and Marco Bozzali

ABSTRACT: Guilt plays a significant role in the occurrence and maintenance of obsessive--compulsive disorder (OCD). Two major types of guilt have been identified: one deriving from the transgression of a moral rule (deontological guilt DG), another (altruistic guilt AG), relying on the assumption of having compromised a personal altruistic goal. Clinical evidence suggests that OCD patients are particularly sensitive to DG, ...

Journal Article: Brain Structure and Function, 219 (4), pp. 1321–1331, 2013, ISSN: 1863-2661.


Intrapsychic and interpersonal guilt: a critical review of the recent literature

Serena Carni, Nicola Petrocchi, Carlamaria Del Miglio, Francesco Mancini, Alessandro Couyoumdjian

ABSTRACT: Various authors hold that some emotions (i.e., moral emotions) have the function of orienting people toward ethical actions. In addition to embarrassment, shame and pride, the moral emotion of guilt is believed to affect humans' behavior when they carry out transgressions that violate social and cultural standards. Over the past century, many studies (including controversial ones) have been conducted on guilt. In ...

Journal Article: Cognitive Processing, 14 (4), pp. 333–346, 2013, ISSN: 1612-4790.



Eliciting Guilty Feeling: A preliminary Study Differentiating Deontological and Altruistic Guilt

Barbara Basile, Francesco Mancini

ABSTRACT: Guilt has been identified as both an intrapsychic and an interpersonal emotion. The current study presents evidence of the existence of two senses of guilt, deontological and altruistic guilt, induced through different experimental paradigms. Deontological guilt evolves from having slighted moral authority or norms, while altruistic guilt arises from selfish behavior and the distress of others. We hypothesize that ...

Journal Article: Psychology, 2 (2), pp. 98-102, 2011.


Deontological and Altruistic Guilt: Evidence for Distinct Neurobiological Substrates

Barbara Basile, Francesco Mancini, Emiliano Macaluso, Carlo Caltagirone, Richard S.J. Frackowiak, Marco Bozzali

ABSTRACT: The feeling of guilt is a complex mental state underlying several human behaviors in both private and social life. From a psychological and evolutionary viewpoint, guilt is an emotional and cognitive function, characterized by prosocial sentiments, entailing specific moral believes, which can be predominantly driven by inner values (deontological guilt) or by more interpersonal situations (altruistic guilt). The ...

Journal Article: Human Brain Mapping , (2), pp. 229–239, 2011.



Not just right experience: Is it influenced by feelings of guilt?

Francesco Mancini, Amelia Gangemi, Claudia Perdighe, Chiara Marini

ABSTRACT: Individuals with obsessive–compulsive disorder (OCD) experience increased guilt. Further, these individuals often report uncomfortable sensations of things being not quite right (“not just right experiences”—NJREs). As to the relation between these psychological phenomena, it was hypothesized that feelings of guilt may enhance NJRE. In two experiments, we demonstrated that the induction of a guilty emotion ...

Journal Article: Journal of Behavior Therapy and Experimental Psychiatry, 39 (2), pp. 162 - 176, 2008, ISSN: 0005-7916.



Guilt and focusing in decision-making

Amelia Gangemi, Francesco Mancini

ABSTRACT: In this paper we examined the impact of a specific emotion, guilt, on focusing in decision-making. Through the focusing mechanism, when making decisions, individuals tend to restrict their thoughts to what is explicitly represented in the decisional task, disregarding alternatives. In this paper, three experiments are performed to investigate whether an emotional state of guilt can critically guide individuals' ...

Journal Article: Journal of Behavioral Decision Making, 20 (1), pp. 1–20, 2007, ISSN: 1099-0771.


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.



Fear of guilt from behaving irresponsibly in obsessive–compulsive disorder

Francesco Mancini, Amelia Gangemi

ABSTRACT: Previous cognitive models of obsessive–compulsive disorder (OCD) propose that inflated responsibility plays a key role in the maintenance of symptoms (Behav.Res.Ther. 28 (1985) 571). In this manuscript, we propose that this thesis may be improved by emphasizing that instead, OCD may be characterized by a fear of guilt that would result from behaving irresponsibly and/or from not behaving responsibly. We believe ...

Journal Article: Journal of Behavior Therapy and Experimental Psychiatry, 35 (2), pp. 109 - 120, 2004, ISSN: 0005-7916, (Experimental approaches to understanding OCD).


Aversion to risk and guilt

Francesco Mancini, Amelia Gangemi

ABSTRACT: Much research has shown that cognitive processes are largely guided by individuals' states of mind (Mancini & Gangemi, 2002a, in press; Smeets, de Jong, & Mayer, 2000). In this paper, we specifically consider a state of mind characterized by guilt for having acted irresponsibly. This state is currently considered the breeding ground for the obsessive–compulsive disorder (Rachman, 2002; Salkovskis & ...

Journal Article: Clinical Psychology & Psychotherapy, 11 (3), pp. 199–206, 2004, ISSN: 1099-0879.



Responsibility, guilt and decision under risk

Andrea Gangemi, Francesco Mancini

ABSTRACT: In this paper, we hypothesize that individuals' choices (risk-seeking/risk-aversion) depend on moral values, and in particular on how subjects evaluate themselves, as guilty or as victims of a wrong, rather than on the descriptions of the outcomes as given in the options and evaluated accordingly as gains or losses (framing effect). People who evaluate themselves as victims are expected to show a risk-seeking ...

Journal Article: Psychological Reports, (93 ), pp. 1077-1079 , 2003.