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 by Mancini, we will provide some evidence demonstrating the central role of deontological guilt and disgust as proximal psychological determinants in the genesis and maintenance of obsessive symptoms. The theoretical assumptions and the dynamics of the recursive processes at the basis of the maintenance of OCD will be clarified through a clinical exemplification and the clinical intervention goals will be presented. In order to plan an intervention on the experiences representing the historical vulnerability of OCD, the work also aims to present the important role played by particular kinds of early experiences in sensitizing to deontological guilt and disgust. To summarize, the current work presents the theoretical bases of a cognitive OCD conceptualization, in terms of goals and beliefs that are the drivers of obsessive behaviors. This introduction is preparatory to our proposal of integration between the cognitive model and the Schema Therapy Mode model that will be developed in the next two articles.
Highlights
This paper is the first of a trilogy of articles whose aim is to propose a conceptualization of the functioning of Obsessive Compulsive Disorder (OCD) resulting from the integration between the Cognitive Therapy (CT) framework, as proposed by Mancini (2018), and the Schema Therapy model (Young et al, 2003), in terms of Modes.In this first work in particular we intend to present the cognitive model of OCD functioning, in terms of goals and beliefs that are the drivers of obsessive behaviors.The paper synthetically presents a review of the numerous researches that have highlighted the role of the proximal psychological determinants in the genesis and maintenance of the obsessive symptomatology
In order to plan an intervention on the experiences representing the historical vulnerability of OCD, the work aims to present the important role played by particular kinds of early experiences in sensitizing to deontological guilt and disgust
The present work proposes to present the model of conceptualization of OCD functioning as proposed by Mancini (2018) through the analysis of the numerous research outcomes that highlight the role of guilt, disgust and Not Just Right Experience (NJRE) as proximal psychological determinants of obsessive symptomatology
Summary
This paper is the first of a trilogy of articles whose aim is to propose a conceptualization of the functioning of Obsessive Compulsive Disorder (OCD) resulting from the integration between the Cognitive Therapy (CT) framework, as proposed by Mancini (2018), and the Schema Therapy model (Young et al, 2003), in terms of Modes. In this first work in particular we intend to present the cognitive model of OCD functioning, in terms of goals and beliefs that are the drivers of obsessive behaviors. The present work will be followed by two more: one (Tenore et al, 2018a) intends to provide the rationale of a possible integration between the CT model, that will be illustrated in this article, and a conceptualization according to Schema Therapy, in line with the work with Modes; the other (Basile et al, 2018a) intends to illustrate the experiential techniques used in Schema Therapy, integrated with some cognitive techniques, aimed at accepting the emotions of guilt and disgust
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