In this article we present a patient with obsessive-compulsive disorder (OCD), treated with cognitivebehavioural 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 usual approach in CBT. We expected a decrease in the OCD symptoms and reduced vulnerability to future relapses by reducing the patient's efforts in guilt and scorn prevention. The outcome confirmed our hypothesis. Although dysfunctional behaviours (i.e. rumination and avoidance behaviour) were not treated directly, they decreased spontaneously during treatment. This outcome was maintained after a one year follow-up.
Do I love her or not?!: Intervention on fear of being despised an obsessive-compulsive disorder case presentation [La amo o non la amo?!: Intervento sul timore del disprezzo in un caso di disturbo ossessivo-compulsivo]
Mancini F
2012-01-01
Abstract
In this article we present a patient with obsessive-compulsive disorder (OCD), treated with cognitivebehavioural 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 usual approach in CBT. We expected a decrease in the OCD symptoms and reduced vulnerability to future relapses by reducing the patient's efforts in guilt and scorn prevention. The outcome confirmed our hypothesis. Although dysfunctional behaviours (i.e. rumination and avoidance behaviour) were not treated directly, they decreased spontaneously during treatment. This outcome was maintained after a one year follow-up.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
