运用戏剧化苏格拉底式对话治疗强迫症中引发内疚的自我对话：逐步干预
Treating Guilt-Inducing Self-Talk in Ocd with Dramatized Socratic Dialogue: A Step by Step Intervention.
作者信息
Saliani Angelo Maria, Perdighe Claudia, Zaccari Vittoria, Luppino Olga Ines, Mancini Alessandra, Tenore Katia, Mancini Francesco
机构信息
School of Cognitive Psychotherapy (APC-SPC), Rome, Italy.
Department of Human Sciences, Guglielmo Marconi University, Rome, Italy.
出版信息
Clin Neuropsychiatry. 2024 Feb;21(1):63-78. doi: 10.36131/cnfioritieditore2023060104.
OBJECTIVE
Fear of moral guilt and conseque:nt increased attention to personal actions and intentions are the main ingredients of the self-criticism in patients suffering from obsessive-compulsive disorder (OCD). This pathogenic attitude takes shape in a typical guilt-inducing self-talk.The purpose of this work is to describe in detail a novel cognitive therapeutic procedure for OCD called "Dramatized Socratic Dialogue" (DSD).
METHOD
DSD is a theory-oriented intervention that combine elements of Socratic dialogue, chairwork, and cognitive acceptance strategies derived from Mancini's model, which posits that obsessive-compulsive (OC) symptoms stem from a fear of deontological guilt.
RESULTS
DSD appears to have many strengths, being a theory-oriented treatment and focusing, as a therapeutic target, on the cognitive structures that determine pathogenic processes and OC symptoms. Furthermore, it is a short, flexible and tailor-made intervention.
CONCLUSIONS
Detailed description of the intervention could foster future research perspectives and thus be used in evidence-based effectiveness studies to establish whether DSD reduces OC symptoms and to investigate its mechanism of action.
目的
对道德罪责的恐惧以及随之而来的对个人行为和意图的更多关注是强迫症（OCD）患者自我批评的主要成分。这种致病态度在一种典型的引发罪责的自我对话中形成。本研究的目的是详细描述一种针对强迫症的新型认知治疗程序，称为“戏剧化苏格拉底对话”（DSD）。
方法
DSD是一种以理论为导向的干预措施，它结合了苏格拉底对话、角色扮演以及源自曼奇尼模型的认知接纳策略，该模型认为强迫症状源于对道义罪责的恐惧。
结果
DSD似乎有许多优点，它是一种以理论为导向的治疗方法，并且作为治疗目标，关注决定致病过程和强迫症状的认知结构。此外，它是一种简短、灵活且量身定制的干预措施。
结论
对该干预措施的详细描述可以促进未来的研究前景，从而用于循证有效性研究，以确定DSD是否能减轻强迫症状并探究其作用机制。
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