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Sez. generale - Studi e ricerche

N. 49 (2021)

Efficacia dell’Imagery Rescripting nel ridurre le convinzioni disfunzionali: uno studio pilota

DOI
https://doi.org/10.3280/qpc49-2021oa13210
Inviata
17 January 2022
Pubblicato
28-01-2022

Abstract

L’Imagery Rescripting (IR) è una tecnica emotivo-esperienziale, particolarmente applicata nella Schema Therapy, che collega problematiche affettive attuali a memorie infantili dolorose, ri-scrivendo, tramite l’appagamento di bisogni emotivi frustrati nel passato, il loro contenuto doloroso. Diversi studi evidenziano che a seguito dell’applicazione dell’IR in popolazioni cliniche si osserva anche una riduzione dell’intensità delle convinzioni nucleari disfunzionali associate al ricordo traumatico. Scopo dell’attuale ricerca è indagare l’efficacia dell’IR nel ridurre l’intensità di alcune delle principali convinzioni nucleari disfunzionali in un campione non-clinico.
Quarantatré psicologi specializzandi in psicoterapia hanno indicato l’intensità con cui si identificavano in venti credenze negative. Quindi, una parte del campione è stata sottoposta a una sessione di IR, mentre l’altra metà rientrava nella condizione di controllo, senza IR. A distanza di uno (t1) e 40 giorni (t2) sono state raccolte ulteriori misurazioni circa l’intensità delle loro credenze.
I risultati mostrano una riduzione significativa dell’intensità di metà delle convinzioni nucleari disfunzionali misurate, in t1 e in t2, nel gruppo sottoposto ad IR, a differenza del gruppo di controllo. È emerso, inoltre, un effetto di interazione significativo (gruppo × tempo) per alcune credenze specifiche.
I dati evidenziano come l’IR riduca, a breve e a lungo termine, l’intensità di convinzioni nucleari disfunzionali in una popolazione non clinica.

Riferimenti bibliografici

  1. Arntz A. (2012). Imagery rescripting as a therapeutic technique: Review of clinical trials, basic studies, and research agenda. Journal of Experimental Psychopathology, 3: 189-208. DOI: 10.5127%2Fjep.024211.
  2. Arntz A. (2014). Imagery rescripting for posttraumatic stress disorder. In: Thoma N., McKay D., eds. Working with emotion in cognitive-behavioral therapy: Techniques for clinical practice, pp. 203-215. New York: Guilford Press.
  3. Arntz A. & Weertman A. (1999). Treatment of childhood memories: Theory and practice. Behaviour Research and Therapy, 37: 715-740. DOI: 10.1016/S0005-7967(98)00173-9.
  4. Barnard P.J. & Teasdale J.D. (1991). Interacting cognitive subsystems: A systematic approach to cognitive-affective interaction and change. Cognition and Emotion, 5: 1-3. DOI: 10.1080/02699939108411021.
  5. Beck A.T. (1976). Cognitive therapy and the emotional disorders. Madison, CT: International Universities Press.
  6. Beck J.S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York, NY: Guilford Press.
  7. Brewin C.R., Wheatley J., Patel T., Fearon P., Hackmann A., Wells A., Fisher P. & Myers S. (2009). Imagery rescripting as a brief stand-alone treatment for depressed patients with intrusive memories. Behaviour Research and Therapy, 47: 569-576. DOI: 10.1016/j.brat.2009.03.008.
  8. Calvete E., Orue I. & Hankin B.L. (2013). Early maladaptive schemas and social anxiety in adolescents: The mediating role of anxious automatic thoughts. Journal of Anxiety Disorders, 27: 278-288. DOI: 10.1016/j.janxdis.2013.02.011.
  9. Cooper M.J. (2011). Working with imagery to modify core beliefs in people with eating disorders: A clinical protocol. Cognitive and Behavioral Practice, 18: 454-465. DOI: 10.1016/j.cbpra.2010.08.003.
  10. Ehrsson H.H., Geyer S. & Naito E. (2003). Imagery of voluntary movement of fingers, toes, and tongue activates corresponding body-part-specific motor representations. Journal of Neurophysiology, 90: 3304-3316. DOI: 10.1152/jn.01113.2002.
  11. Ellis A. (1994). Reason and emotion in psychotherapy, Revised and updated. New York: Carol Publishing.
  12. Frets P.G., Kevenaar C. & van der Heiden C. (2014). Imagery rescripting as a stand-alone treatment for patients with social phobia: A case series. Journal of Behavior Therapy and Experimental Psychiatry, 45: 160-169. DOI: 10.1016/j.jbtep.2013.09.006.
  13. Gross J.J. (2015). Emotion regulation: current status and future prospects. Psychological Inquiry, 26: 1-26. DOI: 10.1080/1047840X.2014.940781.
  14. Haarhoff B.A. (2006). The importance of identifying and understanding therapist schema in cognitive therapy training and supervision. New Zeeland Journal of Psychology, 35: 126-131.
  15. Kosslyn S.M., Ganis G. & Thompson W.L. (2001). Neural foundations of imagery. Nature Reviews Neuroscience, 2(9): 635-642. DOI: 10.1038/35090055.
  16. Lang P.J. (1977). Imagery in therapy: An information processing analysis of fear. Behavior Therapy, 8: 862-886. DOI: 10.1016/S0005-7894(77)80157-3.
  17. Lang P.J. (1979). A bio-informational theory of emotional imagery. Psychophysiology, 16: 495-512. DOI: 10.1111/j.1469-8986.1979.tb01511.x.
  18. Lee S.W. & Kwon J.H. (2013). The efficacy of imagery rescripting (IR) for social phobia: a randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 44: 351-360. DOI: 10.1016/j.jbtep.2013.03.001.
  19. Mancini A. & Mancini F. (2018). Rescripting Memory, Redefining the Self: A Meta-Emotional Perspective on the Hypothesized Mechanism(s) of Imagery Rescripting. Frontiers Psychology, 20: 9-581. DOI: 10.3389/fpsyg.2018.00581.
  20. Millings A., Carnelley K.B. (2015). Core belief content examined in a large sample of patients using online cognitive behaviour therapy. Journal of Affective Disorders, 186: 275-283. DOI: 10.1016/j.jad.2015.06.044.
  21. Norton A.R. & Abbott M.J. (2016). The efficacy of imagery rescripting compared to cognitive restructuring for social anxiety disorder. Journal of Anxiety Disorders, 40: 18-28. DOI: 10.1016/j.janxdis.2016.03.009.
  22. Ohanian V. (2002). Imagery rescripting within cognitive behavior therapy for bulimia nervosa: An illustrative case report, International Journal of Eating Disorders, 31: 352-357. DOI: 10.1002/eat.10044.
  23. Osmo F., Duran V., Wenzel A., de Oliveira I.R., Nepomuceno S., Madeira M. & Menezes I. (2018). The negative core beliefs inventory: Development and psychometric properties. Journal of Cognitive Psychotherapy, 32(1): 67-84, doi: 10.1891/0889-8391.32.1.67.
  24. Raabe S., Ehring T., Marquenie L., Olff M. & Kindt M. (2015). Imagery rescripting as standalone treatment for posttraumatic stress disorder related to childhood abuse. Journal of Behavior Therapy and Experimental Psychiatry, 48: 170-176. DOI: 10.1016/j.jbtep.2015.03.013.
  25. Reimer S.G. & Moscovitch D.A. (2015). Imagery Rescripting for Social Anxiety. Behaviour Research and Therapy, 75: 48-59. DOI: 10.1016/j.brat.2015.10.007.
  26. Romano M., Moscovitch D.A., Huppert J.D., Reimer S.G. & Moscovitch M. (2020). The Effects of Imagery Rescripting on Memory Outcomes in Social Anxiety Disorder. Journal of Anxiety Disorders, 69: 102-169. DOI: 10.1016/j.janxdis.2019.102169.
  27. Sahoo Saddichha A.K. & Pradhan N. (2012). Cognitive schemas among mental health professionals: Adaptive or maladaptive? Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences, 17: 523.
  28. Schnitzler A., Salenius S., Salmelin R., Jousmäki V. & Hari R. (1997). Involvement of primary motor cortex in motor imagery: A neuromagnetic study. Neuroimage, 6: 201-208. DOI: 10.1006/nimg.1997.0286.
  29. Tenore K., Basile B., Cosentino T., De Sanctis B., Fadda S., Femia G., Gragnani A., Luppino O.I., Pellegrini V., Perdighe C., Romano G., Saliani A.M. & Mancini F. (2020). Imagery rescripting on guilt-inducing memories in Obsessive Compulsive Disorders: A single case series study. Frontiers in Psychiatry, section Mood and Anxiety Disorders. doi: 10.3389/fpsyt.2020.543806.
  30. Young J.E., Klosko J.S. & Weishaar M.E. (2003). Schema therapy: A practitioner’s guide, New York: Guilford Press.
  31. Wheatley J. & Hackmann A. (2011). Using Imagery Rescripting to Treat Major Depression: Theory and Practice. Cognitive and Behavioral Practice, 18: 444-453. DOI: 10.1016/j.cbpra.2010.06.004.

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