Seeing in the Mind's eye: Imagery rescripting for patients with body dysmorphic disorder. A single case series

Ritter, Viktoria; Stangier, Ulrich

doi:10.1016/j.jbtep.2015.07.007

Cited by 37 publications

(28 citation statements)

References 33 publications

(26 reference statements)

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“…At 3-month follow-up, the Y-BOCS had decreased on average from 24.1 pre-treatment to 10.7, with nine out of 12 patients showing clinical significant change, thus concluding that imagery rescripting may be a promising adjunct to CBT where intrusive images are linked with earlier aversive memories. Similar promising findings have recently been reported in two BDD single-case experimental series (Ritter and Stangier, 2016;Willson et al, 2016) and in a BDD single-case study (Sündermann et al, 2016).…”

Section: Functional and Contextual Understanding Of Ocrdssupporting

confidence: 88%

Complexity in obsessive-compulsive and body dysmorphic disorder – a functional approach to complex difficulties

Sündermann

Veale

2017

tCBT

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Abstract. Obsessive-compulsive disorder (OCD) and related disorders such as body dysmorphic disorder (BDD) can take many different forms of presentations. The term 'complex' is common and inconsistently used in both OCD and BDD. Practitioners often refer to complex OCD or BDD when patients present with severe co-morbid problems, often in the context of personality difficulties, dissociation, difficult early relationships and trauma; or when the illness is chronic and debilitating with previous multiple treatment failures. Current best-evidence treatment protocols for both disorders focus heavily on exposure and response prevention (E/RP) but with moderate success, particularly in patients who are deemed 'complex', and often those with relevant shame and/or disgust-based past experiences. The aim of the present paper is to (a) describe factors that contribute to complexity in OCD and BDD, and (b) link these with theory and practice. We emphasize the importance of understanding both the function of OCD and BDD-related behaviours (rather than the content of obsessions or compulsion), and the context in which they occur such as the family. We illustrate complexity in OCD and BDD using real case material, using a functional and contextual approach to formulate the client's difficulties, and demonstrate how E/RP can be enhanced successfully with imagery rescripting, family work, and compassionfocused therapy.

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Section: Functional and Contextual Understanding Of Ocrdssupporting

confidence: 88%

Complexity in obsessive-compulsive and body dysmorphic disorder – a functional approach to complex difficulties

Sündermann

Veale

2017

tCBT

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“…Patients with BDD often report a history of appearance- or competency-related bullying; emotional, physical, or sexual abuse; and neglect. These patients typically retain such memories with greater detail and experience them as particularly traumatic 22 , 60 , 61 . The specific goal of imagery re-scripting in this context is to restructure these memories 61 .…”

Section: Introduction and Contextmentioning

confidence: 99%

“…These patients typically retain such memories with greater detail and experience them as particularly traumatic 22 , 60 , 61 . The specific goal of imagery re-scripting in this context is to restructure these memories 61 . Imagery re-scripting involves cognitive restructuring, in which the patient explores the central negative meaning of an image and memory, and image re-scripting, which changes the nature of the relevance of the experience to the present 61 .…”

Section: Introduction and Contextmentioning

confidence: 99%

“…The specific goal of imagery re-scripting in this context is to restructure these memories 61 . Imagery re-scripting involves cognitive restructuring, in which the patient explores the central negative meaning of an image and memory, and image re-scripting, which changes the nature of the relevance of the experience to the present 61 . One case in which imagery re-scripting was used led to a 26% decrease in symptom severity, as quantified by the BDD-YBOCS, at the follow-up at 2 weeks 61 .…”

Section: Introduction and Contextmentioning

confidence: 99%

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New perspectives in the treatment of body dysmorphic disorder

2018

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Body dysmorphic disorder (BDD) is a disabling illness with a high worldwide prevalence. Patients demonstrate a debilitating preoccupation with one or more perceived defects, often marked by poor insight or delusional convictions. Multiple studies have suggested that selective serotonin reuptake inhibitors and various cognitive behavioral therapy modalities are effective first-line treatments in decreasing BDD severity, relieving depressive symptoms, restoring insight, and increasing quality of life. Selective serotonin reuptake inhibitors have also recently been shown to be effective for relapse prevention. This review provides a comprehensive summary of the current understanding of BDD, including its clinical features, epidemiology, genetics, and current treatment modalities. Additional research is needed to fully elucidate the relationship between BDD and comorbid illnesses such as obsessive–compulsive-related disorders and depression and to develop therapies for refractory patients and those who have contraindications for pharmacological intervention.

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“…B. [41]). Für andere psychotherapeutische Verfahren fehlen bislang aussagekräftige Wirksamkeitsnachweise.…”

Section: Psychopharmakotherapieunclassified

Körperdysmorphe Störung: Symptome, Erklärungsansätze und Therapie

2017

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Zusammenfassung Die KDS stellt ein klinisches St?rungsbild dar, das h?ufig noch unerkannt bleibt. Zur Erkl?rung der Entstehung der St?rung nimmt man ein Vulnerabilit?ts-Stress-Modell an, jedoch gibt es bislang wenig gesichertes Wissen ?ber biologische und psychologische Risikofaktoren. Die Wirksamkeit von kognitiv-verhaltenstherapeutischen Ans?tzen zur Behandlung der KDS wurde in mehreren Studien gezeigt und es stehen mittlerweile entsprechende Therapiemanuale zur Verf?gung.

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Seeing in the Mind's eye: Imagery rescripting for patients with body dysmorphic disorder. A single case series

Cited by 37 publications

References 33 publications

Complexity in obsessive-compulsive and body dysmorphic disorder – a functional approach to complex difficulties

Complexity in obsessive-compulsive and body dysmorphic disorder – a functional approach to complex difficulties

New perspectives in the treatment of body dysmorphic disorder

Körperdysmorphe Störung: Symptome, Erklärungsansätze und Therapie

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