Pathological guilt: A persistent yet overlooked treatment factor in obsessive-compulsive disorder

Annals of Clinical Psychiatry

Volumn 23, Issue 1, 2011, Pages 63-70

  Shapiro, Leslie J ^a   Stewart, S Evelyn ^a,b  

^a MCLEAN HOSPITAL   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Guilt; Moral; OCD; Responsibility; State; Trait

Indexed keywords

COGNITIVE THERAPY; CONSULTATION; GUILT; HUMAN; MORALITY; OBSESSIVE COMPULSIVE DISORDER; OUTCOME ASSESSMENT; PATHOLOGICAL GUILT; PRIORITY JOURNAL; PSYCHOLOGICAL ASPECT; RESPONSIBILITY; REVIEW; SYSTEMATIC REVIEW; TREATMENT OUTCOME; BEHAVIOR; BEHAVIOR CONTROL; BEHAVIORAL RESEARCH; BRAIN MAPPING; COUNSELING; DIAGNOSTIC ERROR; EMOTIONAL INTELLIGENCE; HOSPITALIZATION; HUMAN RELATION; OBSESSION; PSYCHOLOGICAL AND PSYCHIATRIC PROCEDURES; PSYCHOTHERAPY; STANDARD;

BEHAVIOR CONTROL; BEHAVIORAL RESEARCH; BEHAVIORAL SYMPTOMS; BRAIN MAPPING; DIAGNOSTIC ERRORS; EMOTIONAL INTELLIGENCE; GUILT; INTERPERSONAL RELATIONS; OBSESSIVE BEHAVIOR; OBSESSIVE-COMPULSIVE DISORDER; PASTORAL CARE; PSYCHOLOGICAL TECHNIQUES; PSYCHOTHERAPY; SEVERITY OF ILLNESS INDEX;

EID: 79959308760     PISSN: 10401237     EISSN: 15473325     Source Type: Journal    
DOI: None     Document Type: Review

References (61)

1. Gangemi A, Mancini F, van den Hout M. Feeling guilty as a source of information about threat and performance. Behav Res Ther. 2007;45:2387-2396. (Pubitemid 47374068)
2. Mancini F, Gangemi A, Perdighe C, et al. Not just right experience: is it influenced by feelings of guilt? J Behav Ther Exp Psychiatry. 2008;39:162-176. (Pubitemid 351434609)
3. Nissenson K. An evaluation of and a brief intervention for guilt, responsibility, and thoughts and behaviors associated with obsessive-compulsive disorder [dissertation]. New Brunswick, NJ: Rutgers University; 2006.
4. Mancini F, Gangemi A. Fear of guilt from behaving irresponsibly in obsessive-compulsive disorder. J Behav Ther Exp Psychiatry. 2004;35:109-120. (Pubitemid 38822903)
5. Savoie D. A phenomenological investigation of the role of guilt in obsessive-compulsive disorder. J Phenomenol Psychol. 1996;27:193-218. (Pubitemid 127006408)
6. Shafran R, Watkins E, Charman T. Guilt in obsessive compulsive disorder. J Anxiety Disord. 1996;10:509-516.
7. Tallis F. Obsessions, responsibility, and guilt: two case reports suggesting a common and specific aetiology. Behav Res Ther. 1994;32:143-145.
8. Rachman S. Obsessions, responsibility, and guilt. Behav Res Ther. 1993;31:149-154.
9. Steketee G, White K, Quay S. Religion and guilt in OCD patients. J Anxiety Disord. 1991;5:359-367.
10. Goodman WK, Price LH, Rasmussen SA, et al. The Yale-Brown Obsessive-Compulsive Scale II. Validity. Arch Gen Psychiatry. 1989;46:1012-1016.
11. Abramowitz JS. Treatment of scrupulous obsessions and compulsions using exposure and response prevention: a case report. Cogn Behav Pract. 2001;8:79-85. (Pubitemid 33127081)
12. rd ed. Chicago, IL: Year Book Medical Publisher; 1990:555-569.
13. Greenberg D. Are religious compulsions religious or compulsive: a phenomenological study. Am J Psychother. 1984;38:524-532. (Pubitemid 15212399)
14. Greenberg D, Witztum E, Pisante J. Scrupulosity: religious attitudes and clinical presentations. Br J Med Psych. 1987;60:29-37. (Pubitemid 17033293)
15. Greenberg D, Witztum E. The treatment of obsessive-compulsive disorder in strictly religious patients. In: Pato MT, Zohar J, eds. Current treatment of obsessive-compulsive disorder. Arlington, VA: American Psychiatric Publishing, Inc.; 1991:157-172.
16. Higgins NC, Pollard CA, Merkel WT. Relationship between religion-related factors and obsessive compulsive disorder. Curr Psychol. 1992;11:79-85.
17. Miller CH, Hedges DW. Scrupulosity disorder: an overview and introductory analysis. J Anxiety Disord. 2008;22:1042-1058.
18. Nelson EA, Abramowitz JS, Whiteside SP, et al. Scrupulosity in patients with obsessive-compulsive disorder: relationship to clinical and cognitive phenomena. Anxiety Disord. 2006;20:1071-1086. (Pubitemid 44667383)
19. Tek C, Ulug B. Religiosity and religious obsessions in obsessive compulsive disorder. Psychiatry Res. 2001;104:99-108. (Pubitemid 33050012)
20. Trivers RL. The evolution of reciprocal altruism. Q Rev Biol. 1971;46:35-37.
21. th ed, text rev. Washington, DC: American Psychiatric Association; 2000.
22. Alexander B, Brewin CR, Vearnals S, et al. An investigation of shame and guilt in a depressed sample. Br J Med Psychol. 1999;72:323-338. (Pubitemid 29465539)
23. Wilson JP, Drozdek B, Turkovic S. Posttraumatic shame and guilt. Trauma Violence Abuse. 2006;7:122-141.
24. Hathaway LM, Boals A, Banks JB. PTSD symptoms and dominant emotional response to a traumatic event: an examination of DSM-IV criterion A2. Anxiety Stress Coping. 2010;23:119-126.
25. Glover H. Guilt and aggression in Vietnam veterans. Am J Soc Psychiatr. 1985;5:15-18.
26. Lee DA, Scragg P, Turner S. The role of shame and guilt in traumatic events: a clinical model of shame-based and guilt-based PTSD. Br J Med Psychol. 2001;74:451-466.
27. Street AE, Gibson LE, Holohan DR. Impact of childhood traumatic events, trauma-related guilt, and avoidant coping strategies on PTSD symptoms in female survivors of domestic violence. J Trauma Stress. 2005;18:245-252. (Pubitemid 46421993)
28. Klass ET. Situational approach to the assessment of guilt: development and validation of a self-report measure. J Psychopathol Behav. 1987;9:35-48. (Pubitemid 17058966)
29. Rosen M. A dual model of obsessional neurosis. J Consult Clin Psychol. 1975;43:453-459.
30. Kugler K, Jones WH. On conceptualizing and assessing guilt. J Pers Soc Psychol. 1992;62:318-327.
31. Tangney JP, Burgraff SA, Wagner PE. Shame-proneness, guilt-proneness, and psychological symptoms. In: Tangney JP, Fischer KW, eds. Self-conscious emotions: the psychology of shame, guilt, and pride. New York, NY: Guilford Press; 1995:343-367.
32. Vergote A, ed; Wood MH, trans. Guilt and desire: religious attitudes and their pathological derivatives. New Haven, CT: Yale University Press; 1988.
33. Salzman L. Guilt. Ment Health Soc. 1974;1:313-319.
34. Shecterle RA. Guilt reconsidered: empirical research on the theological influences upon religious differences in the phenomenological experiences of the emotions of guilt and shame [dissertation]. Baltimore, MD: Loyola College; 1999.
35. DeVries SJ. Sin and sinner. In: Buttrick GA, Crim KR, eds. The interpreter's dictionary of the bible. Nashville, TN: Abingdon Press; 1962:361-376.
36. Thyer BA. Remorse and guilt in obsessive-compulsive disorder. Psychotherapy Patient. 1989;5:95-111.
37. Niler ER, Beck SJ. The relationship among guilt, dysphoria, anxiety and obsessions in a normal population. Behav Res Ther. 1989;27:213-220. (Pubitemid 19118866)
38. Takahashi H, Yahata N, Koeda M, et al. Brain activation associated with evaluative processes of guilt and embarrassment: an fMRI study. Neuroimage. 2004;23:967-974. (Pubitemid 39446530)
39. Shin LM, Dougherty DD, Orr SP, et al. Activation of anterior paralimbic structures during guilt-related script-driven imagery. Biol Psychiatry. 2000;48:43-50. (Pubitemid 30407148)
40. Otterbacher JR, Munz DC. State-trait measure of experiential guilt. J Consult Clin Psychol. 1973;40:115-121.
41. Blacher RS. "It isn't fair:" postoperative depression and other manifestations of survivor guilt. Gen Hosp Psychiatry. 2000;22:43-48. (Pubitemid 30129091)
42. Fuchs T. The phenomenology of shame, guilt and the body in body dysmorphic disorder and depression. J Phenomenol Psychology. 2002;33:223-243.
43. Ohnishi M. Trait guilt discriminate between anthropophobic tendency and social anxiety in adolescents. Shinrigaku Kenkyu. 2008;79:351-358.
44. Bybee J, Zigler E, Berliner D, et al. Guilt, guilt-evoking events, depression, and eating disorders. Current Psychology. 1996;15:113-127. (Pubitemid 126141145)
45. O'Connor LE, Berry JW, Inaba D, et al. Shame, guilt, and depression in men and women in recovery from addiction. J Subst Abuse Treat. 1994;11:503-510.
46. Meehan W, O'Connor LE, Berry JW, et al. Guilt, shame, and depression in clients in recovery from addiction. 1996;28:125-134.
47. Coles ME, Frost RO, Heimberg RG, et al. "Not just right experiences:" perfectionism, obsessive-compulsive features and general psychopathology. Behav Res Ther. 2003;41:681-700. (Pubitemid 36539351)
48. Coles ME, Heimberg RG, Frost RO, et al. Not just right experiences and obsessive-compulsive features: experimental and self-monitoring perspectives. Behav Res Ther. 2005;43:153-167. (Pubitemid 40075376)
49. Gilligan C, Ward J, Taylor JM, et al, eds. Mapping the moral domain: a contribution of women's thinking to psychological theory and education. Cambridge, MA: Harvard University Press; 1998.
50. Steketee G, Shapiro LJ. Obsessive-compulsive disorder. In: Bellack AS, Hersen M, eds. Handbook of behavior therapy in the psychiatric setting. New York, NY: Plenum Press; 1993:199-227.
51. Foa EB, Steketee G, Grayson JB, et al. Deliberate exposure and blocking of obsessive-compulsive rituals: immediate and long-term effects. Beh Ther. 1984;15: 450-472. (Pubitemid 15175426)
52. Jenike MA, Baer L, Minichiello WE. Obsessive compulsive disorders: theory and management. Chicago, IL: Year Book Medical Publishers; 1990.
53. Marks IM, Hodgson R, Rachman S. Treatment of chronic obsessive-compulsive neurosis in-vivo exposure. A two-year follow-up and issues in treatment. Br J Psychiatry. 1975;127:349-364.
54. Salkovskis PM, Forrester E. Responsibility. In: Frost RO, Steketee G, eds. Cognitive approaches to obsessions and compulsions: theory, assessment, and treatment. Kidlington, United Kingdom: Elsevier Science; 2002:45-61.
55. Salkovskis P, Shafran R, Rachman S, et al. Multiple pathways to inflated responsibility beliefs in obsessional problems: possible origins and implications for therapy and research. Behav Res Ther. 1999;37:1055-1072. (Pubitemid 29397349)
56. No authors listed. Cognitive assessment of obsessive-compulsive disorder. Obsessive Compulsive Cognitions Working Group. Behav Res Ther. 2002;35:667-681.
57. Ladouceur R, Leger E, Rhéaume J, et al. Correction of inflated responsibility in the treatment of obsessive-compulsive disorder. Behav Res Ther. 1996;34:767-774. (Pubitemid 26364876)
58. Rachman S. Obsessions, responsibility, and guilt. Behav Res Ther. 1993;31:149-154.
59. Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr. 1966;80:1-28.
60. Shrauger JS, Silverman RE. The relationship of religious background and participation to locus of control. Sci Study of Rel. 1971;10:11-16.
61. Mancini F, Gangemi A. Responsibility, guilt, and decision under risk. Psychol Rep. 2003;93(3 Pt 2):1077-1079. (Pubitemid 39109748)