ABSTRACT

This chapter aims to create the conditions that allow the patient to consider being guilty a tolerable state. The intervention ends with asking the patient to think of different cultures and religions and to try to identify one that does not have the concept of guilt, sin, forgiveness, and punishment. The existence of such concepts in very different cultures and religions implicitly demonstrates the inevitability of wrongdoing and sin. In most cases, therefore, intervention for reducing vulnerability to obsessive-compulsive disorder will be associated with intervention on thinking processes in order to keep the results obtained stable over time and reduce the risk of future relapses. If hyper-investment on the moral plane and the tendency to catastrophise the experience of guilt continues notwithstanding the remission of symptoms attained through the interruption of recursive processes, it is highly likely that there will be a new activation of the disorder in the future.