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The patient, Federico, exhibited intense shame and disgust linked to a bullying episode, leading to compulsive rituals and functional impairments. Treatment integrated emotion regulation training, Imagery Rescripting (ImRs), and behavioral experiments, targeting dysfunctional beliefs about emotions. ImRs allowed reprocessing of the traumatic memory and reshaping of self\u2010related meanings of impurity and unworthiness. Behavioral experiments tested and modified catastrophic appraisals of emotional experiences, fostering tolerance of distress without compulsive neutralization. By the end of treatment, Federico's Y\u2010BOCS\u2010II score fell from 42 to 15 (\u221264%) and his VOCI\u2010MC score from 50 to 9 (\u221282%), with stability at 3\u2010month follow\u2010up. Follow\u2010up confirmed the stability of gains and increased emotional autonomy. This case supports the utility of combining trauma\u2010focused cognitive techniques and behavioral experiments in MC, particularly when compulsions are maintained by unprocessed emotional memories rather than concrete contamination threats. It highlights the need for individualized interventions in which ImRs may serve as a central component in treating MC symptoms.<\/jats:p>","DOI":"10.1002\/jclp.70083","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T20:06:52Z","timestamp":1767730012000},"page":"620-627","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Imagery Rescripting and Behavioural Experiments for Mental Contamination in Obsessive\u2010Compulsive Disorder: A Case Illustration"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0808-1453","authenticated-orcid":false,"given":"Elena","family":"Micheli","sequence":"first","affiliation":[{"name":"Institute for Behavioral and Cognitive Psychology and Psychotherapy, IPSICO Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8407-823X","authenticated-orcid":false,"given":"Gabriele","family":"Melli","sequence":"additional","affiliation":[{"name":"Institute for Behavioral and Cognitive Psychology and Psychotherapy, IPSICO Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0018260"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60240-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(98)00173-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2012.03.001"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2012.11.002"},{"key":"e_1_2_7_7_1","volume-title":"Manual for the Beck Depression Inventory\u2010II","author":"Beck A. 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