SOCRATE vs. critical thoughts: Preliminary results on an Application for Socratic Dialogue Intervention
Keywords:
Self-criticism, Transdiagnostic processes, Pilot study, Digital intervention, Socratic Dialogue, Obsessive-compulsive traitsAbstract
Self-Criticism (SC) is a transdiagnostic process associated with increased psychological distress and poor therapeutic outcomes, particularly among individuals with obsessive-compulsive traits characterized by rigid moral self-evaluations and punitive inner dialogues. This pilot study examined the feasibility and preliminary effects of SOCRATE in a non-clinical sample. SOCRATE consists of an App aimed at providing a structured digital intervention based on the Socratic Dialogue technique, which is addressed specifically to the dialogic and inferential architecture of self-critical processes. Sixteen non-clinical young adults (N=16) completed an assessment of measures, before and after the intervention referred to Obsessive Compulsive Disorder and Social Anxiety symptoms and then they used the application daily for fifteen days. Results revealed a significant reduction in obsessive-compulsive symptomatology among non-clinical participants who presented OCD traits in the pre-test measure. No significant changes emerged for other symptomatic domains. These preliminary findings suggest that structured digital Socratic Dialogue may represent a promising low-intensity intervention for self-critical processes associated with OCD-related symptomatology. Furthermore, within the scene of digital mental health, this work contributes to the growing body of research on structured digital interventions as a tool capable of enhancing the effects of psychotherapy, particularly those aimed at the modulation and reduction of SC. Further research is needed to determine and clarify how such low-intensity dialogical tools can be optimally integrated into broader models of psychological intervention. In particular, additional studies are required to evaluate the effectiveness of combining SOCRATE usage integrated into psychotherapy and to establish the conditions under which this integration may yield the greatest clinical benefit.
doi: 10.53240/2026TOPIC5N2.111
References
Blease, C., & Torous, J. (2023). ChatGPT and mental healthcare: balancing benefits with risks of harms. BMJ Mental Health, 26(1), e300884. https://doi.org/10.1136/bmjment-2023-300884
Cerea, S., Ghisi, M., Bottesi, G., Carraro, E., Broggio, D., & Doron, G. (2020). Reaching reliable change using short, daily, cognitive training exercises delivered on a mobile application: The case of Relationship Obsessive Compulsive Disorder (ROCD) symptoms and cognitions in a subclinical cohort. Journal of Affective Disorders, 276, 775–787. https://doi.org/10.1016/j.jad.2020.07.043
Clark, G. I., & Egan, S. J. (2015). The Socratic Method in Cognitive Behavioural Therapy: A Narrative review. Cognitive Therapy and Research, 39(6), 863–879. https://doi.org/10.1007/s10608-015-9707-3
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41(5), 509–528. https://doi.org/10.1016/s0005-7967(02)00088-8
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). The Obsessive-Compulsive Inventory: development and validation of a short version. Psychological assessment, 14(4), 485–496.
Gilbert, P., Clarke, M., Hempel, S., Miles, J., & Irons, C. (2004). Criticizing and reassuring oneself: An exploration of forms, styles and reasons in female students. British Journal of Clinical Psychology, 43(1), 31–50. https://doi.org/10.1348/014466504772812959
Gilbert, P. (2005). Compassion: Conceptualizations, research and use in psychotherapy. New york, NY: Routledge.
Gilbert, P., Durrant, R., & McEwan, K. (2006). Investigating relationships between perfectionism, forms and functions of self-criticism, and sensitivity to put-down. Personality and Individual Differences, 41(7), 1299–1308. https://doi.org/10.1016/j.paid.2006.05.004
Gilbert, P. (2014). The origins and nature of compassion focused therapy. British journal of clinical psychology, 53(1), 6-41.
Golestaneh, S. M., Dehghani, F., & Hoseini, F. S. (2017). Comparison of Self-Criticism in Obsessive-Compulsive, Major depression patients and normal people. Jentashapir Journal of Health Research, 8(3).https://doi.org/10.5812/jjhr.62161
Iftikhar, Z., Xiao, A., Ransom, S., Huang, J., & Suresh, H. (2025). How LLM Counselors Violate ethical Standards in Mental Health Practice: A Practitioner-Informed Framework. Proceedings of the AAAI/ACM Conference on AI Ethics and Society, 8(2), 1311–1323. https://doi.org/10.1609/aies.v8i2.36632
Im, C., & Woo, M. (2025). Clinical efficacy, therapeutic mechanisms, and implementation features of Cognitive Behavioral Therapy–Based Chatbots for Depression and Anxiety: Narrative review. JMIR Mental Health, 12, e78340.https://doi.org/10.2196/78340
Jensen, M. (2003). Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. Journal of Pain, 4(7), 407–414. https://doi.org/10.1016/s1526-5900(03)00716-8
Kazantzis, N., Fairburn, C. G., Padesky, C. A., Reinecke, M., & Teesson, M. (2014). Unresolved issues regarding the research and practice of cognitive behavior therapy: The case of guided discovery using Socratic questioning. Behaviour Change, 31(1), 1–17. https://doi.org/10.1017/bec.2013.29
Longe, O., Maratos, F. A., Gilbert, P., Evans, G., Volker, F., Rockliff, H., & Rippon, G. (2010). Having a word with yourself: Neural correlates of self-criticism and self-reassurance. NeuroImage, 49(2), 1849–1856.https://doi.org/10.1016/j.neuroimage.2009.09.019
Löw, C. A., Schauenburg, H., & Dinger, U. (2020). Self-criticism and psychotherapy outcome: A systematic review and meta-analysis. Clinical Psychology Review, 75, 101808. https://doi.org/10.1016/j.cpr.2019.101808
Mancini F, Rogier G, Gangemi A. The distinction between altruistic and deontological guilt feelings: insights from psychopathology. In: Cardella V, Gangemi A, editors. Psychopathology and philosophy of mind. London: Routledge (2021). p. 21.
Mancini, F., & Gangemi, A. (2021). Deontological and Altruistic Guilt Feelings: a dualistic thesis. Frontiers in Psychology, 12, 651937. https://doi.org/10.3389/fpsyg.2021.651937
Marchetti, I., Chiri, L. R., Ghisi, M., & Sica, C. (2010). Obsessive-Compulsive Inventory-Revised (OCI-R): presentazione e indicazioni di utilizzo nel contesto italiano. ArTS Archivio Della Ricerca Di Trieste (University of Trieste https://www.units.it/), 16(1), 69–84. http://hdl.handle.net/11368/2935646
Mattick, R. P., & Clarke, J. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36(4), 455–470. https://doi.org/10.1016/s0005-7967(97)10031-6
Miceli, M., & Castelfranchi, C. (2018). Reconsidering the differences between shame and guilt. Europe’s Journal of Psychology, 14(3), 710–733. https://doi.org/10.5964/ejop.v14i3.1564
Overholser, J. C. (2010). Psychotherapy according to the Socratic method: integrating ancient philosophy with contemporary cognitive therapy. Journal of Cognitive Psychotherapy, 24(4), 354–363. https://doi.org/10.1891/0889-8391.24.4.354
Overholser, J. C. (2012). Guided discovery. Journal of Contemporary Psychotherapy, 43(2), 73–82. https://doi.org/10.1007/s10879-012-9229-1
Overholser, James. The Socratic Method of Psychotherapy, New York Chichester, West Sussex: Columbia University Press, 2018. https://doi.org/10.7312/over18328
Padesky, C. A. (1993, September). Socratic questioning: Changing minds or guiding discovery? Keynote address presented at the European Congress of Behavioural and Cognitive Therapies, London, United Kingdom. http://www.padesky.com/clinicalcorner/
Pekin, Z., & Güme, S. (2024). Self-Criticism: Conceptualization, assessment and interventions. Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry, 17(1), 107–123. https://doi.org/10.18863/pgy.1455185
Robins, R. W., Hendin, H. M., & Trzesniewski, K. H. (2001b). Measuring Global Self-Esteem: Construct Validation of a Single-Item Measure and the Rosenberg Self-Esteem Scale. Personality and Social Psychology Bulletin, 27(2), 151–161. https://doi.org/10.1177/0146167201272002
Saliani, A. M., Perdighe, C., Zaccari, V., Luppino, O. I., Mancini, A., Tenore, K., & Mancini, F. (2024). Treating Guilt-Inducing Self-Talk in Ocd with Dramatized Socratic Dialogue: A Step by Step Intervention. Clinical neuropsychiatry, 21(1), 63–78. https://doi.org/10.36131/cnfioritieditore2023060104
Scuole di Psicoterapia Cognitiva. (2026, January 23). Convegno d’Inverno per il Cognitivismo Clinico 2026: Self-criticism: Dai modelli teorici alla pratica clinica. https://eventi.apc.it/Home/NewCoursePage/convegno-dinverno-per-il-cognitivismo-clinico-2026-self-criticism-dai-modelli-teorici-alla-pratica-clinica
Sica, C., Musoni, I., Chiri, L. R., Bisi, B., Lolli, V., & Sighinolfi, C. (2007). Social Phobia Scale (SPS) e Social Interaction Anxiety Scale (SIAS): traduzione e adattamento italiano. Bollettino di Psicologia Applicata, 252, 59–71.
Stoet, G. (2010). PsyToolkit: A software package for programming psychological experiments using Linux. Behavior Research Methods, 42(4), 1096–1104. https://doi.org/10.3758/brm.42.4.1096
Stoet, G. (2016). PsyToolkit. Teaching of Psychology, 44(1), 24–31. https://doi.org/10.1177/0098628316677643
The jamovi project (2025). jamovi (Version 2.6) [Computer Software]. Retrieved from https://www.jamovi.org
Werner, K. H., Jazaieri, H., Goldin, P. R., Ziv, M., Heimberg, R. G., & Gross, J. J. (2011). Self-compassion and social anxiety disorder. Anxiety Stress & Coping, 25(5), 543–558. https://doi.org/10.1080/10615806.2011.608842
Williams, B. M., & Levinson, C. A. (2022). A model of self-criticism as a transdiagnostic mechanism of eating disorder comorbidity: A review. New Ideas in Psychology, 66, 100949. https://doi.org/10.1016/j.newideapsych.2022.100949
Zuroff, D. C., Koestner, R., & Powers, T. A. (1994). Self-criticism at age 12: A longitudinal study of adjustment. Cognitive Therapy and Research, 18(4), 367–385. https://doi.org/10.1007/bf02357511
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