Otto M W
Behavior Therapy Unit, Massachusetts General Hospital, Boston.
Psychiatr Clin North Am. 1992 Dec;15(4):825-48.
This article presents a neuropsychological perspective on obsessive compulsive disorder (OCD) and describes some of the cognitive strengths and weaknesses that characterize the disorder. Neuroanatomic findings and theories of the neurologic basis of OCD are reviewed as are studies that use neuropsychological assessments. Findings of frontal lobe and/or basal ganglia dysfunction as well as memory deficits are emphasized. This information is then discussed in the context of cognitive-behavioral and information processing perspectives that emphasize normal patterns in anxiety and worry. The goal is to provide an integrated conceptual model of OCD, identifying the normal and abnormal information processing patterns that characterize the disorder.
本文从神经心理学角度探讨强迫症(OCD),并描述了该疾病所具有的一些认知优势和劣势。文中回顾了强迫症神经解剖学研究结果及神经学基础理论,以及使用神经心理学评估的研究。重点强调了额叶和/或基底神经节功能障碍以及记忆缺陷的研究结果。然后,结合强调焦虑和担忧正常模式的认知行为和信息加工观点,对这些信息进行了讨论。目的是提供一个综合的强迫症概念模型,识别该疾病所具有的正常和异常信息加工模式。