Shafran R, Rachman S
Department of Psychiatry, Oxford University, Warneford Hospital, Oxford, OX3 7JX, UK.
J Behav Ther Exp Psychiatry. 2004 Jun;35(2):87-107. doi: 10.1016/j.jbtep.2004.04.002.
The cognitive bias of "Thought Action Fusion" (TAF) has received significant research attention in the past decade. The review addresses the assessment of TAF, its place in cognitive theories of obsessional difficulties, and the evidence demonstrating that TAF is relevant to disorders beyond Obsessive Compulsive Disorder (OCD). Data on the components of TAF, its extension to positive outcomes and its role in the aetiology, maintenance and treatment of OCD are reviewed. It is concluded that the moral form of TAF is less robust than the likelihood form and that scales may be best used as a starting point in identifying beliefs and conducting experimental investigations. It is also suggested that the scales be amended to include harm avoidance, which would also increase their clinical utility.
“思维行动融合”（TAF）的认知偏差在过去十年中受到了大量研究关注。本综述探讨了TAF的评估、其在强迫障碍认知理论中的地位，以及表明TAF与强迫症（OCD）以外的疾病相关的证据。回顾了关于TAF组成部分的数据、其向积极结果的扩展及其在OCD病因、维持和治疗中的作用。得出的结论是，TAF的道德形式不如可能性形式稳固，量表或许最好用作识别信念和开展实验研究的起点。还建议对量表进行修订以纳入伤害回避，这也会增加其临床实用性。
