Stankovic Miroslava
Unité de recherche clinique et évaluative, Département universitaire de psychiatrie adulte, Lausanne, Suisse.
Sante Ment Que. 2004 Spring;29(1):105-14. doi: 10.7202/008824ar.
The efficacy of behavioral techniques based on exposure and response prevention has been well validated in the treatment of obsessive-compulsive disorder. Nevertheless in a large proportion of patients the disease persists, among others due to refusal of the treatment or due to non-response. About one of two patient entering treatment seems therefore to possibly benefit from behavioral therapy (Ladouceur et al., 1999). Cognitive techniques may extend the behavioral approach, and may represent a more indirect and progressive method, and may improve patients' commitment in the therapy. However, the proportion of treatment resistant patients remains important. New techniques are therefore warranted in order to progress in the understanding and treatment of these patients. Emotion focused therapy could possibly represent an interesting approach based on the improvement of emotional awareness, the exploration and the cognitive restructuring of emotions. The different techniques are described throughout clinical case reports.
基于暴露与反应阻止法的行为技术在强迫症治疗中的疗效已得到充分验证。然而，在很大一部分患者中，疾病仍会持续存在，部分原因是拒绝治疗或无反应。因此，每两个接受治疗的患者中似乎约有一个可能从行为疗法中获益（拉杜塞尔等人，1999年）。认知技术可能会扩展行为疗法，可能代表一种更间接、渐进的方法，并且可能会提高患者在治疗中的投入度。然而，治疗抵抗患者的比例仍然很高。因此，需要新技术来推进对这些患者的理解和治疗。聚焦情绪疗法可能是一种基于提高情绪意识、探索情绪和对情绪进行认知重构的有趣方法。不同的技术将在临床病例报告中进行描述。
