Huppert Jonathan D, Siev Jedidiah, Kushner Elyssa S
University of Pennsylvania School of Medicine, Pennsylvania, USA.
J Clin Psychol. 2007 Oct;63(10):925-41. doi: 10.1002/jclp.20404.
Evidence-based practice suggests that clinicians should integrate the best available research with clinical judgment and patient values. Treatment of religious patients with scrupulosity provides a paradigmatic example of such integration. The purpose of this study is to describe potential adaptations to make exposure and response prevention, the first-line treatment for obsessive-compulsive disorder, acceptable and consistent with the values of members of the Ultra-Orthodox Jewish community. We believe that understanding these challenges will enhance the clinician's ability to increase patient motivation and participation in therapy and thereby provide more effective treatment for these and other religious patients.
循证医学实践表明，临床医生应将现有最佳研究成果与临床判断及患者价值观相结合。对患有顾虑性障碍的宗教患者进行治疗就是这种结合的一个典型例子。本研究的目的是描述对暴露与反应预防（强迫症的一线治疗方法）进行潜在调整，使其能为极端正统犹太社区成员所接受，并与其价值观相符。我们相信，了解这些挑战将增强临床医生提高患者治疗动机和参与度的能力，从而为这些及其他宗教患者提供更有效的治疗。
