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认知疗法:30年回顾

Cognitive therapy. A 30-year retrospective.

作者信息

Beck A T

机构信息

Department of Psychiatry, University of Pennsylvania, School of Medicine, Philadelphia.

出版信息

Am Psychol. 1991 Apr;46(4):368-75. doi: 10.1037//0003-066x.46.4.368.

DOI:10.1037//0003-066x.46.4.368
PMID:2048795
Abstract

Several lines of investigation have evolved from the initial cognitive model of depression and other disorders. A large number of studies have tested the cognitive model using both clinical and laboratory-based strategies. In general, studies that most closely approximate the clinical conditions from which the theory was derived are supportive of the cognitive model of depression. Studies of anxiety and panic, although fewer, generally support the cognitive model of anxiety and panic. The application to the treatment of clinical problems has been promising and supports the concept of cognitive specificity. The cognitive therapy of depression has led to the utilization of specific cognitive strategies based on the specific conceptualizations of a given disorder to a wide variety of disorders. Study of abnormal reactions has also provided clues to the cognitive structure of normal reactions.

摘要

从抑郁症及其他障碍的初始认知模型出发,已经发展出了几条研究路线。大量研究使用临床和基于实验室的策略对认知模型进行了测试。总体而言,那些最接近该理论所源自的临床状况的研究支持抑郁症的认知模型。关于焦虑和惊恐的研究,尽管数量较少,但总体上支持焦虑和惊恐的认知模型。其在临床问题治疗中的应用前景良好,并支持认知特异性的概念。抑郁症的认知疗法已导致基于特定障碍的特定概念化,将特定认知策略应用于多种障碍。对异常反应的研究也为正常反应的认知结构提供了线索。

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