Oishi Masayuki
Nihon Rinsho. 2015 Sep;73(9):1580-4.
Kleptomania and compulsive buying are important clinical problems. However there is no established treatment for these problems in Japan yet. In this article, we review the available clinical treatments for kleptomania and compulsive buying in Japan. Kleptomania and compulsive buying can be explained by the conditioning theory. These behaviors are reinforced by positive consequences. In particular, the problem behaviors of kleptomania arise because of arousal and tension and are reinforced by the relaxed feeling that follows. Therefore, kleptomania is treated by systematic desensitization. However, it is important that interventions such as cognitive behavioral therapy, which increase subjective adaptation. be used in combination to treat and control such behaviors.
偷窃癖和强迫性购物是重要的临床问题。然而,在日本,针对这些问题尚无既定的治疗方法。在本文中,我们综述了日本现有的针对偷窃癖和强迫性购物的临床治疗方法。偷窃癖和强迫性购物可以用条件作用理论来解释。这些行为会因积极的后果而得到强化。特别是,偷窃癖的问题行为是由于兴奋和紧张而产生的,并会因随之而来的放松感而得到强化。因此,偷窃癖通过系统脱敏疗法进行治疗。然而,重要的是,诸如认知行为疗法等能够增强主观适应性的干预措施应结合使用,以治疗和控制此类行为。