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噩梦的治疗性干预与神经症的管理

Therapeutic manipulation of nightmares and the management of neuroses.

作者信息

Bishay N

出版信息

Br J Psychiatry. 1985 Jul;147:67-70. doi: 10.1192/bjp.147.1.67.

DOI:10.1192/bjp.147.1.67
PMID:2866008
Abstract

Seven cases of nightmare were treated by simple rehearsal of the nightmare and/or rehearsal with an altered ending, followed by earlier introduction of the ending. One-year follow-up of five patients showed complete relief from nightmares in the four patients who achieved early introduction of a 'masterful' ending, and marked improvement in the patient who could only imagine a neutral ending. All but one of the patients also presented with neurotic symptoms (anxiety, phobias, depression and compulsion/obsession). These were treated by rational discussion and the formulation of positive 'threat-eliminating' statements to be repeated as homework and in times of stress.

摘要

七例梦魇患者接受了简单的梦魇排练和/或带有改变结局的排练,随后提前引入结局。对五名患者进行的一年随访显示,在四名能够提前引入“巧妙”结局的患者中,梦魇完全缓解,而在只能想象中性结局的患者中,症状有明显改善。除一名患者外,所有患者还伴有神经症症状(焦虑、恐惧症、抑郁症和强迫观念/强迫行为)。通过理性讨论和制定积极的“消除威胁”语句来治疗这些症状,这些语句将作为家庭作业并在压力时期重复使用。

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Position Paper for the Treatment of Nightmare Disorder in Adults: An American Academy of Sleep Medicine Position Paper.成人梦魇障碍治疗立场文件:美国睡眠医学学会立场文件。
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Best practice guide for the treatment of nightmare disorder in adults.
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Triumph over terror.战胜恐惧。
Br Med J (Clin Res Ed). 1986 Jan 18;292(6514):203. doi: 10.1136/bmj.292.6514.203.