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认知行为疗法的基本策略

Basic Strategies of Cognitive Behavioral Therapy.

作者信息

Wenzel Amy

机构信息

Wenzel Consulting, LLC and University of Pennsylvania School of Medicine, 1062 Lancaster Avenue, Suite #24, Bryn Mawr, PA 19010, USA.

出版信息

Psychiatr Clin North Am. 2017 Dec;40(4):597-609. doi: 10.1016/j.psc.2017.07.001. Epub 2017 Aug 18.

Abstract

Cognitive behavioral therapy's main strategies are active, problem-focused, and collaborative. Cognitive restructuring is a strategy in which clinicians help patients to identify, evaluate, and modify inaccurate or otherwise unhelpful thinking associated with emotional distress. Behavioral activation provides a framework for patients, particularly those who are depressed, to increase engagement in activities that provide a sense of accomplishment or pleasure. The goal of exposure is for anxious patients to experience an extinction of fear by having planned contact with feared stimuli and situations. Problem solving allows patients to systematically approach and address their life problems by using cognitive and behavioral techniques.

摘要

认知行为疗法的主要策略是积极主动、以问题为导向且具有协作性。认知重构是一种策略,临床医生通过该策略帮助患者识别、评估并修正与情绪困扰相关的不准确或无益的思维。行为激活为患者,尤其是抑郁症患者,提供了一个框架,以增加他们参与能带来成就感或愉悦感的活动。暴露疗法的目标是让焦虑的患者通过有计划地接触恐惧刺激和情境来体验恐惧的消退。解决问题使患者能够运用认知和行为技巧系统地处理和解决他们生活中的问题。

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