Sheinberg M
Ackerman Institute for Family Therapy, New York, NY 10021.
Fam Process. 1988 Sep;27(3):305-16. doi: 10.1111/j.1545-5300.1988.00305.x.
In this article, obsessions and phobic responses are examined in relation to the maintenance and development of a cross-generational coalition organized by a premise about exclusivity, as well as the specific, idiosyncratic "signature premises" characteristic to each case. It is suggested that the obsession develops when a developmental or situational crisis conflicts with the exclusive relationship definition (that is, coalition). Two forms of intervention for disrupting obsessions--the "conversation" and the "counter-obsession"--are discussed and illustrated. Both interventions conceptualize the obsession as an oscillation between remaining in the coalition and not remaining in the coalition, and both interventions challenge the signature premise that defines the coalition.
在本文中，我们探讨了强迫观念和恐惧反应与由排他性前提组织起来的跨代联盟的维持和发展之间的关系，以及每个案例所特有的具体、独特的“标志性前提”。研究表明，当发展性或情境性危机与排他性的关系定义（即联盟）发生冲突时，强迫观念就会产生。本文讨论并举例说明了两种打破强迫观念的干预形式——“对话”和“反强迫观念”。这两种干预都将强迫观念概念化为在联盟中与不在联盟中之间的一种摇摆，并且都对定义联盟的标志性前提提出了挑战。
