Adshead G, Drummond L M, Mercer S
St George's Hospital, London.
Br J Psychiatry. 1988 Dec;153:821-3. doi: 10.1192/bjp.153.6.821.
A woman with persistent obsessive-compulsive rituals showed limited improvement with exposure therapy, because of her refusal to comply fully with treatment and a lack of homework practice. She was negativistic towards therapists. Following a relapse, she was asked to try anti-exposure and to increase rituals. Paradoxically, this led to marked self exposure to the feared situation, and self-imposed response prevention, with resultant improvement, whereas anti-exposure instructions are generally anti-therapeutic in obsessive-compulsive disorder.
一名患有持续性强迫仪式行为的女性，由于拒绝完全配合治疗且缺乏家庭作业练习，接受暴露疗法后改善有限。她对治疗师持消极态度。复发后，她被要求尝试反暴露并增加仪式行为。矛盾的是，这导致她明显地自我暴露于恐惧情境，并自我实施反应阻止，结果病情得到改善，而在强迫症中，反暴露指令通常具有反治疗作用。
