Junginger J, Turner S M
J Behav Ther Exp Psychiatry. 1987 Jun;18(2):115-9. doi: 10.1016/0005-7916(87)90024-3.
This case study describes a treatment developed for an obsessional patient for whom neither in vivo nor verbal exposure was effective in eliciting obsessional thinking. The treatment consisted of increasingly more strict temporal parameters the patient was to impose when obsessional thoughts spontaneously occurred. These parameters stipulated the amount of time he was to wait between the occurrence of obsessional thoughts and compulsive checking, and the amount of time he was to spend checking. Over a period of several months, these self-imposed temporal parameters were effective in completely eliminating persistent and intractable obsessional thinking of 11 years' duration.
本案例研究描述了一种针对一名强迫观念患者所开发的治疗方法，对于该患者，无论是实景暴露还是言语暴露，均无法有效引发强迫观念性思维。该治疗方法包括，当强迫观念自发出现时，患者要设定越来越严格的时间参数。这些参数规定了在强迫观念出现与强迫性检查行为之间他要等待的时间量，以及他进行检查所花费的时间量。在几个月的时间里，这些患者自行设定的时间参数有效地彻底消除了持续11年之久的顽固强迫观念性思维。
