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以强迫性神经症为特征的病态嫉妒:行为心理治疗

Morbid jealousy featuring as obsessive-compulsive neurosis: treatment by behavioral psychotherapy.

作者信息

Cobb J P, Marks I M

出版信息

Br J Psychiatry. 1979 Mar;134:301-5. doi: 10.1192/bjp.134.3.301.

Abstract

Morbid jealousy can occasionally be indistinguishable from obsessive-compulsive neurosis and then be partially amenable to broad-spectrum behavioural treatment. This can involve the partner and includes (a) methods to reduce jealousy and (b) other methods where appropriate, such as social skills training, and sex and marital therapy. This pilot study describes such treatment of four jealous out-patients. Rituals improved in three patients but ruminations in only one. Of three patients who were depressed at the start of treatment, two improved in rituals and in mood. The patient who failed was poorly motivated and did not comply with treatment.

摘要

病态嫉妒有时可能与强迫性神经症难以区分,进而在一定程度上可采用广谱行为疗法。这种疗法可让伴侣参与其中,包括(a)减少嫉妒的方法,以及(b)在适当情况下的其他方法,如社交技能训练、性与婚姻治疗。这项试点研究描述了对四名嫉妒门诊患者的此类治疗。三名患者的仪式行为有所改善,但只有一名患者的反复思考有所改善。在治疗开始时抑郁的三名患者中,有两名在仪式行为和情绪方面都有改善。治疗失败的患者动机不足且未遵守治疗方案。

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