Jacob R G, Moore D J
J Behav Ther Exp Psychiatry. 1984 Sep;15(3):205-13. doi: 10.1016/0005-7916(84)90027-2.
This article discusses the current and potential use of paradoxical interventions in behavioral medicine. Paradoxical interventions are considered to be of two types: intra-individual and interpersonal. Treatment indications differ for the two types of interventions. Intraindividual paradoxical interventions have been successful in the treatment of insomnia, psychogenic urinary retention and constipation. Interpersonal paradoxical interventions have been subjected to less empirical research, but have been useful in the treatment of anorexia nervosa and in family based interventions where medical patients maladaptively cope with their rehabilitation. Paradoxical procedures are also used in the treatment of sexual dysfunction and may be of value in pain management. Further possible applications as well as limitations of paradoxical interventions in behavioral medicine are discussed.
本文探讨了矛盾干预在行为医学中的当前及潜在应用。矛盾干预被认为有两种类型：个体内部的和人际间的。这两种干预的治疗指征有所不同。个体内部矛盾干预在治疗失眠、心因性尿潴留和便秘方面已取得成功。人际间矛盾干预的实证研究较少，但在神经性厌食症的治疗以及医疗患者在康复过程中适应不良的家庭干预中很有用。矛盾程序也用于治疗性功能障碍，并且在疼痛管理中可能有价值。本文还讨论了矛盾干预在行为医学中的其他可能应用以及局限性。
