Dowd E T, Swoboda J S
J Behav Ther Exp Psychiatry. 1984 Sep;15(3):229-34. doi: 10.1016/0005-7916(84)90030-2.
The use of paradoxical interventions in overcoming resistance to behavior therapy is discussed and a categorization and description of paradoxical interventions provided. Two factors are of primary importance in assessing the desirability of using paradoxical interventions: the individual's reactance potential and the perceived freedom of the problematic behavior. Paradoxical interventions themselves can be divided into two categories: compliance-based strategies and defiance-based strategies. Several types of paradoxical interventions are described and their use within therapy discussed, such as symptom prescription, restraining, reframing and utilization techniques. Preliminary research evidence attesting to the usefulness of some of these techniques is discussed.
本文讨论了在克服行为治疗抵抗中使用矛盾干预的情况,并对矛盾干预进行了分类和描述。在评估使用矛盾干预的可取性时,有两个因素至关重要:个体的反抗潜力和问题行为的感知自由度。矛盾干预本身可分为两类:基于依从的策略和基于违抗的策略。文中描述了几种矛盾干预类型,并讨论了它们在治疗中的应用,如症状处方、约束、重新构建和利用技术。还讨论了证明其中一些技术有用性的初步研究证据。