Milan M A, Kolko D J
J Behav Ther Exp Psychiatry. 1982 Jun;13(2):167-72. doi: 10.1016/0005-7916(82)90062-3.
A case study of the paradoxical treatment of long standing obsessional ruminations about flatulence in a 33-year old female respiratory therapist is described. Self-reported estimates of the frequency and intensity of flatulence were unaffected by a misconception correction procedure that entailed the presentation of scientific data disconfirming the bases of her concerns. Paradoxical instructions to intensify flatus emissions were then employed. These instructions resulted in a rapid elimination of the obsessional ruminations; this improvement was enhanced at 1 yr follow-up.
本文描述了一个针对一名33岁女性呼吸治疗师长期存在的关于肠胃胀气强迫性沉思的矛盾疗法案例。通过呈现科学数据来纠正她的误解，以此来验证其担忧的依据，但她自我报告的肠胃胀气频率和强度估计并未受到影响。随后采用了矛盾指令，即要求增加肠胃胀气的排出量。这些指令迅速消除了强迫性沉思；在1年的随访中，这种改善得到了进一步加强。
