Steketee G, Foa E B, Grayson J B
Arch Gen Psychiatry. 1982 Dec;39(12):1365-71. doi: 10.1001/archpsyc.1982.04290120001001.
The last decade has witnessed remarkable progress in the treatment of obsessive-compulsives, with the introduction of response prevention and deliberate exposure to feared situations in vivo and in imagination. In a series of studies, the effects of the single components of this program were investigated. The results suggest that the optimal treatment includes a combination of all three procedures. It appears that in vivo exposure mainly affects anxiety/discomfort associated with cues for ritualizing; response prevention affects primarily compulsive behavior; and imaginal exposure assists in maintenance of treatment gains, perhaps through its impact on fears of future catastrophes associated with obsessions.
在过去十年中，随着反应阻止法以及在现实情境和想象中刻意暴露于恐惧情境的引入，强迫症的治疗取得了显著进展。在一系列研究中，对该治疗方案各个单一组成部分的效果进行了调查。结果表明，最佳治疗方案是将这三种程序结合起来。似乎现实情境暴露主要影响与仪式化线索相关的焦虑/不适；反应阻止主要影响强迫行为；而想象暴露可能通过影响对与强迫观念相关的未来灾难的恐惧，有助于维持治疗效果。
