Cromarty P, Marks I
Psychological Treatment Unit, Maudsley Hospital, London.
Br J Psychiatry. 1995 Sep;167(3):399-402. doi: 10.1192/bjp.167.3.399.
Dysmorphophobia may improve after a variety or combination of treatments, but which elements of a treatment are useful is usually not certain.
In a single out-patient case study rational role-play ('paradoxical discourse') was added to exposure plus cognitive restructuring (CR) for a dysmorphic delusion study comprised of 20-minute sessions one week apart.
Previous exposure plus attempted CR had improved anxiety, phobias, work and social leisure, but not dysmorphic belief. Added brief rational role-play was followed by resolution of the dysmorphic belief. All measures remained much improved at 18-month follow-up.
Rational role-play deserves a controlled trial in dysmorphophobia and other problems and exploration of its mechanism of action.
通过各种治疗方法或多种治疗方法的组合，畸形恐惧症可能会有所改善，但通常不确定治疗中的哪些要素是有用的。
在一项单门诊病例研究中，对于一项畸形妄想研究，在暴露疗法加认知重建（CR）的基础上增加了理性角色扮演（“矛盾话语”），该研究由每周一次、每次20分钟的疗程组成。
先前的暴露疗法加尝试性的认知重建改善了焦虑、恐惧症、工作和社交休闲状况，但未改善畸形信念。增加简短的理性角色扮演后，畸形信念得到解决。在18个月的随访中，所有指标仍有很大改善。
理性角色扮演值得在畸形恐惧症和其他问题中进行对照试验，并探索其作用机制。
