Munford P R, Hand I, Liberman R P
UCLA School of Medicine.
Psychiatry. 1994 May;57(2):142-52. doi: 10.1080/00332747.1994.11024677.
State-of-the-art psychosocial treatment for obsessive-compulsive disorder is based on behavior therapy strategies and techniques with adjunctive pharmacological treatment. The critical therapeutic element is the prolonged confrontation of the individual with the stimuli that provokes obsessive thoughts or compulsive actions, without the individual then engaging in cognitive or ritualistic avoidance behaviors. For the clinician, a decision model for treating this disorder is drawn from recent behavioral and pharmacological research, as well as from the individual's self-help capacities. Judicious use of currently available treatments can reduce suffering and restore lost psychosocial functioning in obsessive-compulsive patients and their families.
强迫症的现代心理社会治疗基于行为治疗策略和技术，并辅以药物治疗。关键的治疗要素是让个体长时间面对引发强迫观念或强迫行为的刺激，且个体在此过程中不进行认知或仪式性回避行为。对于临床医生而言，治疗该疾病的决策模型源自近期的行为和药理学研究以及个体的自助能力。明智地使用现有治疗方法可减轻强迫症患者及其家人的痛苦，并恢复他们已丧失的心理社会功能。
