Kleifield E I, Wagner S, Halmi K A
Cornell University Medical College, White Plains, New York, USA.
Psychiatr Clin North Am. 1996 Dec;19(4):715-37. doi: 10.1016/s0193-953x(05)70377-4.
This article outlines a cognitive-behavioral outpatient program for the treatment of anorexia nervosa. The rationale for this treatment is based on two primary assumptions about the anorectic condition: first, that anorexia nervosa develops as a way of coping with life stresses; and second, that anorexia nervosa develops into a self-sustaining "food phobia." Cognitive-behavioral treatment techniques are therefore aimed at (1) confronting the patient's fears and avoidance behaviors, (2) identifying the patient's areas of deficient problem-solving skills, particularly in the interpersonal realm, and (3) cultivating new problem-solving skills.
本文概述了一种用于治疗神经性厌食症的认知行为门诊项目。这种治疗方法的理论依据基于对厌食症状况的两个主要假设:其一,神经性厌食症是作为应对生活压力的一种方式而发展起来的;其二,神经性厌食症会发展成为一种自我维持的“食物恐惧症”。因此,认知行为治疗技术旨在:(1)直面患者的恐惧和回避行为;(2)识别患者解决问题技能不足的领域,尤其是在人际方面;(3)培养新的解决问题的技能。