Hayes S C, Wilson K G, Gifford E V, Follette V M, Strosahl K
Department of Psychology, University of Nevada, Reno 89557-0062, USA.
J Consult Clin Psychol. 1996 Dec;64(6):1152-68. doi: 10.1037//0022-006x.64.6.1152.
Syndromal classification is a well-developed diagnostic system but has failed to deliver on its promise of the identification of functional pathological processes. Functional analysis is tightly connected to treatment but has failed to develop testable, replicable classification systems. Functional diagnostic dimensions are suggested as a way to develop the functional classification approach, and experiential avoidance is described as 1 such dimension. A wide range of research is reviewed showing that many forms of psychopathology can be conceptualized as unhealthy efforts to escape and avoid emotions, thoughts, memories, and other private experiences. It is argued that experiential avoidance, as a functional diagnostic dimension, has the potential to integrate the efforts and findings of researchers from a wide variety of theoretical paradigms, research interests, and clinical domains and to lead to testable new approaches to the analysis and treatment of behavioral disorders.
综合征分类是一种成熟的诊断系统,但未能实现其识别功能性病理过程的承诺。功能分析与治疗紧密相关,但未能开发出可测试、可复制的分类系统。功能诊断维度被建议作为发展功能分类方法的一种方式,经验性回避被描述为这样一个维度。本文综述了广泛的研究,表明许多形式的精神病理学可被概念化为逃避和避免情绪、想法、记忆及其他个人体验的不健康努力。有人认为,经验性回避作为一个功能诊断维度,有可能整合来自各种理论范式、研究兴趣和临床领域的研究人员的努力和发现,并导致对行为障碍进行分析和治疗的可测试新方法。