Shafran R, Somers J
Psychology Department, University of British Columbia, Vancouver, Canada.
Behav Res Ther. 1998 Jan;36(1):93-7. doi: 10.1016/s0005-7967(97)00074-0.
The recent cognitive theory of obsessions suggests that catastrophic misinterpretations of the significance of one's unwanted intrusive thoughts gives rise to, and maintains, obsessions (Rachman, Behaviour Research and Therapy, 1997). It follows from this that provision of benign interpretations of the significance of intrusions is likely to challenge and weaken the catastrophic appraisals. This article describes the application of this theory to two adolescents with obsessive-compulsive disorder (OCD). The adolescents were provided with an alternative, benign interpretation of the significance of intrusive thoughts and images using a thought suppression paradigm. It is concluded that a personal demonstration using the thought suppression paradigm is a helpful clinical tool for the cognitive treatment of obsessions in adolescent OCD.
近期关于强迫观念的认知理论表明，对个体不想要的侵入性思维的重要性进行灾难性的错误解读会引发并维持强迫观念（拉赫曼，《行为研究与治疗》，1997年）。由此推断，对侵入性思维的重要性提供良性解读可能会挑战并削弱灾难性评估。本文描述了该理论在两名患有强迫症（OCD）的青少年中的应用。使用思维抑制范式为这些青少年提供了对侵入性思维和意象重要性的另一种良性解读。得出的结论是，使用思维抑制范式进行个人示范是青少年强迫症强迫观念认知治疗的一种有用临床工具。
