Rachman S
Department of Psychology, University of British Columbia, Vancouver, Canada.
Behav Res Ther. 1998 Apr;36(4):385-401. doi: 10.1016/s0005-7967(97)10041-9.
The theory that obsessions are caused by catastrophic misinterpretations of one's intrusive thoughts/ images/impulses is elaborated in an attempt to explain the frequency of obsessions and why they persist. The internal and external provocations of obsessions are considered, and an explanatory framework for the varying contents of obsessions is set out. The role and functions of neutralization and inflated responsibility are assessed, and the treatment implications of the theory are described.
强迫观念是由对自身侵入性想法、意象或冲动的灾难性错误解读所导致的这一理论得到了详细阐述,旨在解释强迫观念的出现频率及其持续存在的原因。文中探讨了强迫观念的内部和外部诱因,并提出了一个针对强迫观念不同内容的解释框架。同时评估了中和作用及夸大责任感的作用和功能,并描述了该理论对治疗的启示。