摘要
认知–行为领域对强迫症(OCD)的病理进行了深入的探索。强迫症的认知–行为理论认为功能失调性信念、应对策略及中和行为对强迫症的发生和维持有重要作用;强迫症的安全动机模型把强迫行为归因于安全动机系统不能产生停止安全防卫行为的信号,在此基础上有研究表明,在做停止强迫行为的决策时,强迫症患者依赖于主观停止标准,导致决策困难,延长了强迫行为持续的时间。通过整理近年来此领域的研究,认为趋–避冲突存在于一些强迫症患者中,且可能是导致强迫症的又一重要因素。
In-depth researches on the psychopathology of Obsessive-compulsive disorder (OCD) have been made in the cognitive-behavioral domain. Cognitive behavioral theory of OCD suggests that dysfunctional beliefs, coping strategies and neutralization are key factors in the escalation and persistence of OCD. The security motivation model consider OCD to stem from an inability to generate a signal that would terminate the security-related behaviors. Based on this model, a recent research indicates that OCD patients use more subjective stopping criteria when making a decision to stop a compulsion. Such criteria causes difficulty in the decision making, therefore the compulsion is prolonged. This paper integrates recent researches in the cognitive-behavioral domain, and claims that approach-avoidance conflict, which is salient in some OCD patients, might be another important factor giving rise to OCD.
出处
《心理科学进展》
CSSCI
CSCD
北大核心
2010年第2期306-313,共8页
Advances in Psychological Science
基金
教育部人文社科青年专项基金(08JCXLX008)
西南大学心理学院地震灾害心理研究基金(104060–20500308)
关键词
强迫症
病理
认知-行为理论
趋-避冲突
obsessive-compulsive sorder
psychopathology
cognitive-behavioraltheory
approach-avoidance conflict