Cognitive-behavior therapy for reduction of persistent anger

Cognitive-behavior therapy for reduction of persistent anger
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DOI:
10.1016/j.cbpra.2006.07.004
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发表时间:
2007-05-01
影响因子:
2.9
通讯作者:
Sloan, Richard P.
Sloan, Richard P.
中科院分区:
心理学3区
文献类型:
--
作者:
Gorenstein, Ethan E.;Tager, Felice A.;Sloan, Richard P.

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虽然持续愤怒在DSM-IV中没有被描述为精神障碍,但它仍然是一个重要的临床问题。基于我们对来自不同城市人群的研究和临床患者的经验,并借鉴其他人使用的方法,我们已经改进和阐述了几种对减少愤怒有用的治疗策略。这些策略源自一种反调节治疗模式:患者(自然地或通过设计)暴露于可能引发愤怒的情况下,白色他们应用生理、认知和/或行为方法来抑制习惯性愤怒反应。具体的减少愤怒的方法包括:应用肌肉放松,认知重新评估,抑制过度反应,以及逆转反应不足(通过获得有效的沟通和解决问题的技能)。初步证据表明,愤怒的患者经历显着减少的强度,持续时间和频率的愤怒反应后,完成12个疗程的治疗,利用这些减少愤怒的方法。
Although persistent anger is not represented in DSM-IV as a psychiatric disorder, it is nevertheless a significant clinical problem. Based on ourexperience with both research and clinic patients from a diverse urban population, and drawing on methods utilized by others, we have refined and elaborated several treatment strategies that appear useful for anger reduction. The strategies derive from a counterconditioning treatment model: patients are exposed (either naturally or by design) to situations that may evoke anger, white they apply physiological, cognitive, and/or behavioral methods that can dampen the habitually angry response. The specific anger-reduction methods include: applied muscle relaxation, cognitive reappraisal, inhibition of overresponding, and reversal of underresponding (through acquisition of effective communication and problem-solving skills). Preliminary evidence is presented indicating that anger patients experience significant reduction in the intensity, duration, and frequency of anger reactions after completing 12 sessions of therapy utilizing these anger-reduction methods.