Treatment of Obsessive-Compulsive Neurosis with History of Childhood Autism
Treatment of Obsessive-Compulsive Neurosis with History of Childhood Autism
复制标题
有儿童自闭症史的强迫性神经症的治疗
DOI：
10.1192/bjp.130.6.592
复制
发表时间：
1977
影响因子：
10.5
通讯作者：
J. Snowden
中科院分区：
文献类型：
--
作者：
P. Lindley;I. Marks;R. Philpott;J. Snowden
一名年轻男子被随访了三年多，他有严重的强迫性仪式和沉思，人际交往障碍，并发抑郁症和儿童自闭症史。在一个操作性框架内给予强化行为治疗，包括体内暴露、建模、反应预防和社会技能培训。强迫性的仪式得到了显著而持久的改善，但沉思和社会缺陷仍然存在。当并发抑郁症发生时，度硫平促进行为治疗。调整仍然脆弱。社区最低限度的维持治疗无法得到充分安排，因此，尽管在仪式上不断改进，但在医院取得的进展在随访时部分丧失。
Summary A young man was followed-up over three years who had severe obsessive-compulsive rituals and ruminations, interpersonal deficits, complicating depression and a history of childhood autism. Intensive behavioural treatment was given in an operant framework, with exposure in vivo, modelling, response prevention and social skills training. Compulsive rituals improved markedly and lastingly, but ruminations and social defects persisted. When intercurrent depression occurred dothiepin facilitated behavioural treatment. Adjustment remained fragile. Minimum maintenance treatment in the community could not be adequately arranged, so that gains made in hospital were partly lost at follow-up, despite continuing improvement in rituals.