The concealment of obsessions
The concealment of obsessions
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DOI：
10.1016/s0005-7967(00)00006-1
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发表时间：
2001-04-01
影响因子：
4.1
通讯作者：
Rachman, S
中科院分区：
文献类型：
--
作者：
Newth, S;Rachman, S
患者故意向他人隐瞒其强迫行为的内容和频率是强迫症（OCD）的一个常见且重要的方面。它是安全行为的一种被忽视的表现，被认为会维持强迫症（例如，中和、思想抑制、回避行为、隐藏）。根据强迫观念的认知理论，隐藏现象是可以理解的，该理论指出，当一个人将他们不想要的侵入性想法赋予灾难性的个人意义时，就会引起强迫观念。有人建议，有选择的、有计划的、适当的披露强迫观念可能是有治疗作用的——大概是因为它让病人对不想要的想法的重要性有不同的解释。 (C) 2001 Elsevier Science Ltd. 保留所有权利。
Patients' deliberate concealment from others of the content and frequency of their obsessions is a common and important aspect of obsessive-compulsive disorder (OCD). it is an overlooked manifestation of the safety behaviour that is believed to sustain OCD (e.g., neutralizing, thought suppression, avoidance behaviour, concealment). The phenomenon of concealment is understandable in terms of the cognitive theory of obsessions which states that obsessions are caused when the person attaches catastrophic personal significance to their unwanted intrusive thoughts. It is suggested that the selected, planned, suitable disclosure of obsessions can be therapeutic - presumably because it exposes the patient to alternative interpretations of the significance of the unwanted thoughts. (C) 2001 Elsevier Science Ltd. All rights reserved.