Asian Journal of Counselling



Self-Structure and Process of Psychotherapy in Chinese Clients With Obsessive-Compulsive Disorder

1998.第5卷第1及2期(Vol. 5 Nos. 1 & 2).pp. 87–101
 

Self-Structure and Process of Psychotherapy in Chinese Clients With Obsessive-Compulsive Disorder

執著強迫性病患者的心理治療過程與自我結構

Ka-Wah YEUNG

Abstract

This paper describes the process of psychotherapy in two Chinese patients with obsessive-compulsive disorder. One of them suffered from compulsive checking and counting, and the other obsessional anxiety. Both of them had a long history of depression and traumatic experiences. The combination of exposure to anxiety-provoking situations and compulsion prevention together with assertiveness training were effective for the treatment of one of the patients. Based on observations of the two cases, it is hypothesized that the ego of obsessive-compulsives is distorted and attenuated by dysfunctional beliefs, which are related to a sense of self-denigration and an emotional schema — consisting of negative automatic thoughts and emotions.

摘要

本論文論述兩名患纏想性-強迫性神經病中國病人的心理治療歷程。其一患強迫性覆查和點算,另一患纏想性焦慮。另一方面,二者皆有長時期憂鬱症和創傷性經歷。其中一名病人因經受過焦慮激發的處境,再加上強迫性行為的防止,以及自信心確立訓練,因而治療有效。根據此兩個案觀察所得,本論文總結出以下假設:纏想性-強迫性神經病病患者的自我,被機能障礙性信念所歪曲和弱化。機能障礙性信念,與自我貶斥感情緒機略(包括消極自動性思想和情緒)有關。