bet365 offer is a common and difficult to cure mental illness,Characterized by recurring obsessive thoughts and/or compulsive behaviors。Obsessive thinking refers to repetition、Persistent experience of involuntary intrusive thoughts (intrusive thoughts、impulse or picture);Compulsive behavior refers to repeated external behaviors (such as checking、Wash your hands、sort) or mental activity (such as prayer、Count、Repeat words silently)。There have been studies from biological factors、Perspectives of behavioral factors and cognitive factors,Discussed the generation and maintenance mechanism of bet365 offer,And thus proposed targeted intervention methods。
Biological factors and bet365 offer
Brain imaging study shows,Cortico-Striatal-Thalamic-Cortical in patients with bet365 offer,CSTC)There is abnormal activity。Research findings,There are structural or functional abnormalities in the striatum of patients with bet365 offer,Causing the thalamus to be unable to filter and transmit information normally,Thus causing the prefrontal cortex to be overactive,Eventually produces obsessive-compulsive symptoms。Research has considered the orbitofrontal cortex-ventral striatum-thalamus loop as the emotional pathway of bet365 offer,Mainly responsible for emotional processing,Pair of rewards、Motive、Punishment for emotional evaluation;The dorsolateral prefrontal lobe-caudate nucleus-thalamic loop is regarded as the cognitive execution pathway of bet365 offer,Mainly responsible for behavior monitoring,Cognitive regulation of emotional and behavioral responses,Closely related to behavioral inhibition and executive functions。If brain structural or functional damage occurs to the above two circuits,It may lead to abnormal individual behavior,Obsessive-compulsive symptoms。
Research shows,Selective Serotonin Reuptake Inhibitor,SSRI) and clomipramine can improve individual obsessive-compulsive symptoms。Patients with bet365 offer taking SSRIs (such as,Fluoxetine、Fluvoxamine、sertraline、Paroxetine) drug,Can achieve moderate efficacy。A meta-analysis study by Soomro et al.,Compared with subjects in the placebo group,The obsessive-compulsive symptoms were more obviously relieved in the group taking SSRIs。But it should be noted,When using SSRIs to treat bet365 offer,Doses are usually higher than those used to treat depressive and anxiety disorders,And the effect of the drug may not be observed until 8-10 weeks after taking the drug。In addition,Clomipramine can also be used to treat bet365 offer。But,Compared with SSRIs,Clomipramine has certain side effects。The biggest disadvantage of drug treatment is once the patient stops taking the drug,Obsessive-compulsive symptoms often recur。
Behavioral bet365 offer and Exposure and Response Blocking
The behaviorist view of bet365 offer is derived from Mowrer’s dual-process theory of avoidance learning。The theory is that,Neutral situation、The event or thought itself does not trigger anxiety,But these neutral stimuli and situations that can arouse anxiety、After events or ideas occur simultaneously and are connected,Neutral stimuli appearing alone can also trigger individual anxiety or fear,Anxiety is maintained through conditioning。Individuals with bet365 offer will try to avoid situations that make them anxious、Event or Thought,Avoidance behavior makes them feel temporarily relieved,But then leads to more avoidance behavior。Dollard and Miller think,bet365 offer individuals will actively adopt avoidance behaviors to relieve anxiety caused by conditioned stimuli,In fact, avoidance behavior continues to aggravate the obsessive-compulsive symptoms of individuals with bet365 offer。bet365 offer individuals are not aware of the conditioned situation、There is nothing inherently dangerous about the event or idea,As long as they do not take corresponding avoidance behavior,Anxiety will gradually reduce automatically。Avoidance behavior can benefit individuals with bet365 offer in the short term,Therefore individuals with bet365 offer will repeatedly use avoidance behaviors。But in the long run,Avoidance behavior continues to aggravate their obsessive-compulsive symptoms,Resulting in great restrictions on their lives and work。In addition to using avoidance behaviors to deal with anxiety,bet365 offer individuals also use ritualized behaviors to relieve anxiety。But ritualized behavior is meaningless,And it will take up a lot of time for individuals with bet365 offer。
Exposure and Response Prevention,ERP) is a commonly used behavioral therapy method to intervene in bet365 offer。The principle of ERP intervention is to break the conditioned reflex cycle that maintains obsessive-compulsive symptoms,Requires individuals with OCD to be exposed to anxiety caused by obsessive thoughts,Do not use any forced behavior to relieve anxiety。Through repeated ERP exercises,Habituating bet365 offer individuals to anxiety,Break the vicious cycle that maintains obsessive-compulsive symptoms,Thereby changing the bet365 offer individual’s catastrophizing interpretation of expected results。During the implementation of ERP,In addition to focusing on the external aspects of bet365 offer individuals、Except for more obvious compulsive behaviors,You also need to pay special attention to subtle or mental compulsive behaviors,To prevent individuals with bet365 offer from using such compulsive behaviors to cope with anxiety,Thus affecting the intervention effect of ERP。However,bet365 offer has high heterogeneity,Not all individuals with bet365 offer will show higher emotional responses of anxiety or fear。For this type of bet365 offer individual,Treatment using ERP,The effect may not be ideal。
bet365 offer factors and bet365 offer correction
The cognitive theory of bet365 offer explains from a cognitive perspective why some individuals are more likely to feel distressed and distressed by intrusive thoughts。Salkovskis proposed the first cognitive model of bet365 offer,Think when faced with unwanted intrusive thoughts,An exaggerated sense of responsibility can cause intense tension or worry in individuals with bet365 offer。Based on Salkovskis’ cognitive model of bet365 offer and Clark’s cognitive model of panic,Rachman proposed a cognitive model of obsessive thinking。Lachman believes that individuals with bet365 offer overemphasize the importance of intrusive thoughts,Unreasonable explanation for catastrophizing intrusive thoughts,will cause individuals with bet365 offer to experience intrusive thoughts more frequently,At this time, the intrusive thinking gradually turns into obsessive thinking。
Whenever obsessive thinking occurs,Individuals with bet365 offer have difficulty distinguishing thoughts from reality,Thus leading to Thought–Action Fusion,TAF)。TAF includes two types: Thoughts and Behavior Fusion-Possibility (TAF-Likelihood,TAF-L) is integrated with thoughts and behaviors—morality (TAF-Morality,TAF-M)。TAF-L is when intrusive thoughts related to harm occur in the mind,It will increase the risk of this happening;TAF-M is when you have intrusive thoughts about sex or profanity,It is equivalent to doing something immoral。
Because obsessive-compulsive symptoms manifest themselves in different ways,Exaggerated sense of responsibility and fusion of thoughts and behaviors cannot well explain the occurrence and maintenance of all obsessive-compulsive symptoms。U.S. Obsessive Compulsive Cognitions Working Group,OCCWG) Based on existing research,Proposed that individuals with OCD typically exhibit the following six obsessive beliefs: Exaggerated sense of responsibility、Overestimating the threat、The importance of ideas (integration of ideas and behaviors)、Control thoughts、Cannot tolerate uncertainty and perfectionism。Obsessive beliefs can be understood as the irrational explanation and evaluation of intrusive thoughts by individuals with bet365 offer,Plays an important role in the generation and maintenance of obsessive-compulsive symptoms。
The purpose of cognitive correction is to focus on the interpretation and evaluation of intrusive thoughts by individuals with bet365 offer,Rather than intervening with the intrusive thoughts themselves。Cognitive remediation encourages individuals with OCD to reexamine intrusive thoughts that enter their minds,Help individuals with bet365 offer realize that intrusive thoughts are just thoughts and not facts。Once a dysfunctional obsessive belief has changed,The anxiety caused by obsessive thinking will naturally be reduced。Cognitive correction of obsessive beliefs unique to individuals with bet365 offer,Will help reduce anxiety in individuals with bet365 offer,Relieving obsessive-compulsive symptoms in individuals with bet365 offer。But,Cognitive correction is not suitable for all individuals with bet365 offer,When individuals with bet365 offer show exhausting thoughts,Cognitive remediation is generally not appropriate,Cognitive intervention for them,It may worsen their obsessive-compulsive symptoms。
Currently,Drug treatment、Exposure and response prevention、Cognitive remediation is the most commonly used intervention method to treat bet365 offer,Clinicians need to consider the individual symptom characteristics of bet365 offer,Choose appropriate intervention methods in a targeted manner。
(This article is a phased result of the Scientific Research Ability Improvement Program for Young Teachers of Northwest Normal University "Research on Intervention of Attentional Bias Correction on Obsessive-compulsive Tendencies in Individuals with bet365 offer" (2018SKYB04)
(Author’s Affiliation: School of Psychology, Northwest Normal University、Gansu Provincial Key Laboratory of bet365 offer and Mental Health;Mental Health Education Center of Southwestern University of Finance and Economics)
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