Obsessive -compulsive disorder is a more common and difficult to cure mental illness，It is characterized by repeatedly coming thinking and/or forced behavior。Forced thinking refers to repeated、Experience the non -voluntary breakthrough thinking (incoming ideas、impulse or picture); forced behavior refers to repeated external behavior (such as checking、Implocked、Sorting) or activities in the mind (such as prayer、count、Repeat the words silently)。Existing research from biological factors、Angle of behavioral factors and cognitive factors，Discussion of the production and maintenance mechanism of obsessive -compulsive disorder，and thus proposed a targeted intervention method。

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Study on brain imaging shows，The frontal lobe-pattern-tattoo-hill-thalamic-cortical，CSTC) Existing abnormal activity。Research Discovery，Structural or functional abnormalities in the pattern of patients with obsessive -compulsive disorder，As a result, the hill brain cannot be filtered and transmitted information normally，As a result, excessive activity of the prefrontal cortex，The final symptoms of obsessive -compulsive symptoms。Already studied the emotional path of the orbital cortex -the abdominal tattooing body — the hill brain ring circuit，It is mainly responsible for emotional processing，Reward、Motor、Punishment for emotional assessment; and the frontal frontal lobe — tail nucleus -hill brain ring circuit is regarded as a cognitive bet365 live casino games execution path for obsessive -compulsive disorder，It is mainly responsible for behavioral monitoring，Make cognitive adjustment to the emotional and behavioral response，Correct relationship with behavioral suppression and execution。If the above two ring roads have a brain structure or functional injury，may cause an abnormal behavior of individual behavior，A compulsive symptoms appear。

Research indicates，Selective 5-hydroxylidin re-intake inhibitor，SSRI) and clotamipumin can improve the obsessive symptoms of the individual。Patients with obsessive -compulsive disorder taking SSRIS class (eg，Fluostein、Fluorus Summing、Squelin、Plasite) Drugs，It can reach the moderate efficacy。A meta -analysis research discovered by Soomro and others，Compared with the trial of the placebo group，The alleviation of the compulsive symptoms of the SSRIS drug group is more obvious。But what you need to pay attention to is，When using SSRIS drugs to treat obsessive -compulsive disorder，Dosage is usually higher than the dose of treatment of depression and anxiety，and the efficacy may not be observed after 8-10 weeks after taking the medicine。In addition，You can also use clotamipumin to treat obsessive -compulsive disorder。but，Compared with SSRIS drugs，There are certain side effects in clotamipumin。The biggest disadvantage of drug treatment is that once the patient stop taking the medicine，A compulsive symptoms often relapse。

　　Beckoning and reaction prevention

The perspective of behavioralism about obsessive -compulsive disorder comes from MOWRER's avoidance learning theory。This theory thinks，Neutral situation、Incident or thought itself will not cause anxiety，But these neutral stimuli and situations bet365 best casino games that can inspire anxiety、Incidents or ideas occur at the same time and generate at the same time，Neutral stimulus appears alone can also cause individual anxiety or fear，An anxiety is maintained through conditional reflection。Occible disorder individuals will try to avoid those situations that make them anxious、Incident or idea，Avoiding behavior makes them feel relaxed for the time being，But then it will lead to more avoidance behaviors。Dollard and Miller thinks，Obsessive disorder experience actively adopting avoidance behavior to relieve anxiety emotion caused by conditional stimuli，Actually, the avoidance behavior is constantly aggravating the obsessive -compulsive symptoms of obsessive -compulsive disorder individuals。Occible individuals do not realize the situation of conditionalization、Incident or thought itself is not dangerous，As long as they do not take the corresponding avoidance behavior，Anxiety will gradually reduce。Avoiding behavior can benefit obsessive -compulsive disorder individuals in the short term，Therefore, obsessive -compulsive disorder individuals will repeatedly use avoidance behaviors。But in the long run，Avoiding behavior is constantly aggravating their compulsive symptoms，Learning their lives and work are greatly limited。In addition to using avoidance behavior to respond to anxiety，Occubic disorder individuals will also use ritual behavior to relieve anxiety。But the behavior of ritualization is meaningless，and will occupy a lot of time for obsessive -compulsive disorder individuals。

Exposure and Response Prevention，ERP) is a behavioral treatment method commonly used in obsessive -compulsive disorder。ERP's intervention principle is to break the conditional reflection bet365 best casino games cycle of conditional conditioning symptoms，Requires the individual of obsessive -compulsive disorder exposure in the anxiety mood caused by obsessive thinking，instead of using any compulsory behavior to relieve anxiety。Repeat ERP exercises，Make an obsessive -compulsive individual anxiety and emotional habits，Break the vicious cycle that promotes the maintenance of compulsive symptoms，Then change the disaster interpretation of the expected results of obsessive -compulsive disorder individuals。During the implementation of ERP，In addition to paying attention to the external individual、More obvious compulsive behavior outside，Also need to pay special attention to the subtle or compulsive behavior in the mind，To prevent obsessive -compulsive individuals from adopting such obsessive behaviors to cope with anxiety，thus affecting ERP's intervention effect。But，Obsessive -compulsive disorder has high heterogeneity，Not all obsessive -compulsive individuals will show higher anxiety or fear of emotional response。For this kind of obsessive -compulsive disorder individual，Use ERP for treatment，The effect may not be ideal。

　　Cognitive factors and cognitive corrections

The cognitive theory of obsessive -compulsive disorder explains from a cognitive perspective why some individuals are more likely to be distressed and painful about breaking into sexual thinking。Salkovskis (Salkovskis) proposed the first obsessive -compulsive cognitive model，Think when facing the in -see -out thinking that you don't want，Exaggerated sense of responsibility will trigger strong tension or worry of obsessive -compulsive individuals。Based on the scary cognitive model of Salcovskis and Clark (Clark)，Rachman (Rachman) proposed a cognitive model for compulsive thinking。Rahman believes that obsessive bet365 best casino games -compulsive or disorder individuals excessively emphasize the importance of breaking into sexual thinking，Unreasonable interpretation of disaster -disaster -based thinking，It will lead to a more frequent experience of obsessive -compulsive disorder.，At this time, the sexual thinking is gradually transformed into forced thinking。

Whenever when thinking appears,，Occible disorder individuals are difficult to distinguish ideas and reality，This causes ideas and behavior fusion，taf)。TAF includes two types: the fusion of ideas and behavior-posses (taf-likelihood，TAF-L) Fusion with ideas and behaviors-morality (taf-moralicy，taf-m)。TAF-L refers to the time when a break-related thinking related to damage in the mind，It will increase the risk of this incident; TAF-M refers to the time when the mind or desecration of the deserter-related thinking in the mind，It is equivalent to what you really do immoral。

Various manifestations of compulsive symptoms，Exaggerated sense of responsibility and ideas.。Obsessive Compulsive Cognitions Working Group，OCCWG) On the basis of existing research，Proposal individuals of obsessive -compulsive disorder usually show the following six compulsory beliefs: exaggerated sense of responsibility、overestimation threat、The importance of ideas (fusion of ideas)、Control ideas、Unbearable uncertainty and perfectionism。The compulsive belief can be understood as an unreasonable interpretation and evaluation of the intrigue thinking of obsessive -compulsive disorder，Play an important role in the generation and maintenance of obsessive symptoms。

The purpose of cognitive correction is to pay attention to the interpretation and evaluation of obsessive -compulsive individuals on sexual thinking，instead of intervention in the sexual thinking itself。Bet365 app download Cognitive correction encourages obsessive bet365 best casino games -compulsive or disorder individuals to re -examine the incoming thinking of entering their minds，Helping obsessive -compulsive individuals realize that the incoming thinking is just an idea rather than the facts。Once the compulsive conviction of dysfunction has changed，The anxiety caused by the forced thinking will naturally be reduced。Cognitive correction on the unique obsessive belief of obsessive -compulsive disorder，It will help reduce the anxiety of obsessive -compulsive disorder individuals，Relieve the obsessive -compulsive symptoms of obsessive -compulsive disorder。but，Cognitive correction is not suitable for all obsessive -compulsive individuals，When an obsessive -compulsive or disorder individual shows poverty -depletion，Usually it is not appropriate to use cognitive correction，Cognitive intervention for them，It may increase their compulsive symptoms。

Current，Drug treatment、Exposure and reaction prevent、Cognitive correction is the most commonly used intervention method for treating obsessive -compulsive disorder，Clinical workers need to be based on the characteristics of their respective symptoms，Choose the corresponding intervention method in a targeted manner。

　　(This article is the research ability improvement plan of the youth teachers of Northwest Normal University, "Pay attention to the intervention research of the forced obstacles forced obstacles" (2018Skyb04) phased achievement)

(Author Unit: School of Psychology, Northwest Normal University、Key Laboratory of Conduct and Psychological Health Gansu Province; Mental Health Education Center of Southwest University of Finance and Economics)