姓 名_____ 年 龄___ 记录日期______
指导语:以下表中,在第二列中请记录强迫行为和思考的内容,在第三列亲记下这样做的目的,第四列请记下自己的不快感或焦虑程度。在第五列请记录下强迫行为或思考的持续时间。完成表中记录后,作为家庭治疗作业,请用日记记录ing症状的进展情况。
时间 | 强迫行为或思考 | 目的 | 焦虑或不快感程度 (0~100) | 强迫行为或观念 持续的时间(分析) |
6:00~6:30 | ||||
6:30~7:00 | ||||
..... | ||||
23:00~24:00 |
OCD thought record example (Cognitive-BehAviourAl treAtment)
1 | trigger: | seeing a black dog. |
2 | what i thought: | seeingthis dog is a sign that one of my children will be hurt today. i will get a call from the police saying my children have been killed in a car accident. i must do something to make sure this doesn’t happen. if i don’t do something they will die, and it will be my fault. |
3 | what i felt: | fear, terror, anxiety. |
4 | what i did: | Completed my mental ritual of saying their names, and that i love them, and they will be ok. rang them on their phones and told them to stay off the roads today. |
5 | how i challenged my oCd thoughts: | i am doing magical thinking. magical thinking isn’t based on reality. it isn’t possible that seeing a black dog 30 km away will cause my children to have car accidents. seeing this dog doesn’t increase the chances of my children having a car accident. doing rituals is not necessary, because what i think in my head doesn’t affect them at all. |
自我检测表
在本表所列举的仪式中,记录拟采用的仪式行为的实际分数或次所。请记录促使你需要采用仪式行为的情景。并从0~100记录你的痛苦程度,其中0代表完全平静,100代表极度烦恼或不按。请在底下横线处记录治疗师让你记录仪式行为的建议
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时间点 导致仪式的情景 痛苦程度 仪式A 仪式B
7:30 扔垃圾 70 4分钟
9:00 开车去某地 85 10分钟
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Feske & Chambless,2000
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