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Following the theoretical analysis proposed in 1971, it is suggested that obsessions produce both discomfort and attempts to ‘put matters right’. These attempts are construed as being functionally equivalent to compulsive rituals. A two-part approach to treatment is described. It consists of satiation training and/or the prevention of internal and external neutralizing rituals (i.e. attempts to ‘put matters right’ are prevented). The present analysis is proposed as part of a move towards an integrated, consistent approach to the practice and theory of behaviour modification in dealing with obsessional and compulsive problems.  相似文献   

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The lives of women and men, the relationships that they establish, and their work have changed dramatically in the past 50 years, but the dominant theories driving research in these areas have not. In this article, the authors argue that the facts underlying the assumptions of the classical theories of gender and multiple roles have changed so radically as to make the theories obsolete. Moreover, a large body of empirical data fails to support the predictions flowing from these theories. Yet the development of new theory for guiding research and clinical practice has not kept pace. The authors attempt to fill this theoretical gap by reviewing the research literature and articulating an expansionist theory of gender, work, and family that includes four empirically derived and empirically testable principles better matched to today's realities.  相似文献   

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