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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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