情绪障碍统一治疗模式.pptVIP

A Unified Treatment Model for Emotional Disorders 情绪障碍的统一治疗模式 Part I: Psycho-education about the disorders 第1部分：关于情绪障碍的心理教育 Emotion dysregulation and emotional disorders情绪失调与情绪障碍 Anxiety disorders (dysregulation of fear and anxiety) 焦虑障碍（恐惧与焦虑失调） Anger control disorder (dysregulation of anger) 愤怒控制障碍（愤怒情绪失调） Mood disorders (dysregulation of sadness and excitement) 情感障碍（悲伤与兴奋失调） Somatoform disorders (negative emotions affect body) 躯体化障碍（负性情绪影响躯体） Dissociative disorders (negative emotions impair cognitive functioning) 分离障碍（负性情绪影响认知功能） Substance-use disorders (pathological mood altering behaviors) 物质滥用（病理性情绪改变行为） Sexual dysfunctions (negative emotions impair sexual functioning) 性功能障碍（负性情绪影响性功能） Paraphilia (dysregulated erotic feeling) 性倒错（性欲感失调） Fear and anxiety related disorders恐惧和焦虑相关性障碍 How does dysregulation of fear lead to fear disorders? 恐惧情绪失调如何导致恐惧障碍? feel fear easily, intensely, but cannot regulate it and calm down slowly 易感强烈恐惧, 无法调节, 并恢复缓慢 experience strong physiological reactions (pervasive sympathetic responses) 导致强烈的生理性反应 develop attention bias easily 易导致注意偏差 thoughts tend to be distorted by intense fear 想法易被强烈的恐惧歪曲 tend to display more avoidant and withdrawal behaviors 容易表现出回避与撤退行为 The fear circuits (amygdala-ANS-hippocampus) (LeDoux,1996) 恐惧环路（杏仁核－自主神经系统－海马） Fear and anxiety related disorders恐惧和焦虑相关性障碍 How does dysregelation of anxiety lead to anxiety disorders?焦虑情绪失调如何导致焦虑障碍? feel anxious easily, but cannot regulate it and calm down very slowly 易于感到焦虑, 但无法调节, 且平复缓慢 experience physiological reactions (chronic mild sympathetic responses)导致慢性的交感神经反应 tend to develop attention bias 容易形成注意偏差 thoughts tend to be distorted by chronic anxiety 想法易被慢性焦虑歪曲 tend to display more worries and compulsive behaviors 易于表现出更多的焦虑和强迫性行为 The anxiety circuits (Baxter et al. 1992) 焦虑环路 Emotion recognition and emotion regulation 情绪识别与情绪调节 Emotion dysregulation and emotional disorders情绪失调与情绪障碍 Anxiety disorders (dysregulation of fear and anxiety) 焦虑障碍（恐惧与焦虑失调） Anger co