- 學位論文
在思想行動融合狀態下責任感對思考壓抑的影響：以強迫思考為焦點
In the state of Thought-Action Fusion, Responsibility effects on Thought Suppression: Focus on the Obsession
摘要
根據強迫症的認知模型，責任感的評估與思想行動融合(Thought-Action Fusion) 是兩個重要的認知因素，並且對於思考壓抑的歷程會產生影響，而思考壓抑所造成的不良結果可能維持與惡化強迫思考。本研究的主要目的為，以實驗典範操弄責任感與思想行動融合，以驗證是否會造成思考壓抑之後的反彈效應 (rebound effect) 。本研究的參與者為大學學生，責任感的操弄分為高責任組與低責任感組，思考歷程分為壓抑指令制組與只監控組，參與者總共分為四組，高責任感壓抑指令組16人(男女各8人)，高責任感只監控組16人(男女各8人)，低責任感壓抑組17人(男性8人，女性9人)與低責任感只監控組16人(男女各8人)。思想行動融合以車禍句子為刺激材料，並且以車禍相關內容做為目標想法進行三階段思考歷程，壓抑指令組為監控、壓抑指令的監控、監控；只監控組的三階段皆為監控歷程。本研究的結果顯示，高責任感組在經過責任感的操弄後，負向情緒明顯高於低責任感組，而思想行動融合的操弄的確會讓參與者的侵入想法增加，但沒有任何一組的參與者顯示出反彈效應的結果。本研究認為參與者在自行記錄想法次數的時候，可能有低估的情形。本研究的主要貢獻為以實驗方式成功操弄責任感與思想行動融合的情境，並且讓參與者經驗到明顯的侵入性想法。本研究建議在臨床實務的應用上，可用思想與行動融合的教育介入減少認知偏誤的現象，降低負向情緒。對於侵入性想法，以接受取向取代壓抑策略，比較不會有反彈的情形，也可以降低負向情緒，對於強迫思考症狀的改善可能會有幫助。
並列摘要
According to the cognitive model of OCD (Obsessive-Compulsive disorder), evaluation of responsibility and thought-action fusion (TAF) are two important cognitive factors, and will have an impact on the process of thought suppression. The adverse outcomes of thought suppression might maintain obsession and make it worse. In this study, in order to verify the rebound effect after thought suppression, the author tried to manipulate responsibility and TAF with experimentation. All participants in this study were university students, divided into high or low responsibility group and suppression instruction or only monitoring thought process group, there are four groups of participants in this study, high responsibility and suppression instruction group (8 males and 8 females), high responsibility and only monitoring group (8 males and 8 females), low responsibility and suppression instruction group (8 males and 9 females), low responsibility and only monitoring group respectively (8 males and 8 females). Thought-action fusion used the car accident sentences as stimuli, and accident-related content as a target to carry out a three-stage thought process, the three-stage of suppression instruction group is monitoring, suppression instruction, monitoring, in only monitoring group all stages are monitoring. The results of this study showed that high responsibility group after manipulation, the negative mood was significantly higher than the low responsibility group, and thought-action fusion manipulation does increase the intrusion thought of participants, but no one group showed the results of a rebound effect. This study suggests that the numbers of thought records by participants’ selves, it might lead to underestimate the numbers. The main contribution of this study is to manipulate the responsibility and TAF with experimentation successful, and the participants of this study experience a significant intrusive thought. The present study suggests that workers in clinical practice can use education intervention to reduce the phenomenon of cognitive errors and negative mood. For the intrusive thoughts, the acceptance-based techniques replaces by suppression strategy are less likely to rebound effect, and can decrease negative mood, improving the symptom of obsession.