Individuals with obsessive compulsive disorder (OCD) who struggle with taboo or unacceptable obsessions (i.e., aggressive, sexual, or religious intrusions) tend to rely upon mental rituals to regulate their distress and possess difficulties labeling and regulating their affective state. Moreover, these individuals respond poorly to exposure with response prevention when the treatment is grounded in emotional processing theory. To improve patients' therapeutic outcomes, clinicians can consider integrating mindfulness- and acceptance-based skills into an exposure-based treatment to: facilitate the identification and acceptance of covert ritualistic urges, improve the accuracy of emotion labeling, and increase the efficiency of emotion regulation efforts. Additionally, in line with inhibitory learning theory, clinicians can design exposures to violate expectancies to promote the maintenance of long-term gains. Through a case vignette, the current article will demonstrate how to integrate these strategies into a standard exposure with response prevention intervention to meet the needs of a patient with taboo thoughts.

中文翻译：

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治疗禁忌或禁忌思想：将正念，接受和情绪调节整合到基于暴露的干预中。

患有强迫症（OCD）的人在忌讳或无法接受的强迫症（例如，侵略性，性或宗教侵犯）中挣扎，倾向于依靠精神仪式来调节自己的痛苦，并难以标注和调节自己的情感状态。此外，当治疗建立在情绪加工理论的基础上时，这些人对暴露的反应较差，无法预防反应。为了提高患者的治疗效果，临床医生可以考虑将基于正念和接受的技能整合到基于暴露的治疗中，以：促进识别和接受秘密的礼节性冲动，提高情感标签的准确性并提高情感调节的效率努力。此外，根据抑制性学习理论，临床医生可以设计暴露以违反预期，以促进维持长期收益。通过案例插图，当前文章将展示如何通过响应预防干预措施将这些策略整合到标准暴露中，从而满足具有禁忌思想的患者的需求。