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Changing the clinical narratives patients live by: A cognitive behavioral approach of a clinical case of paruresis

机译:通过以下方式改变患者的临床叙事:临床病例的认知行为方法

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摘要

This is a psychological clinical case study of a young male, who suffered from paruresis. His problematic narrative is about the fear of not being able to urinate in public toilets or in situations where others may be present or entered in the facility. This problem prevents him from living a normal life and affects his self-confidence. We present a comprehensive cognitive behavioral conceptualization of the problematic narrative and also we reflected on the therapeutic intervention process, its challenges and cognitive strategies. To date, he has progressively adopted more constructive alternative explanations around the problem and is changing the narrative he lives by. Additionally, he has felt more confident, partly due to the fact he can urinate outside the home more often and in different places, yet not all.
机译:这是一名患有麻痹症的年轻男性的心理临床案例研究。他的叙事有问题,是担心不能在公共厕所或在其他人出现或进入该设施的情况下小便。这个问题使他无法过正常的生活,并影响了他的自信心。我们对问题叙述进行了全面的认知行为概念化,并反思了治疗干预过程,挑战和认知策略。迄今为止,他已逐渐围绕该问题采用了更具建设性的替代解释,并正在改变他的叙述方式。此外,他感到更加自信,部分原因是他可以更频繁地在家里和在不同的地方小便,但不是全部。

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