“拖延症”的访谈与治疗

这位成功的中年女性是一所名牌大学的教授,她虽然没有抑郁或焦虑障碍的典型症状,但是在每个人生的重大事件上都表现出严重的动力不足。在访谈中,我们发现她的这种动力不足的行为模式形成于童年,她从小就意识到自己天赋异禀,可以很轻松地完成他人难以企及的事情。作为一名研究员和教授,她一直处于"发表文章或自取灭亡"的压力下,但仍始终没有足够的内驱力去做任何超出最低限度的事情。在个人生活中,她对人对事有着类似的淡漠态度,但未达到有临床意义的功能损害。我们给她的治疗建议是换到一份挑战小或竞争不太激烈的工作,同时增加体力活动和锻炼,提高自己的心理弹性并改善睡眠。

The interview and treatment of procrastination

The successful middle - aged professor at an elite university exhibits no traditional symptoms of depressive or anxie-ty disorders,with the exception of a severe lack of motivation in every major area of life. This pattern of behavior was established in childhood when she realized that her intelligence and natural abilities enabled her to achieve prestigious and difficult accomplishments with minimal effort. As a researcher and professor,she is constantly under the mandate to "publish or perish" but is unable to sustain enough internal drive to do any more than the bare minimum. In her personal life,she experiences a similar apathy towards people and activities,however,without reaching the level of clinical impairment. Treatment recommendations are to accept a less challenging or competitive job and position and to increase her physical activity and exercise in order to improve mental resiliency and sleep hygiene.