The content of the invention
For above-mentioned technical problem, the present invention provides a kind of cognitive behavior training method and system, and user is stepped on by network
Platform is recorded, can be achieved to carry out autonomous cognitive behavior training whenever and wherever possible, improve the cognitive Bias of user, is recurred with preventing, reducing,
Improve user experience.
In order to solve the above technical problems, the technical scheme that the present invention is provided is:
In a first aspect, the present invention provides a kind of cognitive behavior training method, including:
Step S1, obtains user logging request information, realizes and logs in;
Step S2, enters the corresponding course training page of the training course being pre-selected, is trained course after login
Selection, the training course includes depression and anxiety, has a sleepless night and forces four training courses, and each course includes multiple training ranks
Section, the course training page includes corresponding training content of each training stage;
Step S3, according to the training course being pre-selected, the training stage being presently in reference to the user, in instruction
Practice in interface according to the training stage corresponding training content, realize the cognitive behavior training to the user.
The cognitive behavior training method that the present invention is provided, its technical scheme is:User logging request information is obtained, realization is stepped on
Record;Enter the corresponding course training page of the training course being pre-selected after login, training course includes depression and anxiety, insomnia
With force four training courses, each course includes multiple training stages, and the course training page includes each training stage
Corresponding training content;According to the training course being pre-selected, the training stage being presently in reference to the user, in instruction
Practice in interface according to the training stage corresponding training content, realize the cognitive behavior training to the user.
The cognitive behavior training method of the present invention, user can be achieved to carry out whenever and wherever possible independently by network entry platform
Cognitive behavior training, improves the cognitive Bias of user, is recurred with preventing, reducing, user experience is improved, at the same time as cognition
The system training instrument of behaviour therapy's teacher basic skills and theory.
Further, in the step S3, when the training course being pre-selected is anxiety training course, with reference to described
The training stage that user is presently in, according to the training stage corresponding training content in training interface, realize to described
The cognitive behavior training of user:
When the user is presently in the training stage for the first anxiety training stage, obtain the user record daily to
A few event, including time, content, emotional information at that time and the evaluation information to the event that event occurs, record
After preset number of days, the first anxiety thinking record inventory is formed;
Inventory is recorded according to the first anxiety thinking, the mode of thinking of the user is analyzed, after the completion of to enter second burnt
Consider the training stage;
When the user is presently in the training stage for the second anxiety training stage, described first is obtained according to described
Recording mode in the anxiety training stage proceeds record, records after the preset number of days, forms the second anxiety thinking record
Inventory;
Inventory is recorded according to the second anxiety thinking, a relaxation training is carried out daily, is entered according to the preset number of days
Row relaxation training, after the completion of enter the 3rd anxiety training stage;
When the user is presently in the training stage for the 3rd anxiety training stage, described first is obtained according to described
Recording mode in the anxiety training stage proceeds record, records after the preset number of days, forms the 3rd anxiety thinking record
Inventory;
According to a variety of confrontation method of thinkings, inventory is recorded with reference to the 3rd anxiety thinking, resists pre- described in thinking training
If after number of days, forming the first anxiety confrontation thinking record inventory;
Thinking record inventory is resisted according to first anxiety, anxiety grade classification is carried out to the event, anxiety is formed
Rank list, after the completion of enter the 4th anxiety training stage;
When the user is presently in the training stage for the 4th anxiety training stage, according to a variety of confrontation thinkings
Method proceeds after confrontation thinking exercise, the confrontation thinking training for carrying out the preset number of days, forms second and resists thinking note
Record inventory;
Positive thinking record of the user in confrontation thinking training is obtained, anxiety positive thinking record inventory is formed,
Preserved;
According to the different anxiety level events in the anxiety rank list, progress exposes training and respiratory training, gone forward side by side
Entered for the 5th anxiety training stage, the exposure training and respiratory training are continued until the anxiety in the anxiety rank list
Grade terminates training when dropping to specified value, into the 5th anxiety training stage;
When the user is presently in the training stage for the 5th anxiety training stage, according to a variety of confrontation method of thinkings
Carry out confrontation thinking and consolidate exercise, practise after the preset number of days, and inventory is recorded according to the anxiety positive thinking, pass through meaning
As training method and formulation problem and correspondence solution method give intensive training, after the completion of enter the 6th anxiety train rank
Section;
When the user is presently in the training stage for the 6th anxiety training stage, carried out by anxiety scale of testing oneself
The checking of anxiety training, completes the training of the anxiety training course.
Further, in the step S3, when the training course being pre-selected is depressed training course, with reference to described
The training stage that user is presently in, according to the training stage corresponding training content in training interface, realize to described
The cognitive behavior training of user:
Be the first depressed training stage when the user is presently in the training stage, obtain the user record daily to
A few event, including time, content, emotional information at that time and the evaluation information to the event that event occurs, record
After preset number of days, the first depressed thinking record inventory is formed;
According to the described first depressed thinking record inventory, analyze the mode of thinking of the user, after the completion of enter the second suppression
The strongly fragrant training stage;
It was the described second depressed training stage when the user is presently in the training stage, described first is obtained according to described
Recording mode in the depressed training stage proceeds record, records after the preset number of days, forms the second depressed thinking record
Inventory;
According to the described second depressed thinking record inventory, activity schedule training is carried out daily, when training described default
Between after, after the completion of entered for the 3rd depressed training stage;
It was the described 3rd depressed training stage when the user is presently in the training stage, described first is obtained according to described
Recording mode in the depressed training stage proceeds record, records after the preset number of days, forms the 3rd depressed thinking record
Inventory;
According to a variety of confrontation method of thinkings, with reference to the described 3rd depressed thinking record inventory, resist pre- described in thinking training
If after number of days, forming the first depressed confrontation thinking record inventory;
According to the activity schedule training in the described second depressed training stage, the activity schedule instruction of the preset number of days is carried out
Practice, and obtain to the activity schedule train in event performance and implementation after mood, after the completion of enter the 4th suppression
The strongly fragrant training stage;
It was the described 4th depressed training stage when the user is presently in the training stage, obtains the user and think in confrontation
Positive thinking record in dimension training, forms depressed positive thinking record inventory, is preserved;
Inventory is recorded by the depressed positive thinking, is trained, the Attributional style and processing for changing the user are appointed
The mode of business, into the 5th depressed training stage;
It it was the described 5th depressed training stage when the user is presently in the training stage, according to the anxiety positive thinking
Record inventory, by formulation problem and correspondence solution method give intensive training, after the completion of enter the 6th anxiety training
Stage;
It was the described 6th depressed training stage when the user is presently in the training stage, is carried out by depression scale of testing oneself
The checking of depression training, completes the training of the depressed training course.
Further, in the step S3, when the training course being pre-selected is insomnia training course, with reference to described
The training stage that user is presently in, according to the training stage corresponding training content in training interface, realize to described
The cognitive behavior training of user:
It it was the first insomnia training stage when the user is presently in the training stage, what the acquisition user recorded daily sleeps
Dormancy log information, including the bedtime in evening, time for falling asleep, wake-up time, the time of getting up, be accumulated at a time, add up into
Sleep the time and number of times of dozing off daytime, after record preset number of days, form Sleep diaries, and enter second and have a sleepless night the training stage;
It was the described second insomnia training stage when the user is presently in the training stage, described first is obtained according to described
Recording mode in the insomnia training stage proceeds record, records after the preset number of days, forms the second Sleep diaries;
According to second Sleep diaries, insomnia training is carried out by learning the method for sleep knowledge, insomnia training is described
After preset number of days is carried out, the second insomnia for having a sleepless night the training stage is carried out by severity index scale of having a sleepless night and trains checking, after the completion of
Into the 3rd insomnia training stage;
It was the described 3rd insomnia training stage when the user is presently in the training stage, described second is obtained according to described
Recording mode in the insomnia training stage proceeds record, records after the preset number of days, forms the 3rd Sleep diaries;
According to the 3rd Sleep diaries, calculate average in bed time, the length of one's sleep and Sleep efficiency every night;
According to the length of one's sleep and preferable Sleep efficiency, calculating is obtained should be in the bed time, and determines corresponding go to bed
Time and get up the time;
According to the corresponding bedtime and getting up the time, with reference to sleep suggestion, after training in one week, to described right
The bedtime answered carries out first time adjustment, forms daily schedule;
By have a sleepless night severity index scale carry out it is described 3rd insomnia the training stage insomnia train checking, after the completion of enter
4th insomnia training stage;
It was the described 4th insomnia training stage when the user is presently in the training stage, the described 3rd is obtained according to described
Recording mode in the insomnia training stage proceeds record, records after the preset number of days, forms the 4th Sleep diaries;
According to the 4th Sleep diaries, by stimulating control method to carry out Behavioral training, and to the daily schedule
Carry out first time renewal;
The daily schedule updated according to first time, with reference to the sleep suggestion, is carried out to the corresponding bedtime
Second of adjustment;
Checking is trained in the insomnia for carrying out the 4th insomnia training stage by the insomnia severity index scale, after the completion of
Into the 5th insomnia training stage;
When the user is presently in the training stage for the described 5th insomnia training stage, the feedback for obtaining the user is asked
Topic, is answered the feedback problem;
Proceed record according to the recording mode in the acquisition the 4th insomnia training stage, record described default
After number of days, the 5th Sleep diaries are formed;
According to the 5th Sleep diaries, with reference to the answer to the feedback problem, the is carried out to the daily schedule
It is secondary to update;
The daily schedule updated according to second, with reference to the sleep suggestion, is carried out to the corresponding bedtime
Third time is adjusted;
Checking is trained in the insomnia for carrying out the 5th insomnia training stage by the insomnia severity index scale, after the completion of
Into the 6th insomnia training stage;
It was the described 6th insomnia training stage when the user is presently in the training stage, the described 4th is obtained according to described
Recording mode in the insomnia training stage proceeds record, records after the preset number of days, forms the 6th Sleep diaries;
According to the Sleep diaries of the described 6th insomnia training stage, third time renewal is carried out to the daily schedule;
The daily schedule updated according to third time, with reference to the sleep suggestion, is carried out to the corresponding bedtime
4th adjustment;
Checking is trained in the insomnia for carrying out the 6th insomnia training stage by severity index scale of having a sleepless night, and completes described lose
The training of dormancy training course.
Further, in the step S3, the training course being pre-selected is when forcing training course, with reference to described
The training stage that user is presently in, according to the training stage corresponding training content in training interface, realize to described
The cognitive behavior training of user:
Forced the training stage for first when the user is presently in the training stage, obtain the obsession record of the user
Daily record, including date of generation, time, stimulation event, thinking reaction, behavior reaction, force consequence and subjective uncomfortable unit point
After number, record preset number of days, the training stage is forced into second;
The training stage is forced for described second when the user is presently in the training stage, passes through exposure response prevention method
The training of training stage is forced described in carrying out:
Obsession log in the training stage is forced according to described first, exposure grade table, described exposure etc. is made
Level table sorts from low to high according to subjective discomfort unit fraction in the obsession log, each subjective uncomfortable unit fraction
One exposed symptom of correspondence, the exposure grade table is constantly updated;
The corresponding exposed symptom of the uncomfortable unit fraction of medium subjectivity in the exposure grade table proceeds by exposure
The exercise of project, until the corresponding exposed symptom of the subjective discomfort unit fraction of highest is exposed item excessively in the exposure grade table
Purpose is practised, and completes once the exercise of the exposed project, and the exposed project includes reality exposure and imagination exposure;
Repeat repeatedly the exposed project exercise, until the user produces a desired effect, instruction is forced into the 3rd
Practice the stage;
Forced the training stage for the described 3rd when the user is presently in the training stage, obtain reward inventory, the prize
Encourage inventory and include the user and wish the behavior oneself accomplished and corresponding reward content;
According to the exposure grade table, the exposure project of exercise is selected;
According to the exposure project of the selection exercise, corresponding exercise is carried out, training is forced into the 4th after completing exercise
Stage;
The training stage is forced for the described 4th when the user is presently in the training stage, according in the exposure grade table
The corresponding exposed symptom of the uncomfortable unit fraction of minimum subjectivity proceeds by exposure exercise repeatedly, until producing habituation;
After the completion of exercise, the exposure exercise of the corresponding exposed symptom of next subjective discomfort unit fraction is carried out, works as highest
The corresponding exposed symptom of subjectivity discomfort unit fraction produces habituation, end exercise, generation exposure after exposure exercise repeatedly
Exercise is single, and the training stage is forced into the 5th;
Forced the training stage for the described 5th when the user is presently in the training stage, carry out exercise and look back test;Survey
After the completion of testing, formulate life plan, complete described in force the training of training course.
Further, in three training courses of the depression and anxiety and insomnia, in addition to:In each training rank
The user is tested and assessed before section, evaluating result is graphically shown.
Further, in the depression and anxiety, have a sleepless night and force four training courses, in addition to:In each instruction
The homework of the user and the feedback of the correspondence homework are obtained before practicing the stage.
Further, before the step S1, for the user registered first, in addition to:
Obtain the log-on message of user;
According to the log-on message of the user, registration is completed, into the personal information page;
In the personal information page, the personal information of the user is obtained.
Further, in the depression and anxiety, have a sleepless night and force four training courses, in addition to:
According to the feedback of the homework of the user and the correspondence homework, the finger of doctor is obtained by message box
Lead opinion.
After doctor is finishing watching the homework that visitor is done, visitor can be given some professional feedbacks, instead
Present after visitor logs in APP i.e. it can be seen that the pop-up box of physician feedback, visitor can select to check or look into later immediately
See, feedback can also check corresponding feedback in the homework of correspondence number of times, and in training module, our interface can be more
Close friend with it is intelligent, such as in anxiety training module, we can combine biofeedback in exposure training and respiratory training
The data of instrument, are trained, with reference to voice guidance, and different audios of loosening can be selected to carry out relaxation training, anxiety grade by
Level training, progressivelyes reach therapeutic effect.
Second aspect, the invention provides a kind of cognitive behavior training system, including:
Login module, for obtaining user logging request information, realizes and logs in;
Training course selecting module, the corresponding course training page of training course being pre-selected for entering after login,
It is trained the selection of course, the training course includes depression and anxiety, have a sleepless night and force four training courses, each course
Including multiple training stages, the course training page includes corresponding training content of each training stage;
Cognitive behavior training module, for the training course being pre-selected according to, is presently in reference to the user
Training stage, according to the training stage corresponding training content in training interface, realize the cognitive row to the user
For training.
A kind of cognitive behavior training system that the present invention is provided, its technical scheme is:By login module, obtain user and step on
Solicited message is recorded, realizes and logs in;By training course selecting module, the corresponding class of training course being pre-selected is entered after login
The Cheng Xunlian pages, are trained the selection of course, and the training course includes depression and anxiety, have a sleepless night and force four training sessions
Journey, each course includes multiple training stages, and the course training page includes corresponding training content of each training stage;It is logical
Cognitive behavior training module is crossed, according to the training course being pre-selected, the training stage being presently in reference to the user,
According to the training stage corresponding training content in training interface, the cognitive behavior training to the user is realized.
The cognitive behavior training system of the present invention, user can be achieved to carry out whenever and wherever possible independently by network entry platform
Cognitive behavior training, improves the cognitive Bias of user, is recurred with preventing, reducing, user experience is improved, at the same time as cognition
The system training instrument of behaviour therapy's teacher basic skills and theory.
Embodiment one
As shown in figure 1, a kind of cognitive behavior training method that the present embodiment is provided, including:
Step S1, obtains user logging request information, realizes and logs in;
Step S2, enters the corresponding course training page of the training course being pre-selected, is trained course after login
Selection, training course includes depression and anxiety, has a sleepless night and forces four training courses, and each course includes multiple training stages, class
The Cheng Xunlian pages include corresponding training content of each training stage;
Step S3, according to the training course being pre-selected, the training stage being presently in reference to user, in training interface
According to training stage corresponding training content, the cognitive behavior training to user is realized.
The cognitive behavior training method that the present invention is provided, its technical scheme is:User logging request information is obtained, realization is stepped on
Record;Enter the corresponding course training page of the training course being pre-selected after login, training course includes depression and anxiety, insomnia
With force four training courses, each course includes multiple training stages, and the course training page includes each training stage correspondingly
Training content;According to the training course being pre-selected, the training stage being presently in reference to user, the basis in training interface
Training stage corresponding training content, realizes the cognitive behavior training to user.
The cognitive behavior training method of the present invention, user can be achieved to carry out whenever and wherever possible independently by network entry platform
Cognitive behavior training, improves the cognitive Bias of user, is recurred with preventing, reducing, user experience is improved, at the same time as cognition
The system training instrument of behaviour therapy's teacher basic skills and theory.
Cognitive behavioral therapy (CBT) is current psychological training method most widely used in the world, is that one kind passes through change
The effective ways of anxiety are treated in cognitive and behavior.The mood of one people and his cognition and behavior influence each other, therefore we
The mood of anxiety can be changed by changing cognitive and behavior.The mood of people is allowed not come from what there occurs,
And come from people and how to treat and evaluate this part thing, here it is cognitive (i.e. idea).The idea of people is objective, actively rise
Come, be exactly the important technology of CBT treatments, based on this, in following 5 days (preset number of days), complete a homework, record
Idea and resulting mood to certain event, form the first anxiety thinking record inventory, such as:
Event |
Idea |
Mood |
During the journey, half bottle of water has been drunk |
Half bottle of water is only remained, may be not enough |
Worry |
By CBT, the factor for causing anxiety to produce and maintain is will appreciate that, oneself regulation mood is learned how, defeats anxiety.
It is described in detail with reference to specific training process:
Preferably, in step S3, when the training course being pre-selected is anxiety training course, it is presently in reference to user
Training stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user:
The test of mental scale can be first carried out training every time into fashionable, the anxiety state current to user is measured,
Understand the truth of user, help to deploy the training of the first anxiety training stage.
When user is presently in the training stage for the first anxiety training stage, at least something that user records daily is obtained
After part, including time, content, emotional information at that time and the evaluation information to event that event occurs, record preset number of days, shape
Inventory is recorded into the first anxiety thinking;
According to the first anxiety thinking record inventory, analyze user the mode of thinking, after the completion of enter the second anxiety train rank
Section;
When user is presently in the training stage for the second anxiety training stage, according in the first anxiety training stage of acquisition
Recording mode proceeds after record, record preset number of days (5 days), forms the second anxiety thinking record inventory;
Inventory is recorded according to the second anxiety thinking, a relaxation training is carried out daily, carries out loosening instruction according to preset number of days
Practice, after the completion of enter the 3rd anxiety training stage;
The mode of relaxation training has many kinds, such as gradual muscular relaxation training training (PMR), by the motions of four limbs and exhales
Inhale adjustment and carry out relaxation training.During relaxation training, some blood oxygen saturations and pulse frequency can be gathered by pulse blood oxygen instrument
Data, the relaxation state of user is judged by these data.
When user is presently in the training stage for the 3rd anxiety training stage, according in the first anxiety training stage of acquisition
Recording mode proceeds after record, record preset number of days, forms the 3rd anxiety thinking record inventory;
According to a variety of confrontation method of thinkings, recorded with reference to the 3rd anxiety thinking after inventory, confrontation thinking training preset number of days,
Form the first anxiety confrontation thinking record inventory;
Thinking record inventory is resisted according to the first anxiety, anxiety grade classification is carried out to event, anxiety rank list is formed,
After the completion of enter the 4th anxiety training stage;
Wherein, confrontation thinking is one kind confrontation to distorted perceiving, and common distorted perceiving has seven kinds, including arbitrarily pushes away
Summarize by, selectivity, it is excessively extensive, individualize, exaggerate and reduce, the thinking that polarises, should doctrine and necessary doctrine;Common
Confrontation method of thinking also has seven kinds, including goes the content of disaster, i.e., record the content in inventory by analytic thinking, and arrangement is each
The possibility that consequence occurs is planted, is reappraised with positive thinking and epistemic context.Such as, someone fear to take a lift may
Think:" door will be closed, and then I can be stranded several hours herein, and also no one knows, I is finished the oxygen in elevator just
It can faint ".It is then to think deeply in the opposite manner to go disasterization:" elevator door will be shut, and then I can be sent to me by elevator
The floor to be gone, door can be opened again.Even if elevator is seized, it can also be asked for help by danger button.Last time, I took a lift
Just have no problem, the possibility very little that I faints ".
The statement of reply property, i.e., tell oneself how to go to face some pressure scene, forecasting problem, and retouch to oneself at heart
State the process for tackling these problems.Such as:" I can accomplish this point, as long as my effort, and thing can become simply too much, and I am only
Need to step the first step ".
Utilitarianism resists thinking, i.e., investigate thing not too much in itself, and pays close attention to oneself idea and attitude to this part thing
It is whether useful.Such as, although be at fault, but thing has occurred that, self-accusation is otiose.Tell that energy is placed on solution by oneself
In problem, or draw lesson from it, it is to avoid next time recommits, rather than feel guilty simply.
Label is changed, i.e., the passive label being attached in scene or thing is changed turns into objective, positive statement, changes into
Positive.Such as, remove with the label of " conceited " to evaluate a people, use " confidence " instead to evaluate;Remove the label of " difficulty ", change
Into " challenge;" remove the label of " pressure ", change into " power ".
The confrontation thinking of humour, that is, find the humorous point in passive automatic thought, or come anti-in a kind of humorous mode
Refute, this is a kind of particularly useful way of refutation.Such as, it is busy when thinking again all to accomplish ultimate attainment and current conditions are not permitted
Perhaps when, tell oneself " and oneself as superman with laughing at oneself formula.”
The confrontation thinking of famous sayings of famous figures or proverb is quoted, e.g., when something is not carried out, passive automatic idea is:" I
Be dead " or " I does anything well, " can quote " Failure is the mother of success ", " It is the first step that costs troublesome " etc. confrontation.
The confrontation thinking of presence, i.e. many passive automatic thoughts be it is dogmatic, without foundation of truth, refute also without
Based on the fact that.Such as, " why it is me" so the problem of can be refuted by another idea:" why not it is me”
Wherein, anxiety rank list is divided into 5 different degree, causes emotional reactions most fierce event, things or field
Scape is 10 points, and smaller degree is 8 points, successively decreases successively, the situation of 6 points, 4 points and 2 points degree is listed respectively.Listed event, thing
Thing or scene must be specific, with operability, to be trained after facilitating training next time.
When user is presently in the training stage for the 4th anxiety training stage, proceed according to a variety of confrontation method of thinkings
Resist after thinking exercise, the confrontation thinking training for carrying out preset number of days, form second and resist thinking record inventory;
Positive thinking record of the user in confrontation thinking training is obtained, anxiety positive thinking record inventory is formed, carries out
Preserve;
According to the different anxiety level events in anxiety rank list, progress exposes training and respiratory training, and enters the
Five anxiety training stages, exposure training and respiratory training be continued until the anxiety grade in anxiety rank list is dropped to it is specified
Terminate training during standard, into the 5th anxiety training stage;
Specifically, first, 4 points of event, things or scene in active exposure last time homework anxiety rank list, it is hard
Hold, kept for contact certain time without escaping, respiratory training can be combined while contact, can also be instructed without breathing
Practice.
When 4 points of event, things or scene, (it is generally necessary to train several days when caused emotional reactions are down to 2 points or less
Or several weeks), the contact training of 6 points of events, things or scene can be proceeded by, the timing of active exposure one is equally to maintain
Between without escaping, with or not with respiratory training.
Likewise, (being generally also required to train a few days or a few weeks after 6 points near 2 points of event, things or scene or less
), event, things or the scene that 8 point of retraining.
After 8 points of event, things or scene is down to 2 points and is following, the training of 10 points of events is finally carried out.This is usually required
Spend it is a few week to some months times, some people can not be reached in 8 points and 10 points of event, things or scene, always 2 points and with
Under effect, then can be just regarded at oneself receive degree terminate training.
Wherein, exposure training is a kind of classical Behavioral training method, feared things or scene by constantly contacting,
Be allowed to recognize these things or scene be can face, without what is avoided, and the mood such as can alleviate anxiety, fear.According to
The anxiety rank list of last homework, practises since 4 points of event, things or scene.Principle is not escape, step by step
Training.Become apparent from by repeating Anxiety decline.When 4 points of event, things or scene Anxiety drop to acceptable model
After enclosing, 6 points of training, followed by 8 points are carried out, are finally 10 points.Relaxation training or breathing can also be done in the training process
Training, helps to alleviate sense of discomfort.
Respiratory training is very useful to the situation in panic attack or AAA.Respiratory training is burnt to other
The alleviation of the mood such as worry, anxiety, fear is also easy and effective, and can make patient that notice is transferred to pass from the cognition of disaster
In note breathing.
Specially:Step 1:Abdominal respiration profound several times is first done (to exhale, empty intraperitoneal all air, belly
Cave in;Air-breathing, feels that whole abdominal cavity is full of ozone, belly loosens).Step 2:Normal speed is arrived in adjustment breathing:Every point
Clock breathes 15-16 times (every about 4 seconds breath cycles).It is recommended that normally being exhaled by watching the second hand of clock and watch attentively to help to return to
Suction mode.Step 3:Know from experience the control sense to body that breathing is normally brought.
Positive thinking when also thinking can be resisted is preserved simultaneously, oneself thinking to oneself valuable, help very
Big positive thinking is recorded at any time, can again be reviewed, extracts at any time, be caused next time for resisting when needed later
The distorted perceiving of anxiety.For example:" everyone is not perfect, and I has the advantages that oneself, should not only stare at deficiency and see.”
" do well and also have no relations, make great efforts next time still to have harvest." " it is probably not hear that he, which does not pick up, does not represent and does not exist
I." etc..Exposure training and respiratory training continue to keep this exercise after all training are completed, and this training may need
Continue some months or more long.
When user is presently in the training stage for the 5th anxiety training stage, resisted according to a variety of confrontation method of thinkings
Thinking is consolidated after exercise, exercise preset number of days, and records inventory according to anxiety positive thinking, passes through imagery training method and formulation
Problem and correspondence solution method give intensive training, after the completion of enter the 6th anxiety training stage.
Wherein, imagery training method refers to imagine a tranquil scene, such as imagines and oneself is just rambling about seabeach or just putting
Body to shift the notice to painful idea, or reduces the sense of discomfort on body in the holiday resort oneself liked.Can be single
Solely use, the training of positive image can also be added during respiratory training, relaxation training or exposure training is carried out.Meaning
The content of elephant is very abundant, can play the imagination of oneself, such as " as small bird circles in the air on high " or " allows anxiety as ice, slowly
Slowly melt, evaporate, disappear." or " worry is blown away by strong wind as leaf, blows to the remotest places, do not see again." etc..
Generally it is used in combination with other CBT methods, such as relaxation training, respiratory training and exposure training can help these
Technology preferably reaches effect.
The method of formulation problem and correspondence solution is referred specifically to:Clearly what clear and definite problem is.Setting is clear, can be real
Existing solution target.Propose some different solutions.Inquire about the information that piecemeal solution scheme needs.According to information state,
Selected one of which solution.Specific step is made, to realize solution, and sets about implementing.Verify entering for oneself
Exhibition.
When user is presently in the training stage for the 6th anxiety training stage, anxiety training is carried out by anxiety scale of testing oneself
Checking, complete anxiety training course training.
The cognitive behavior training of anxiety is carried out by the above method, user can voluntarily realize the improvement of anxiety symptom, strengthened
User rationally treats problem and problem-solving ability, better adapts to life.
Equally, cognitive behavioral therapy (CBT) is a kind of effective ways for alleviating depression by cognitive and behavior change.One
The mood of people and his cognition and behavior influence each other, therefore change the mood of depression by changing cognitive and behavior.Allow people
Idea it is objective, actively get up, this be CBT treatment important technology, therefore firstly the need of recognize people in life send out
The idea of raw event.In following 5 days, a homework is completed, is recorded to the idea of event and resulting
Mood, forms the first depressed thinking record inventory, such as:
Event |
Idea |
Mood |
During the journey, half bottle of water has been drunk |
Half bottle of water is only remained, may be not enough |
Worry |
By CBT, will appreciate that causes the depressed factor for producing and maintaining, and learns how oneself regulation mood, walks out depression.
It is described in detail with reference to specific training process:
Preferably, in step S3, when the training course being pre-selected is depressed training course, it is presently in reference to user
Training stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user:
The test of scale can be first carried out training every time into fashionable, the current Condition of depression of user is detected, understands and uses
The truth at family, contributes to the training of the depressed training stage of expansion first.
It was the first depressed training stage when user is presently in the training stage, obtains at least something that user records daily
After part, including time, content, emotional information at that time and the evaluation information to event that event occurs, record preset number of days, shape
Into the first depressed thinking record inventory;
According to the first depressed thinking record inventory, analyze the mode of thinking of user, after the completion of enter the second depressed training rank
Section;
It it was the second depressed training stage when user is presently in the training stage, according in the depressed training stage of acquisition first
Recording mode proceeds after record, record preset number of days (5 days), forms the second depressed thinking record inventory;
According to the second depressed thinking record inventory, carry out after activity schedule training, training preset time, complete daily
Entered for the 3rd depressed training stage afterwards;
Wherein, the activity of (at least 5 days) before activity schedule training brainchild is once trained from today to third time, daily
Simple possible is wanted in one content, the activity of plan, and preceding two contents (time and activity) of at least 5 days are please just filled now,
Carry out according to schedule daily, every time after the completion of open the activity of webpage record performance and implementation after mood.
It it was the 3rd depressed training stage when user is presently in the training stage, according in the depressed training stage of acquisition first
Recording mode proceeds after record, record preset number of days, forms the 3rd depressed thinking record inventory;
According to a variety of confrontation method of thinkings, with reference to the 3rd depressed thinking record inventory, resist after thinking training preset number of days,
Form the first depressed confrontation thinking record inventory;
According to the activity schedule training in the second depressed training stage, the activity schedule training of preset number of days is carried out, and is obtained
Mood after the performance of event in being trained to activity schedule and implementation, after the completion of entered for the 4th depressed training stage;
Wherein, a variety of confrontation method of thinkings are consistent with the method in anxiety training course, carried out by resisting method of thinking
While dual training, activity schedule training is carried out always and is noted down, incremental training is carried out.
It was the 4th depressed training stage when user is presently in the training stage, obtains product of the user in confrontation thinking training
Pole thinking record, forms depressed positive thinking record inventory, is preserved;
Inventory is recorded by depressed positive thinking, is trained, changes the Attributional style of user and handles the mode of task,
Into the 5th depressed training stage;
It is have recorded in positive thinking record to product of events pole view, for example:" everyone is not perfect, and I has certainly
Oneself advantage, should not only stare at deficiency and see." " do well and also have no relations, make great efforts next time still to have harvest." " he does not connect
Phone is probably not hear, does not represent and does not mind me." etc..By these energetically idea be constantly trained, attribution can be changed
Mode, that is, change the view to something, will not summed up in the point that the reason for event on one's body, it is to avoid some are felt oneself inferior, feel guilty, pressed down
Idea that is strongly fragrant, losing the confidence.Attempt to carry out resolution process to something simultaneously, resolve into different small tasks mitigations and do things
The feeling of stress of feelings.
It was the 5th depressed training stage when user is presently in the training stage, inventory is recorded according to anxiety positive thinking, led to
Cross formulation problem and correspondence solution method give intensive training, after the completion of enter the 6th anxiety training stage;
It was the 6th depressed training stage when user is presently in the training stage, depressed training is carried out by depression scale of testing oneself
Checking, complete the training of depressed training course.
Depressed cognitive behavior training is carried out by the above method, user can voluntarily realize the improvement of depressive symptom, strengthened
User rationally treats problem and problem-solving ability, better adapts to life.
Preferably, in step S3, when the training course being pre-selected is insomnia training course, it is presently in reference to user
Training stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user:
It was the first insomnia training stage when user is presently in the training stage, obtains the Sleep diaries letter that user records daily
Breath, including the bedtime in evening, time for falling asleep, wake-up time, the time of getting up, be accumulated at a time, accumulative time for falling asleep and
Doze off daytime number of times, after record preset number of days, form Sleep diaries, and enter second and have a sleepless night the training stage;
The record letter of the Sleep diaries of 5 days, for understanding and assessing the work and rest rule of user, for the conviction and state of sleep
Degree, and the order of severity having a sleepless night.
It it was the second insomnia training stage when user is presently in the training stage, according in the insomnia training stage of acquisition first
Recording mode proceeds after record, record preset number of days, forms the second Sleep diaries;
According to the second Sleep diaries, insomnia training, insomnia training preset number of days are carried out by learning the method for sleep knowledge
After progress, by have a sleepless night severity index scale carry out second have a sleepless night the training stage insomnia train verify, after the completion of enter the 3rd
Have a sleepless night the training stage;
Wherein, sleep knowledge is:
1st, the length of one's sleep number depend on patient's clear-headed situation of second day;
2nd, every morning or regular aerobic exercise in afternoon can help to sleep;Hobby is cultivated, life is enriched;
3rd, avoid receiving strong stimulation before sleeping, dark lighting a bit, is washed a hot bath and relaxed, it is to avoid carry out excitability
Activity (except certain sexuality), it is to avoid phobic books or video display, it is to avoid with people argue;
4th, tea, coffee and wine are avoided, especially in the afternoon or evening;A few houres non-smoking before sleeping;
5th, reasonable arrangement work sleep sanitary regulations:Time, the problem of processing is in brain or idea is evacuated at night, extremely
Carry out within few 1 hour before sleeping.Write the thing or difficulty to be done for second day, it is impossible to these problems is become more and more annoying;
If the 6, feeling hungry just before going to bed, eating a light meal to help for sleep;
7th, make bedroom as quiet as possible and dim, while making bedroom temperature keep being adapted to;
If the 8, can not fall asleep quickly, it should get up immediately, gone to another room, do some activities loosened, it is to avoid
Feel lose heart;
If the 9, waken up at midnight, clock should not be seen, continues to turn round sleep;Bedroom had better not put clock;
10th, regularly get up and rest, be beneficial to biological clock.Will regularly it be got up at neutralization weekend weekly;
11st, can not have afternoon nap daytime or doze off, otherwise can reduce sleepiness at night, it may also reduce oneself want to sleep when
Between;
12nd, worry to sleep several hours every night, the alertness and mobility on daytime can be influenceed.As long as the vigilance on daytime
Property and mobility it is good, illustrate the time of having slept well.
By these sleep knowledge, voluntarily sleep is adjusted, sleep quality is improved, and record daily sleep feelings
Condition.
It it was the 3rd insomnia training stage when user is presently in the training stage, according in the insomnia training stage of acquisition second
Recording mode proceeds after record, record preset number of days, forms the 3rd Sleep diaries;
According to the 3rd Sleep diaries, calculate average in bed time, the length of one's sleep and Sleep efficiency every night;
According to the length of one's sleep and preferable Sleep efficiency, calculating is obtained should be in the bed time, and determines corresponding bedtime
With the time of getting up;
According to corresponding bedtime and getting up the time, with reference to sleep suggestion, after training in one week, gone to bed to corresponding
Time carries out first time adjustment, forms daily schedule;
Wherein, sleep suggestion refers to suggestion of the insomniac before and after sleep, assists in sleep, is specially:
1st, the sleep diary of 2 weeks is first done, including some is gone to bed, some is fallen asleep, what time wakes up, what time gets up, and in the daytime
Length of one's sleep etc..
2nd, according to diary calculate this week every night it is average bed time (m- bedtime when getting up) and the length of one's sleep with
Sleep efficiency (length of one's sleep/in the percentage of bed time).Such as one people lies in bed 8 hours daily, has only slept 4 hours, sleeps
Efficiency is then 50%.
3rd, according to the length of one's sleep and preferable Sleep efficiency (>90%) come calculate oneself the bed time (length of one's sleep/
90%), assist in and go to bed and get up the time, the time of getting up will be fixed with alarm clock, the time of bed cannot be below 5 hours.
4th, after the training of one week, if the Sleep efficiency of this week averagely every night reaches more than 90%, next week can carry
It is early to go to bed within 15~30 minutes;If Sleep efficiency is 80~90%, next week maintains the original time;As Sleep efficiency is less than
80%, then next week bedtime to postpone 15~30 minutes.Above sleep cycle is adjusted weekly once.
5th, according to mentioned above principle, by periodicity adjustment bed rest time, until reaching enough lengths of one's sleep.
By have a sleepless night severity index scale carry out the 3rd have a sleepless night the training stage insomnia train checking, after the completion of enter the 4th
Have a sleepless night the training stage;
Equally daily sleep quality is noted down in phase III training process, adjusts and works and rests as next stage
The foundation of timetable.
It it was the 4th insomnia training stage when user is presently in the training stage, according in the insomnia training stage of acquisition the 3rd
Recording mode proceeds after record, record preset number of days, forms the 4th Sleep diaries;
According to the 4th Sleep diaries, first is carried out by stimulating control method to carry out Behavioral training, and to daily schedule
It is secondary to update;
The daily schedule updated according to first time, with reference to sleep suggestion, carries out second to corresponding bedtime and adjusts
It is whole;
Wherein, it is that a set of help insomniac reduces the behavior unrelated with sleep and sets up regularity and sleeps to stimulate control method
The program of dormancy-awakening pattern, purpose is that insomniac is set up with the condition of insomnia contacts, and sets up connection with sleep
System, and human body is formed normal sleep-wake rhythms.Specific practice:
1st, in addition to sleep, other times should not be treated in bed or in bedroom.Special place of the bed as sleep, do not exist
The activity unrelated with sleep is engaged on bed, the reading that should not lie on a bed, TV is seen, listens to the radio programme.
2nd, if still can't fall asleep after lying on a bed 30 minutes, it is necessary to get up and withdraw from a room, a little gentle things are done, only true
Just gone to bed when just having sleepiness.As can not be fallen asleep rapidly again after going to bed, and get up at once, waiting again has sleepiness just to return bed.If begin
Eventually without sleepiness, that must be thus and thus until daybreak.
3rd, among whole night, as long as midway has been waken up and can not fallen asleep again rapidly, it should all be done by the method for upper bar.
4th, adhere to every morning waking up and getting up in synchronization, how slept but regardless of evening.
5th, daytime never goes to bed.
By have a sleepless night severity index scale carry out the 4th have a sleepless night the training stage insomnia train checking, after the completion of enter the 5th
Have a sleepless night the training stage;
It was the 5th insomnia training stage when user is presently in the training stage, obtains the feedback problem of user, feedback is asked
Topic is answered;
Recording mode according to obtaining in the 4th insomnia training stage proceeds after record, record preset number of days, is formed
5th Sleep diaries;
According to the 5th Sleep diaries, with reference to the answer to feedback problem, second is carried out to daily schedule and is updated;
The daily schedule updated according to second, with reference to sleep suggestion, third time tune is carried out to corresponding bedtime
It is whole;
By have a sleepless night severity index scale carry out the 5th have a sleepless night the training stage insomnia train checking, after the completion of enter the 6th
Have a sleepless night the training stage;
In time the problem of answer insomniac, assist in insomniac and preferably trained.
It it was the 6th insomnia training stage when user is presently in the training stage, according in the insomnia training stage of acquisition the 4th
Recording mode proceeds after record, record preset number of days, forms the 6th Sleep diaries;
According to the Sleep diaries of the 6th insomnia training stage, third time renewal is carried out to daily schedule;According to third time
The daily schedule of renewal, with reference to sleep suggestion, the 4th adjustment is carried out to corresponding bedtime;
6th insomnia for having a sleepless night the training stage is carried out by severity index scale of having a sleepless night and trains checking, insomnia training session is completed
The training of journey.
The cognitive behavior training being had a sleepless night by the above method, user can voluntarily realize the improvement of insomnia, enhancing
User rationally treats problem and problem-solving ability, better adapts to life.
Preferably, in step S3, the training course being pre-selected is when forcing training course, to be presently in reference to user
Training stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user:
Forced the training stage for first when user is presently in the training stage, obtain the obsession log of user, bag
Include date of generation, time, stimulation event, thinking reaction, behavior reaction, force consequence and subjective uncomfortable unit fraction, record
After preset number of days, the training stage is forced into second;
Wherein, subjective uncomfortable unit is that the standard scale of pain is brought to forcing thinking to give people, and 0 point is the feelings for having no pain
Border, such as a kind of state loosen completely, deep sleep;100 points are then experiencing so far or can imagining most painful
State.According to subjective uncomfortable unit, force the thing of pain sensation to be noted down and given a mark to being brought to user, form obsession
Log.User needs to record the generation of symptom at any time.
The training stage is forced for second when user is presently in the training stage, is forced by exposure response prevention method
The training of training stage:
Force obsession log in the training stage according to first, make exposure grade table, exposure grade table according to
Subjective discomfort unit fraction sorts from low to high in obsession log, one exposure of each subjective uncomfortable unit fraction correspondence
Symptom, exposure grade table is constantly updated;
Wherein, whether the making of exposure grade table, by checking symptom in symptom diary in the past few days, examine by institute one by one
Some symptoms are all monitored, if accomplish to have recorded the obsessive symptoms of oneself at any time;Obsessive symptoms are arranged by painful journey
Degree (SUDs) is rearranged from low to high, has just obtained exposure grade table.
The corresponding exposed symptom of the uncomfortable unit fraction of medium subjectivity in exposure grade table proceeds by exposed project
Exercise, until the corresponding exposed symptom of the subjective uncomfortable unit fraction of highest is exposed the white silk of project excessively in exposure grade table
Practise, complete once exposure exercise, exposure project includes reality exposure and imagination exposure;
In general exercise is exposed since the medium symptom of SUDs scores.Such as SUDs scorings highest ranking in symptom diary
For 80 points, correspondence symptom is " directly touch dustbin and can not wash one's hands at once ", then the symptom from 40 points can be selected to enter
Row exposure exercise, the symptom of the higher SUDs scores of reselection after it can bear the distress level that the exposure is excited substantially;Until
Distress level highest symptom is also sufficiently practised.
Wherein, reality exposure means individual directly facing the stimulation for causing anxiety fear.Such as fear the patient of bacterium
Toilet seat of seat, metope, communal bathroom of public place etc. is touched with hand.Many symptoms have no idea to arrange reality sudden and violent
Dew, such as because causing electrical equipment to kill the thought of household, on profanity or the impulsion committed incest etc. without inspection switch.These can be adopted
With imagination exposure, the situation that oneself can not put up with is write down, repeatedly loud to read;Or content is recorded listened attentively to repeatedly,
Imagined with this in brain and be among the anxiety fear for making oneself extreme discomfort, and undergo the sufficiently long time.Imagination exposure
Design need pay attention to detail, can be described in detail the situation generation time, place, what there occurs, at that time idea, sense
By, the tone spoken, there are what sound, what taste, the people of surrounding is saying that what etc. what do.It is as lively as possible, detailed.
Repeat repeatedly to expose project exercise, until user produces a desired effect, the training stage is forced into the 3rd;
Wherein, the exercise of exposure project is trained by exposure response prevention therapy, and exposure response prevention therapy is one
Cognitive-behavioral therapy is planted, help learns reply and forces thinking and compulsive behavior.During exercise, need deliberately, for a long time exposed to those
Cause mandatory anxiety, pain and promote in the situation using compulsive behavior, do not allow for using conventional compulsive behavior reduction
Tension, until anxiety spontaneous remission.By repeatedly, repeatedly practising, answering pressure environment is helped, even if finding without strong
Compel behavior, disaster will not also occur, gradually association receives the uncertainty of life.
Such as, when A starts exposure exercise, the exposure project that he selects is to touch the face of oneself after contact dustbin;In advance
The ceremony first formulated prevents rules from requiring that he can not wash one's hands.A is allowed deliberately (to contact dustbin under the situation for making his fear
Hand to touch the face of oneself), and limit escape and/or by wash one's hands wait behavior reduction anxiety.Now A can produce strong
Mood and/or Tenseness, feel that bacterium pollutes the palm of oneself by dustbin, and because the face for touching oneself is rapid
Ground corrodes the body of oneself, and he is completely by bacterial phagocytosis, so that unsmooth breath, dripping cold sweat, he is fast to collapse, now SUDs
Fraction rises quickly, and he enters stress situation.But, because lacking real danger, by certain period of time (because of people
Different, typically within 90 minutes), A body can readily recognize that the anxiety of this height be it is unnecessary, body stress shape
State is released, and the information feeds back to the mood center of brain simultaneously, thus mood and body Anxiety by can natural remission, until
Disappear.Repeat the exercise.It will feel to adapt to many when repeating this training for the second time, anxiolytic is obtained also than before
It hurry up, because the preceding experience once practised tells A that this is safe.The exercise is repeated several times, A can have found that he experiences most every time
High SUDs fractions are gradually being reduced, and the time needed for clear-cutting forestland also gradually decreases.Here it is the target that we train.
In ERP therapeutic processes, we will not go to change stimulant, because dustbin is not wrong in itself, it is necessary to which what is changed is to stimulating
The excessive anxiety reaction that thing is made.Because regardless of whether taking avoidance or ceremonial, anxiety is experienced in the situation
It will not be permanently present.Even if failing to carry out ceremony, the event feared may, will not may also occur, and both do not close necessarily
System.
Forced the training stage for the 3rd when user is presently in the training stage, obtain reward inventory, reward inventory includes
User wishes the behavior oneself accomplished and corresponding reward content;
According to exposure grade table, the exposure project of exercise is selected;
The exposure project practised according to selection, the corresponding exercise of progress (including reality exposure is practised and imagines that exposure is practiced
Practise), force the training stage into the 4th after completing exercise;
The training stage is forced for the 4th when user is presently in the training stage, according to subjectivity minimum in exposure grade table not
The suitable corresponding exposed symptom of unit fraction proceeds by exposure exercise repeatedly, until producing habituation;
After the completion of exercise, the exposure exercise of the corresponding exposed symptom of next subjective discomfort unit fraction is carried out, works as highest
The corresponding exposed symptom of subjectivity discomfort unit fraction produces habituation, end exercise, generation exposure after exposure exercise repeatedly
Exercise is single, and the training stage is forced into the 5th;
Forced the training stage for the 5th when user is presently in the training stage, carry out exercise and look back test;
After the completion of test, life plan is formulated, completes to force the training of training course.
The cognitive behavior training forced by the above method, user can voluntarily realize the improvement of obsessive symptoms, enhancing
User rationally treats problem and problem-solving ability, better adapts to life.
Preferably, in three training courses of depression and anxiety and insomnia, in addition to:Before each training stage to
Family is tested and assessed, and evaluating result is graphically shown.Including Data View, line chart and several display formats of block diagram,
And preservation can be downloaded to evaluating result chart.
Preferably, in depression and anxiety, have a sleepless night and force four training courses, in addition to:Before each training stage
Obtain the homework of user and the feedback of correspondence homework.Training content is preferably adjusted by feedback, realized more preferable
Training effect.
Preferably, before step S1, for the user registered first, in addition to:
Obtain the log-on message of user;
According to the log-on message of user, registration is completed, into the personal information page;
In the personal information page, the personal information of user is obtained.The user registered first needs to be filled according to instruction
Relevant information, aided assessment is carried out to user in itself.
Preferably, in four training courses, the relation of supplemental training is set up with relevant hospital, is provided by doctor
Professional advice, to improve training result.
Specifically, it is that doctor sets certain authority, doctor can see the training for the user that undergoes training, including phase
Should be tested and assessed record, the statistical graph of evaluating result, the chart of user's training dropping situations, the homework of user, feedback interaction,
Add User.Hospital director can check the training general status of each section office visitor simultaneously.Section office director can look into
The training of each doctor visitor is seen, the situation is presented in the form of chart or form.
Preferably, visitor can issue user certainly and send information, remind before each course new training stage is entered
Visitor timely enters the training of new stage, and doctor can also select some patients's (being searched for by name) to send short message, be returned
Visit.
Preferably, in depression and anxiety, have a sleepless night and force four training courses, in addition to:
According to the feedback of the homework of user and correspondence homework, the instruction of doctor is obtained by message box.
After doctor is finishing watching the homework that visitor is done, visitor can be given some professional feedbacks, instead
The pop-up box that physician feedback can be seen after visitor logs in is presented, visitor can select to check or check later immediately,
Feedback can also check corresponding feedback in the homework of correspondence number of times, course is trained page close friendization, intelligent.Than
Such as in anxiety training, the data of biofeed back instrument can be combined in exposure training and respiratory training, are trained, with reference to language
Sound is instructed, and different audios of loosening can be selected to carry out relaxation training, anxiety grade is trained step by step, progressivelyes reach therapeutic effect.
Second aspect, the invention provides a kind of cognitive behavior training system 10, including:
Login module 101, for obtaining user logging request information, realizes and logs in;
Training course selecting module 102, the corresponding course training page of training course being pre-selected for entering after login
Face, is trained the selection of course, and training course includes depression and anxiety, have a sleepless night and force four training courses, each course bag
Multiple training stages are included, the course training page includes corresponding training content of each training stage;
Cognitive behavior training module 103, the training course being pre-selected for basis, the training being presently in reference to user
In the stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user.
The cognitive behavior training system 10 of the present invention, user can be achieved to carry out whenever and wherever possible certainly by network entry platform
Main cognitive behavior training, improves the cognitive Bias of user, is recurred with preventing, reducing, user experience is improved, at the same time as recognizing
Knowing and doing is the system training instrument of therapist's basic skills and theory.