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关于在心理创伤治疗中结合催眠与眼动脱敏再处理疗法的建议及说明。

Recommendations and illustrations for combining hypnosis and EMDR in the treatment of psychological trauma.

作者信息

Beere D B, Simon M J, Welch K

机构信息

Department of Psychology, Central Michigan University, Mt. Pleasant 48859, USA.

出版信息

Am J Clin Hypn. 2001 Jan-Apr;43(3-4):217-31. doi: 10.1080/00029157.2001.10404278.

DOI:10.1080/00029157.2001.10404278
PMID:11269626
Abstract

Three experienced therapists, trained in hypnosis and EMDR, distilled some tentative hypotheses about the use of hypnosis in EMDR from fifteen cases, two presented here. When a therapist uses hypnosis with EMDR, it seems that the client is having difficulty or the therapist anticipates that the client will have difficulty managing the experiences processed with EMDR. Hypnosis initiated either during the introduction to EMDR or within a therapy session prior to the initiation of EMDR seems to have served two functions. The first function is to activate inner work that prepares the client to use EMDR successfully, and the second function is to facilitate overtly the processing of the traumatic experience. Clients might have two kinds of difficulties in managing affect or distress: (1) they may have a long-standing, irrational and strongly held belief that interferes with managing affect or distress, and (2) they may never have developed the capacity to tolerate intense affect, distress or pain. Should a therapist use hypnosis during the closing down phase of a session without preparing the client with hypnosis during the introduction to EMDR, the therapist should seriously reconsider the pace and focus of EMDR and the client's resources to manage affect and distress.

摘要

三位接受过催眠和眼动脱敏再处理疗法(EMDR)培训的经验丰富的治疗师,从15个案例中提炼出了一些关于在EMDR中使用催眠的初步假设,这里展示其中两个案例。当治疗师在EMDR中使用催眠时,似乎是来访者遇到了困难,或者治疗师预计来访者在处理EMDR过程中的体验时会有困难。在EMDR介绍阶段或在开始EMDR之前的治疗过程中开始使用催眠似乎有两个作用。第一个作用是激活内在工作,使来访者为成功使用EMDR做好准备,第二个作用是明显促进对创伤性体验的处理。来访者在处理情感或痛苦方面可能有两种困难:(1)他们可能有一个长期存在、不合理且根深蒂固的信念,这会干扰对情感或痛苦的处理,(2)他们可能从未培养出容忍强烈情感、痛苦或疼痛的能力。如果治疗师在疗程结束阶段使用催眠,而在EMDR介绍阶段没有用催眠让来访者做好准备,治疗师应该认真重新考虑EMDR的节奏和重点以及来访者处理情感和痛苦的资源。

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