McNally Richard J
Department of Psychology, Harvard University, 33 Kirkland Street, Cambridge, Massachusetts 02138, USA.
Annu Rev Psychol. 2003;54:229-52. doi: 10.1146/annurev.psych.54.101601.145112. Epub 2002 Jun 10.
Research on posttraumatic stress disorder (PTSD) has been notable for controversy as well as progress. This article concerns the evidence bearing on the most contentious issues in the field of traumatic stress: broadening of the definition of trauma, problems with the dose-response model of PTSD, distortion in the recollection of trauma, concerns about "phony combat vets," psychologically toxic guilt as a traumatic stressor, risk factors for PTSD, possible brain-damaging effects of stress hormones, recovered memories of childhood sexual abuse, and the politics of trauma.
创伤后应激障碍（PTSD）的研究既有争议也有进展。本文关注与创伤应激领域最具争议性问题相关的证据：创伤定义的拓宽、PTSD剂量反应模型的问题、创伤回忆中的扭曲、对“假战斗老兵”的担忧、作为创伤应激源的心理毒性内疚、PTSD的风险因素、应激激素可能对大脑造成的损害、童年性虐待的恢复记忆以及创伤政治。
