Beckrath-Wilking Ulrike
Psychotherapeutische Medizin, Krankenhaus-Haar.
Psychiatr Prax. 2004 Nov;31 Suppl 1:S88-90. doi: 10.1055/s-2004-828442.
Results of latest neurobiological trauma-research suggest that many psychic disorders like personality disorders with complex traumatisation in patient's history and co-morbidities should better be treated as posttraumatic disorders. This is important for any therapy planning: should a modified psychoanalytic approach (like TFP by Kernberg) with emphasis on interpreting the transference-relation be preferred for patients with Borderline personality disorder or - diagnosing the same patients as complex posttraumatic stress disorder - a phase oriented trauma-specific approach. As such PITT combines psychodynamic understanding with hypnotherapeutic and imaginative methods. Crucial points are an active and supporting therapeutic relation, safety and reduction of stress, focus on all individual resources and use of imaginative ways for stabilization and later trauma-confrontation work.
最新神经生物学创伤研究结果表明，许多精神障碍，如患者病史中有复杂创伤经历和共病的人格障碍，最好被视为创伤后障碍。这对任何治疗计划都很重要：对于边缘型人格障碍患者，是采用强调解释移情关系的改良精神分析方法（如克恩伯格的TFP），还是将同一患者诊断为复杂创伤后应激障碍并采用阶段性创伤特异性方法。PITT就是这样将心理动力学理解与催眠治疗和想象方法相结合。关键点在于积极且支持性的治疗关系、安全和压力减轻、关注所有个人资源以及使用想象方式进行稳定化和后续创伤应对工作。
