Southwick Steven M, Gilmartin Robin, McDonough Patrick, Morrissey Paul
Yale University School of Medicine, USA.
Am J Psychother. 2006;60(2):161-74. doi: 10.1176/appi.psychotherapy.2006.60.2.161.
Combat-related Post-traumatic Stress Disorder (PTSD) is often highly debilitating and affects nearly all areas of psychosocial functioning. Veterans with PTSD re-experience their traumas in the form of haunting intrusive memories, nightmares and flashbacks, and have chronic difficulty modulating arousal. As a way to cope with these symptoms, many survivors live isolated and avoidant lives, self-medicate with alcohol and substances of abuse, and numb themselves to emotional experiences and relationships with family and friends. Additionally, many combat veterans report survivor guilt, depression, affect dysregulation, and an altered world view in which fate is seen as uncontrollable and life is viewed as devoid of meaning. In this report we describe the use of logotherapy (healing through meaning) for the treatment of combat-related PTSD
与战斗相关的创伤后应激障碍（PTSD）通常极具致残性，几乎会影响心理社会功能的所有方面。患有创伤后应激障碍的退伍军人会以萦绕心头的侵入性记忆、噩梦和闪回等形式重新体验他们的创伤，并且在调节唤醒方面长期存在困难。作为应对这些症状的一种方式，许多幸存者过着孤立且回避的生活，通过酗酒和滥用药物进行自我治疗，并对情感体验以及与家人和朋友的关系变得麻木不仁。此外，许多参战退伍军人报告有幸存者内疚感、抑郁、情绪调节障碍以及世界观的改变，在这种世界观中，命运被视为无法控制，生活被视为毫无意义。在本报告中，我们描述了使用意义疗法（通过意义实现治愈）来治疗与战斗相关的创伤后应激障碍。
