Kiser Laurel J
University of Maryland at Baltimore, Division of Services Research, 737 West Lombard Street, Fifth Floor, Baltimore, MD 21201, United States.
Clin Psychol Rev. 2007 Mar;27(2):211-25. doi: 10.1016/j.cpr.2006.07.004. Epub 2006 Sep 18.
Exposure to the social ecology of poor urban neighborhoods significantly increases the incidence of traumatic stress disorders, placing children growing up in such neighborhoods at disproportionate risk. Although the risk factors for and effects of childhood complex traumatic stress disorders are well documented, there is little intervention research to guide the delivery of services to this population. This paper builds on current knowledge of childhood trauma and related treatments by introducing an intervention model using constructive family ritual functioning as a mechanism for increasing the protective function of the family. The intervention model postulates that use of family rituals as a coping resource will lead to decreased symptoms of chronic traumatic stress and rates of exposure to additional trauma.
接触城市贫困社区的社会生态会显著增加创伤应激障碍的发病率，使在这类社区成长的儿童面临极高的风险。尽管儿童复杂性创伤应激障碍的风险因素和影响已有充分记录，但针对这一人群提供服务的干预研究却很少。本文在现有关于儿童创伤及相关治疗的知识基础上，引入了一种干预模式，该模式利用建设性家庭仪式作为增强家庭保护功能的机制。该干预模式假定，将家庭仪式作为一种应对资源加以利用，会减少慢性创伤应激症状以及再次遭受创伤的几率。
