Kezić Slobodanka, Mihanović Mate, Molnar Sven, Sain Ivica
Psihijatrijska bolnica Sveti Ivan Zagreb, Hrvatska.
Acta Med Croatica. 2006 Sep;60(4):385-8.
War experience in interaction with personality structure can have a traumatic effect and provoke various psychopathological responses and even disorders at the psychological level. PTSD is one of the possible psychopathological responses to war trauma, which provokes a range of different emotions in those working with such patients. The heterogeneity of the clinical aspect of the disorder, the comorbidity and social malfunctioning of the patients represent a frequent source of difficulties in the psychiatrist's work. The disorder brings about alterations at the somatic, psychological, social and occupational level of the affected individual, requiring a complex approach to treatment. The psychotherapeutic treatment of PTSD patients gives rise to different counter-transfer emotions at different stages of the therapeutic process. The therapist experiences fright, anger, guilt, frustration, and sometimes even a tendency to avoid the patient. His ability for empathy and understanding of the patient can be exhausted and become the cause of a reduced capacity for sympathy, a secondary traumatic stress and a vicarious trauma.
战争经历与人格结构相互作用可能产生创伤性影响，并引发各种心理病理反应，甚至在心理层面导致障碍。创伤后应激障碍（PTSD）是对战争创伤的一种可能的心理病理反应，这在治疗此类患者的医护人员中引发了一系列不同的情绪。该障碍临床症状的异质性、患者的共病情况以及社会功能障碍是精神科医生工作中常见的困难来源。该障碍会在受影响个体的躯体、心理、社会和职业层面引发改变，需要采用综合治疗方法。对PTSD患者的心理治疗在治疗过程的不同阶段会引发不同的反移情情绪。治疗师会经历恐惧、愤怒、内疚、挫败，有时甚至会有回避患者的倾向。他对患者的共情和理解能力可能会耗尽，进而导致同情心减弱、继发性创伤压力和替代性创伤。
