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大规模暴力与心理健康:依恋与创伤

Mass violence and mental health: attachment and trauma.

作者信息

de Zulueta C Felicity

机构信息

Traumatic Stress Service, Maudsley Hospital and Institute of Psychiatry, King's College, London.

出版信息

Int Rev Psychiatry. 2007 Jun;19(3):221-33. doi: 10.1080/09540260701349464.

Abstract

This article focuses on post-traumatic stress disorder (PTSD) as both one of the most important mental health consequences of mass violence and as the manifestation of a disrupted human attachment system. The implications are many in terms of treatment and prevention. For instance, since the vulnerability to PTSD appears to be transmitted down the generations via the psychobiological manifestations of the parents' attachment system, prevention requires the effective treatment of afflicted communities within a context of strong social support. More specific guidelines for intervention are outlined focusing on the role of psychosocial workers and their need to be carefully selected, trained and supervised. Failure to tackle the effects of mass violence and to prevent further psychological damage through political action has serious implications in terms of the future of mankind.

摘要

本文聚焦于创伤后应激障碍(PTSD),它既是大规模暴力最重要的心理健康后果之一,也是人类依恋系统紊乱的表现。这在治疗和预防方面有诸多影响。例如,由于创伤后应激障碍的易感性似乎通过父母依恋系统的心理生物学表现代代相传,预防需要在强大的社会支持背景下对受影响社区进行有效治疗。文中概述了更具体的干预指导方针,重点关注心理社会工作者的作用以及对他们进行精心挑选、培训和监督的必要性。未能通过政治行动应对大规模暴力的影响并防止进一步的心理伤害,对人类的未来有着严重影响。

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