Robertson Michael
Royal Australian and New Zealand College of Psychiatrists (FRANZCP), maître de conférences clinicien, domaine de la psychologie médicale, Université de Sydney, Australie.
Sante Ment Que. 2008 Autumn;33(2):133-50. doi: 10.7202/019672ar.
Amongst the many modifications and applications of Interpersonal Psychotherapy (IPT), its utilisation in the treatment of psychological trauma is amongst the most complex. Psychological trauma is usually defined as Post Traumatic Stress Disorder (PTSD) in the Anglo-American literature. Despite the focus of the scientific literature on PTSD, psychological trauma engenders profound disturbances of mood, affect regulation, self-concept, interpersonal adjustment and a profound existential crisis in the lives of those afflicted. In the light of this, no one psychological therapy is positioned to 'treat'all aspects of psychological traumatic stress. Through its focus upon the individual and his or her experience of their interpersonal world, IPT provides scope for a psychological intervention which, whilst aiming at relief of distress, approaches issues not usually addressed in symptom focussed treatments. In this paper, I will attempt to outline the rationale for the use of IPT in psychological trauma and PTSD and then provide some evidence of its utility in the clinical setting.
在人际心理治疗(IPT)的众多修改和应用中,其在心理创伤治疗中的应用是最复杂的之一。在英美的文献中,心理创伤通常被定义为创伤后应激障碍(PTSD)。尽管科学文献聚焦于创伤后应激障碍,但心理创伤会给患者的生活带来情绪、情感调节、自我概念、人际适应以及深刻的生存危机等方面的严重困扰。鉴于此,没有一种心理治疗方法能够“治疗”心理创伤应激的所有方面。通过关注个体及其人际世界的体验,人际心理治疗提供了一种心理干预的空间,这种干预在旨在缓解痛苦的同时,还能处理一些通常在以症状为导向的治疗中未被涉及的问题。在本文中,我将试图概述在心理创伤和创伤后应激障碍中使用人际心理治疗的基本原理,然后提供一些其在临床环境中效用的证据。