Johnson Dawn M, Zlotnick Caron
Summa-Kent State Center for the Treatment and Study of Traumatic Stress.
Prof Psychol Res Pr. 2009;40(3):234-241. doi: 10.1037/a0012519.
Do you feel overwhelmed when attempting to treat battered women with ongoing safety concerns? Could battered women in shelters benefit from psychotherapy in addition to the case management they traditionally receive? What type of treatment would be most beneficial for battered women in shelters? Posttraumatic Stress Disorder (PTSD) is the most prevalent disorder associated with intimate partner violence (IPV). PTSD is associated with severe impairment and loss of resources which can severely impact a sheltered battered woman's ability to establish long-term safety for herself and her children. Conequently, we have developed a new treatment for sheltered battered women with Posttraumatic Stress Disorder (PTSD), Helping to Overcome PTSD through Empowerment (HOPE). HOPE is a short-term cognitive-behavioral treatment in a preliminary stage of development for battered women with PTSD in domestic violence shelters. It focuses on stabilization, safety, and empowerment and teaches women skills to manage their PTSD symptoms which may interfere with their ability to access important community resources and establish safety for themselves and their children. A case example utilizing HOPE is offered. Future directions and clinical applications are discussed.
在尝试治疗存在持续安全担忧的受虐妇女时，你是否感到不知所措？除了传统上接受的个案管理外，庇护所中的受虐妇女能否从心理治疗中受益？哪种治疗方式对庇护所中的受虐妇女最有益？创伤后应激障碍（PTSD）是与亲密伴侣暴力（IPV）相关的最普遍的障碍。PTSD与严重的功能损害和资源丧失有关，这会严重影响受庇护的受虐妇女为自己和孩子建立长期安全的能力。因此，我们为患有创伤后应激障碍（PTSD）的受庇护受虐妇女开发了一种新的治疗方法，即通过赋权帮助克服创伤后应激障碍（HOPE）。HOPE是一种处于初步开发阶段的短期认知行为治疗方法，适用于家庭暴力庇护所中患有PTSD的受虐妇女。它侧重于稳定、安全和赋权，并教授女性管理PTSD症状的技能，这些症状可能会干扰她们获取重要社区资源以及为自己和孩子建立安全的能力。提供了一个使用HOPE的案例示例。讨论了未来的方向和临床应用。
