Proescher Eric J
University of Illinois Chicago, Jesse Brown VA Medical Center, 6644 N. Rockwell Street, Chicago, IL 60645, USA.
Am J Clin Hypn. 2010 Jul;53(1):19-26. doi: 10.1080/00029157.2010.10401744.
The highly stressful conditions of a war zone may exacerbate or trigger a wide variety of symptoms including Obsessive Compulsive Disorder (OCD) once a service member returns home. Service members and new veterans of the Iraq and Afghanistan wars present to treatment with multiple psychosocial concerns and co-morbid psychiatric conditions. Evidence-based treatments including exposure based therapies are commonly recommended for use with returning veterans. Although studies support the efficacy of Exposure Response Prevention (ERP) therapy for treating OCD, eligibility for these studies limits participation to subjects who self-report a well-defined, circumscribed complaint. This approach is not typical of clinic clients who, more often than not, report multiple psychological issues. The following individual case study demonstrates how integrating hypnosis facilitated the cognitive-behavioral ERP therapy and treatment for a patient suffering from OCD.
战区高度紧张的环境可能会在军人返回家园后加重或引发包括强迫症(OCD)在内的各种症状。伊拉克和阿富汗战争的军人及刚退伍的老兵在接受治疗时存在多种社会心理问题和共病的精神疾病。通常建议对返乡老兵采用包括暴露疗法在内的循证治疗方法。尽管研究支持暴露反应预防(ERP)疗法治疗强迫症的疗效,但这些研究的入选标准将参与对象限制为自我报告明确界定、范围有限的症状的受试者。这种方法并不适用于临床患者,因为这些患者往往报告有多种心理问题。以下个案研究展示了整合催眠如何促进对一名强迫症患者的认知行为ERP治疗及康复。