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[针对童年期性虐待幸存者创伤后应激障碍的辩证行为疗法]

[Dialectical behavior therapy for posttraumatic stress disorder in survivors of childhood sexual abuse].

作者信息

Bohus Martin, Dyer Anne S, Priebe Kathlen, Krüger Antje, Steil Regina

机构信息

Zentralinstitut für Seelische Gesundheit, Klinik für Psychosomatik und Psychotherapeutische Medizin, Mannheim.

出版信息

Psychother Psychosom Med Psychol. 2011 Mar;61(3-4):140-7. doi: 10.1055/s-0030-1263162. Epub 2010 Oct 13.

DOI:10.1055/s-0030-1263162
PMID:20945269
Abstract

So far, no specifically tailored and empirically evaluated psychological treatment program exists, which is tailored for adult survivors with posttraumatic stress disorder (PTSD) after childhood sexual abuse. At the Central Institute of Mental Health, Mannheim we developed Dialectical Behavioral Therapy for PTSD (DBT-PTSD) as a residential intensive program, which is specifically tailored to the needs of these patients and which is acceptable as well as tolerable for patients and therapists. The treatment program is mainly based on the principles and methods of Dialectical Behavior Therapy according to M. Linehan and integrates methods of traumafocused cognitive-behavioural therapy. An overview is given on the treatment rational, the dynamic hierarchy of treatment focusses and the interventions used. In the internet version of this article treatment application is exemplified in a case study.

摘要

到目前为止,还没有专门为童年期遭受性虐待后患有创伤后应激障碍(PTSD)的成年幸存者量身定制并经过实证评估的心理治疗方案。在曼海姆中央精神卫生研究所,我们开发了针对创伤后应激障碍的辩证行为疗法(DBT-PTSD),作为一种住院强化治疗方案,该方案专门针对这些患者的需求进行了定制,并且患者和治疗师都可以接受且能够耐受。该治疗方案主要基于M. Linehan的辩证行为疗法的原则和方法,并整合了创伤聚焦认知行为疗法的方法。本文概述了治疗原理、治疗重点的动态层次结构以及所使用的干预措施。在本文的网络版中,通过一个案例研究举例说明了治疗应用。

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