Washington State University, Pullman, WA 99163, USA.
Int J Clin Exp Hypn. 2011 Oct-Dec;59(4):379-91. doi: 10.1080/00207144.2011.595349.
Ego state therapy (EST) evolved from a psychodynamic understanding of personality as a product of an individual's ego states to a conceptualization of how ego-energized and object-energized elements are bound together to cope with a traumatic event. Neurobiological studies now substantiate Watkins's war neuroses conceptualizations. Because of their severity, trauma memories are encoded in the subcortical-subconscious brain regions that are accessed by the single-session manualized EST procedure but not by the popular cognitive-behavioral management therapies. The imprint of the trauma is not accessible or resolvable by such top-down verbal understanding or reframing; EST is a bottom-up therapy. Abreactive hypnosis facilitates ego state expression at physiologically and psychologically intense levels sufficient to activate subcortical processes to release affect in the presence of the therapist, who adds ego strength to the patient. This is followed by interpretation and reintegration. The result is a reconstructed personality that is adaptive and resilient.
自我状态疗法（EST）源自对人格的一种动力理解，即人格是个体自我状态的产物，发展到如何将自我能量和客体能量结合起来应对创伤性事件的概念化。神经生物学研究现在证实了沃特金斯的战争神经症概念化。由于其严重程度，创伤记忆被编码在皮质下-潜意识的大脑区域，而单一疗程的手册化 EST 程序可以访问这些区域，但流行的认知行为管理疗法则无法访问。这种自上而下的语言理解或重新构建无法触及或解决创伤的印记；EST 是一种自下而上的疗法。宣泄性催眠促进自我状态在生理和心理上的强烈表达，足以激活皮质下过程，在治疗师的陪伴下释放情感，治疗师会给患者增加自我力量。接下来是解释和重新整合。结果是重建一个适应性强、有弹性的人格。
