Zoellner Lori A
University of Washington.
Clin Psychol (New York). 2008 Mar 1;15(1):98-101. doi: 10.1111/j.1468-2850.2008.00114.x.
Drawing heavily from the nonhuman animal literature, understanding of tonic immobility (TI), a sustained and involuntary physical immobility, may yield clear clinical implications and strong future translational research. Clinically, for individuals who potentially have experienced TI, psychoeducation regarding its involuntary and defensive nature may help normalize trauma-related reactions. This must be balanced with the reactive nature of the information and the recognition of potentially more common survival strategies. The application of TI for research purposes may pose translational obstacles regarding construct definition and assessment. Issues include separating the construct from non-TI-related event or perpetrator characteristics, peritraumatic dissociation, and event severity. Furthermore, with its assessment, clinical status and time may inflate endorsement of the presence or severity of TI reactions.
大量借鉴非人类动物文献，对紧张性不动（TI）的理解，即一种持续且非自愿的身体不动状态，可能会产生明确的临床意义以及强有力的未来转化研究成果。在临床上，对于可能经历过TI的个体，就其非自愿和防御性本质进行心理教育，可能有助于使创伤相关反应正常化。这必须与信息的反应性本质以及对潜在更常见生存策略的认识相平衡。将TI用于研究目的可能会在构念定义和评估方面带来转化障碍。问题包括将该构念与非TI相关事件或施害者特征、创伤周围解离以及事件严重程度区分开来。此外，在评估时，临床状态和时间可能会夸大对TI反应存在或严重程度的认可。
