Wöller Wolfgang, Leichsenring Falk, Leweke Frank, Kruse Johannes
Rhein-Klinik Bad Honnef, Krankenhaus für Psychosomatische Medizin und Psychotherapie, Luisenstr. 3, 53604 Bad Honnef, Germany.
Bull Menninger Clin. 2012 Winter;76(1):69-93. doi: 10.1521/bumc.2012.76.1.69.
In this article, the authors present a psychodynamically oriented psychotherapy approach for posttraumatic stress disorder (PTSD) related to childhood abuse. This neurobiologically informed, phase-oriented treatment approach, which has been developed in Germany during the past 20 years, takes into account the broad comorbidity and the large degree of ego-function impairment typically found in these patients. Based on a psychodynamic relationship orientation, this treatment integrates a variety of trauma-specific imaginative and resource-oriented techniques. The approach places major emphasis on the prevention of vicarious traumatization. The authors are presently planning to test the approach in a randomized controlled trial aimed at strengthening the evidence base for psychodynamic psychotherapy in PTSD.
在本文中，作者提出了一种针对与童年期虐待相关的创伤后应激障碍（PTSD）的心理动力学取向心理治疗方法。这种具有神经生物学依据、分阶段的治疗方法是过去20年在德国研发出来的，它考虑到了这些患者中普遍存在的广泛共病现象以及自我功能的严重受损情况。基于心理动力学关系取向，该治疗整合了多种针对创伤的想象性和资源取向技术。该方法主要强调预防替代性创伤。作者目前正计划在一项随机对照试验中对该方法进行测试，旨在加强心理动力学心理治疗在PTSD治疗中的证据基础。
