Lansky M R, Karger J E
Family Treatment Program, Brentwood Division, West Los Angeles VA Medical Center, CA.
Hillside J Clin Psychiatry. 1989;11(2):169-83.
The authors conducted a systematic investigation of nightmares in consecutive admissions to an inpatient unit at a Veteran Administration hospital for a six-month period. Fifteen of the 41 nightmare sufferers identified their nightmares as post-traumatic. Examination of the nightmares in the light of family histories revealed that familial dysfunction from many points in the nightmare sufferers' life histories found clear-cut representation in the nightmare scenario. In this sample, post-traumatic nightmares dealt not only with the identified trauma, but also with a lifelong continuum of family stresses for which the traumatic scene served as a screen.
作者对一家退伍军人管理局医院住院部连续六个月收治的患者的噩梦情况进行了系统调查。在41名有噩梦困扰的患者中,有15人认为他们的噩梦与创伤后应激障碍有关。根据家族病史对这些噩梦进行分析后发现,患者生活史中多个阶段的家庭功能失调在噩梦场景中都有明确体现。在这个样本中,创伤后应激障碍引发的噩梦不仅涉及已确认的创伤事件,还涉及患者一生所经历的一系列家庭压力事件,而创伤场景就像一个窗口展现了这些压力。