Erbes Christopher R, Stillman John R, Wieling Elizabeth, Bera Walter, Leskela Jennie
Mental Health Service Line, Minneapolis VA Healthcare System, Minneapolis, Minnesota, USA; Department of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota, USA; Center for Chronic Disease Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, Minnesota, USA.
J Trauma Stress. 2014 Dec;27(6):730-3. doi: 10.1002/jts.21966. Epub 2014 Nov 10.
Narrative therapy is a postmodern, collaborative therapy approach based on the elaboration of personal narratives for lived experiences. Many aspects of narrative therapy suggest it may have great potential for helping people who are negatively affected by traumatic experiences, including those diagnosed with posttraumatic stress disorder (PTSD). The potential notwithstanding, narrative therapy is relatively untested in any population, and has yet to receive empirical support for treatment among survivors of trauma. A pilot investigation of the use of narrative therapy with 14 veterans with a diagnosis of PTSD (11 treatment completers) is described. Participants completed structured diagnostic interviews and self-report assessments of symptoms prior to and following 11 to 12 sessions of narrative therapy. After treatment, 3 of 11 treatment completers no longer met criteria for PTSD and 7 of 11 had clinically significant decreases in PTSD symptoms as measured by the Clinician Administered PTSD Scale. Pre- to posttreatment effect sizes on outcomes ranged from 0.57 to 0.88. These preliminary results, in conjunction with low rates of treatment dropout (21.4%) and a high level of reported satisfaction with the treatment, suggest that further study of narrative therapy is warranted as a potential alternative to existing treatments for PTSD.
叙事疗法是一种后现代的、合作性的治疗方法，基于对生活经历的个人叙事阐述。叙事疗法的诸多方面表明，它在帮助受创伤经历负面影响的人群方面可能具有巨大潜力，包括那些被诊断患有创伤后应激障碍（PTSD）的人。尽管有这种潜力，但叙事疗法在任何人群中都相对缺乏检验，并且尚未获得创伤幸存者治疗方面的实证支持。本文描述了一项对14名被诊断患有PTSD的退伍军人（11名完成治疗者）使用叙事疗法的初步调查。参与者在接受11至12次叙事疗法治疗之前和之后完成了结构化诊断访谈和症状自评评估。治疗后，11名完成治疗者中有3人不再符合PTSD标准，11人中有7人根据临床医生管理的PTSD量表测量，PTSD症状有临床显著减轻。治疗前后结果的效应大小范围为0.57至0.88。这些初步结果，连同低治疗脱落率（21.4%）和对治疗的高满意度报告，表明有必要进一步研究叙事疗法，作为PTSD现有治疗方法的潜在替代方案。
