Hytten K, Herlofsen P
Division of Disaster Psychiatry, Institute of Psychiatry, Gaustad.
Acta Psychiatr Scand Suppl. 1989;355:79-83. doi: 10.1111/j.1600-0447.1989.tb05257.x.
Data are presented from clinical interviews and psychological tests of a helicopter pilot who had survived a helicopter crash. Within a week, the pilot developed severe stress reactions after the crash, dominated by guilt feelings, nightmares and fear of not being able to fly. Helicopter-accident training simulating a helicopter crashing into the water was used as part of the treatment. The therapeutic value and limitations of this type of treatment are discussed. The main benefit seemed to be the extinction of traumatic helplessness and the reestablishment of a positive response-outcome expectancy. Existential conflicts were not covered by the simulator training.
数据来自对一名在直升机坠毁事故中幸存的直升机飞行员的临床访谈和心理测试。事故发生后一周内，该飞行员出现了严重的应激反应，主要表现为内疚感、噩梦以及对无法飞行的恐惧。模拟直升机坠入水中的直升机事故训练被用作治疗的一部分。讨论了这种治疗方法的治疗价值和局限性。主要益处似乎是消除创伤性无助感，并重新建立积极的反应-结果预期。模拟器训练并未涉及存在主义冲突。
