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心因性失忆症的心理治疗:一项单病例研究中的成功治疗

Psychological therapy for psychogenic amnesia: Successful treatment in a single case study.

作者信息

Cassel Anneli, Humphreys Kate

机构信息

a Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience , King's College London , London , UK.

b Neuropsychiatry and Memory Disorders Clinic , St Thomas' Hospital , London , UK.

出版信息

Neuropsychol Rehabil. 2016;26(3):374-91. doi: 10.1080/09602011.2015.1033431. Epub 2015 Apr 20.

DOI:10.1080/09602011.2015.1033431
PMID:25894932
Abstract

Psychogenic amnesia is widely understood to be a memory impairment of psychological origin that occurs as a response to severe stress. However, there is a paucity of evidence regarding the effectiveness of psychological therapy approaches in the treatment of this disorder. The current article describes a single case, "Ben", who was treated with formulation-driven psychological therapy using techniques drawn from cognitive behavioural therapy (CBT) and acceptance and commitment therapy (ACT) for psychogenic amnesia. Before treatment, Ben exhibited isolated retrograde and anterograde memory impairments. He received 12 therapy sessions that targeted experiential avoidance followed by two review sessions, six weeks and five months later. Ben's retrograde and anterograde memory impairments improved following therapy to return to within the "average" to "superior" ranges, which were maintained at follow-up. Further experimental single case study designs and larger group studies are required to advance the understanding of the effectiveness and efficacy of psychological therapy for psychogenic amnesia.

摘要

心因性失忆症被广泛理解为一种由心理因素引起的记忆障碍,它是对严重压力的一种反应。然而,关于心理治疗方法在治疗这种疾病方面的有效性,证据却很少。本文描述了一个单一案例,“本”,他接受了基于认知行为疗法(CBT)和接纳与承诺疗法(ACT)技术的、以制定为导向的心理治疗,用于治疗心因性失忆症。治疗前,本表现出孤立的逆行性和顺行性记忆障碍。他接受了12次针对经验性回避的治疗,随后在六周和五个月后进行了两次复查。治疗后,本的逆行性和顺行性记忆障碍得到改善,恢复到“平均”到“优秀”范围,并在随访中保持。需要进一步的实验性单案例研究设计和更大规模的群体研究,以增进对心理治疗心因性失忆症的有效性和疗效的理解。

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State-Dependent Memory: Neurobiological Advances and Prospects for Translation to Dissociative Amnesia.状态依赖记忆:神经生物学进展及转化为分离性遗忘症的前景
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