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战争结束父亲归来后,消除孩子与父亲之间的心理隔阂:团体艺术疗法会有所帮助吗?

Bridging psychological barriers between the child and the father after his returning from the war: Could group art therapy help?

作者信息

Mandić-Gajić Gordana

出版信息

Vojnosanit Pregl. 2016 Jul;73(7):686-9. doi: 10.2298/VSP150429082M.

DOI:10.2298/VSP150429082M
PMID:29314804
Abstract

INTRODUCTION

War veterans with chronic post-traumatic stress disorder (PTSD) have poorer family and parenting functioning, but little research has focused on these impairments.

CASE REPORT

This paper presented how the series of drawings and the group art therapy process enhanced bridging the psychological barriers of a 33-year-old male PTSD war veteran to engagement with the child. After two years of deployment he returned home and suffered mostly from PTSD numbness and avoidance symptoms. The veteran had the family readjustment difficulties and felt guilty for being detached from his 3-year-old son. He under-went integrative treatment in the Day Unit Program. The drawings series were made by free associations. Clinical observations and group discussions were recorded in the group art therapy protocols. The presented patient got gratifications and support from the group members for his illustration of popular cartoon heroes, and decided to draw Mickey Mouse at home. On the next session he shared his satisfaction for bridging the gap between him and his son, having done the same drawings with his son at home. Beck's depression inventory (BDI) was used for self-rating of depression and a reduction of BDI score from 18 to 6 during the treatment course was recorded.

CONCLUSIONS

Series of drawings illustrated shift from war related past toward current family life of the war veteran. Group art therapy gave him gratification and support with hope and a sense of belonging, thus facilitated his parenting readjustment.

摘要

引言

患有慢性创伤后应激障碍(PTSD)的退伍军人家庭和养育功能较差,但很少有研究关注这些损害。

病例报告

本文介绍了一系列绘画作品以及团体艺术治疗过程如何帮助一名33岁患有创伤后应激障碍的男性退伍军人跨越心理障碍,与孩子建立联系。服役两年后他回到家中,主要遭受创伤后应激障碍的麻木和回避症状。这位退伍军人在家庭重新适应方面存在困难,因与3岁儿子疏远而感到内疚。他在日间治疗项目中接受了综合治疗。绘画系列是通过自由联想创作的。团体艺术治疗记录中记录了临床观察和小组讨论情况。文中提到的患者因绘制流行卡通英雄形象而从小组成员那里获得了满足感和支持,并决定在家中画米老鼠。在下一次治疗时,他分享了在家中和儿子一起画同样的画后,自己对于弥合与儿子之间差距的满意之情。使用贝克抑郁量表(BDI)进行抑郁自评,记录到在治疗过程中BDI评分从18降至6。

结论

一系列绘画作品表明退伍军人从与战争相关的过去转向了当前的家庭生活。团体艺术治疗给予他满足感、支持、希望和归属感,从而促进了他在养育方面的重新适应。

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