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童年遭受严重性创伤和身体创伤的男性如何体验创伤稳定小组治疗?一项定性研究。

How do men with severe sexual and physical childhood traumatization experience trauma-stabilizing group treatment? A qualitative study.

作者信息

Røberg L, Nilsen L, Røssberg J I

机构信息

Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

出版信息

Eur J Psychotraumatol. 2018 Nov 13;9(1):1541697. doi: 10.1080/20008198.2018.1541697. eCollection 2018.

Abstract

: Exposure to potentially traumatizing events, defined as events involving actual or threatened death or serious injury, is associated with an elevated risk of developing enduring physical, psychological and social problems. Complex post-traumatic stress disorder (PTSD) is a disorder that can occur after prolonged and repeated trauma. At least 30% of the sexually abused population is male, but in spite of this fact, treatment research focusing on male victims is virtually non-existent in comparison to research on female victims. : Trauma-stabilizing group treatment is an increasingly used treatment method for patients with complex PTSD. The aim of the present study was to explore how men participating in a gender-specific trauma-stabilizing intervention experience this treatment approach. : Five men who participated in a trauma-stabilizing group treatment were interviewed with a semi-structured qualitative interview. The data were analysed using interpretative phenomenological analysis. : The analysis revealed five main themes. The themes highlight the experiences of the participants and describe positive and negative experiences: (1) Group atmosphere, comprising safety, community, emotional openness, anxiety and pressure; (2) Learning, categorized into knowledge and self-understanding; (3) Motivation, which describes both inner and outer motivation; (4) Structure, comprising structure of the meetings, group size and duration of the meetings; and (5) Gender, defined as the experiences of being in an all-male group with female group leaders. : There seem to be a lot of advantages to inviting men to attend gender-specific groups for trauma-stabilizing treatment. The men emphasized the support they received and that participating in a mixed-gender group would have been more difficult. In the future, it may be important to arrange all-male stabilization groups with more focus on male-specific topics.

摘要

暴露于潜在创伤性事件(定义为涉及实际或威胁到的死亡或重伤的事件)与出现持久的身体、心理和社会问题的风险增加有关。复杂性创伤后应激障碍(PTSD)是一种可能在长期反复创伤后发生的疾病。至少30%的性虐待受害者为男性,但尽管如此,与针对女性受害者的研究相比,针对男性受害者的治疗研究几乎不存在。创伤稳定小组治疗是一种越来越多地用于治疗复杂性PTSD患者的治疗方法。本研究的目的是探讨参与特定性别的创伤稳定干预的男性如何体验这种治疗方法。对五名参与创伤稳定小组治疗的男性进行了半结构化定性访谈。使用解释现象学分析对数据进行了分析。分析揭示了五个主要主题。这些主题突出了参与者的经历,并描述了积极和消极的体验:(1)小组氛围,包括安全、社区、情感开放、焦虑和压力;(2)学习,分为知识和自我理解;(3)动机,描述了内在和外在动机;(4)结构,包括会议结构、小组规模和会议时长;(5)性别,定义为在全男性小组中与女性组长相处的经历。邀请男性参加特定性别的创伤稳定治疗小组似乎有很多好处。男性强调了他们得到的支持,并且认为参加混合性别小组会更加困难。未来,安排更专注于男性特定主题的全男性稳定小组可能很重要。

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