Turk Psikiyatri Derg. 2020 Spring;31(1):57-68. doi: 10.5080/u23694.
For the last 30 years, the conceptualization studies of posttraumatic growth (PTG) which refer to the positive changes as a result of the struggle with adverse events, have been continuously evolving with new findings. In line with this empirical evidence, Tedeschi and colleagues have proposed a revised model in which PTG is accepted both as a process and an outcome. The roles of the concepts such as wisdom, resilience, socio-cultural factors are explained better. As the ultimate aim of the model, the authors suggest reaching the dimensions of PTG not hedonistic happiness or well-being. This new model include, gaining the wisdom that comes with the existing stress, possessing the newly achieved problem-solving repertoire, and also re-structuring new-life narratives, meaning of life and flexible schemas. Furthermore, the latest research has provided us the evidence that, in the process of PTG, paradoxically both positive (PTG) and negative changes (Posttraumatic Depreciaton) are experienced together. But even though the difference is small, positive changes are consistently found to be greater. The aim of this paper is to describe the revised model with the latest empirical findings and provide a literature review with implications for clinical practice.
在过去的 30 年中,创伤后成长(PTG)的概念研究不断发展,新的发现层出不穷,这些研究指的是与逆境抗争所带来的积极变化。根据这一经验证据,泰德eschi 和同事们提出了一个经过修订的模型,该模型既接受 PTG 是一个过程,也是一个结果。概念如智慧、适应力、社会文化因素的作用得到了更好的解释。作为该模型的最终目标,作者建议达到 PTG 的维度,而不是享乐幸福或幸福感。这个新模型包括从现有压力中获得智慧,拥有新获得的解决问题的方法,以及重新构建新的生活叙事、生命的意义和灵活的图式。此外,最新的研究为我们提供了证据,即在 PTG 的过程中,矛盾的是,积极的变化(PTG)和消极的变化(创伤后贬低)同时发生。但即使差异很小,也始终发现积极的变化更大。本文的目的是描述最新实证研究结果的修订模型,并提供文献综述,为临床实践提供启示。