Cooper Daniel K, Wieling Elizabeth, Pfeiffer Anett
Methodology Center, the Pennsylvania State University.
Department of Human Development and Family Science, University of Georgia.
Aust N Z J Fam Ther. 2019 Dec;40(4):353-367. doi: 10.1002/anzf.1392. Epub 2019 Nov 29.
Traumatic stress can have detrimental effects on individuals, families, and communities. Narrative Exposure Therapy (NET) is an evidence-based intervention for decreasing individuals' posttraumatic stress disorder (PTSD) symptoms and has been tested in some of the most challenging contexts, such as in post-conflict refugee camps. Although the focus of NET is on reducing individual PTSD symptoms, the impact of NET can be seen beyond the individual level. The purpose of this manuscript was to examine some of the ecological implications of using NET with trauma-affected populations in low-resource settings. We highlight select implications of NET that extend beyond the individual to systemic effects at the family, community, and sociopolitical levels using several case examples. Finally, we outline limitations and future directions for improving the delivery of NET in settings with limited resources.
创伤应激会对个人、家庭和社区产生不利影响。叙事暴露疗法（NET）是一种基于证据的干预方法，用于减轻个体的创伤后应激障碍（PTSD）症状，并且已经在一些最具挑战性的环境中进行了测试，例如冲突后的难民营。尽管NET的重点是减轻个体的PTSD症状，但其影响可以在个体层面之外显现出来。本手稿的目的是探讨在资源匮乏地区对受创伤人群使用NET的一些生态影响。我们使用几个案例突出了NET的一些影响，这些影响从个体层面扩展到家庭、社区和社会政治层面的系统效应。最后，我们概述了在资源有限的环境中改善NET实施的局限性和未来方向。
