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创伤聚焦治疗对患有复杂性 PTSD 与共病的来访者使用 EMDR 疗法。

Trauma-focused treatment of a client with Complex PTSD and comorbid pathology using EMDR therapy.

机构信息

Psychotrauma Expertise Centre (PSYTREC), Bilthoven, The Netherlands.

Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands.

出版信息

J Clin Psychol. 2024 Apr;80(4):824-835. doi: 10.1002/jclp.23521. Epub 2023 Apr 14.

Abstract

OBJECTIVE

Complex post-traumatic stress disorder (CPTSD) is a classification within the International Classification of Diseases, 11th Revision (ICD-11) that, besides the DSM-5 symptom clusters of post-post-traumatic stress disorder (PTSD), includes the presence of negative self-concept, difficulties in regulating emotions and relationship skills. The purpose of the present study was to provide guidance on how to deliver Eye Movement Desensitization and Reprocessing (EMDR) therapy in the context of CPTSD, based on current clinical knowledge and the latest scientific research findings.

METHOD

This paper describes the treatment of a 52-year-old woman with CPTSD and borderline personality disorder for which immediate trauma-focused EMDR therapy was used.

RESULTS

First, a description of what EMDR therapy entails and some important treatment strategies that the therapist may employ to assist in trauma-focused treatment of clients with CPTSD using EMDR therapy are outlined.

CONCLUSION

The treatment results are in line with mounting evidence supporting the notion that EMDR therapy is a safe and potentially effective treatment alternative for individuals with CPTSD or personality problems.

摘要

目的

复杂创伤后应激障碍(CPTSD)是国际疾病分类第 11 版(ICD-11)中的一种分类,除了DSM-5 创伤后应激障碍(PTSD)的症状群之外,还包括消极的自我概念、情绪调节和人际关系技能困难。本研究的目的是根据当前的临床知识和最新的科学研究结果,为如何在 CPTSD 背景下提供眼动脱敏再处理(EMDR)疗法提供指导。

方法

本文描述了对一名 52 岁患有 CPTSD 和边缘型人格障碍的女性的治疗,该女性立即接受了以创伤为重点的 EMDR 疗法。

结果

首先,描述了 EMDR 疗法的具体内容,以及治疗师在使用 EMDR 疗法对 CPTSD 患者进行以创伤为重点的治疗时可能采用的一些重要治疗策略。

结论

治疗结果与越来越多的证据一致,支持 EMDR 疗法是一种安全且潜在有效的治疗 CPTSD 或人格问题个体的替代方法。

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