Royal Danish Army Medical Corps, Denmark.
Centre for Affective Disorders, Kings College London, UK.
Int J Soc Psychiatry. 2024 Mar;70(2):237-240. doi: 10.1177/00207640231196739. Epub 2023 Oct 10.
Treating the consequences of psychological trauma and PTSD is of major concern to psychiatry although outcomes are often rather poor, often giving to the fact that the diagnose of PTSD is misused and no consideration of the trauma settings and its consequences on the brain.
This paper looks at the impact of false or induced memories in the trauma narrative and their potential impact on therapy with examples from the everyday world. The consequences of this in civilian therapy sessions is discussed compared to the classical debriefing for PTSD in the armed forces.
We take a theoretical overview of the interaction between therapist and patient with PTSD and consider the shortfalls of any therapy that requires the patient to recount their experiences.
We argue the uncritical acceptance of trauma history fails to take account of, and even lends itself, to induced or false memories which undermine treatment.
We conclude that, this is also often leading to a wrong conception of the outcome of treatment for PTSD, which is often much more sombre than the treatment outcome of lesser conditions.
尽管治疗心理创伤和创伤后应激障碍（PTSD）的后果是精神病学的主要关注点，但结果往往相当不理想，这主要是因为 PTSD 的诊断被滥用，且没有考虑创伤环境及其对大脑的影响。
本文通过日常生活中的例子，探讨了创伤叙述中虚假或诱导性记忆的影响及其对治疗的潜在影响。本文还讨论了平民治疗与军队 PTSD 传统的脱岗治疗相比的后果。
我们对创伤后应激障碍患者的治疗师和患者之间的相互作用进行了理论概述，并考虑了任何需要患者叙述自己经历的治疗方法的不足之处。
我们认为，对创伤史的不加批判的接受未能考虑到甚至助长了诱导性或虚假记忆，这些记忆会破坏治疗效果。
我们的结论是，这也常常导致对 PTSD 治疗结果的错误认识，其结果往往比较轻的疾病更为黯淡。
