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身体作为创伤的载体:艾莎的临床案例研究

The Body as a Vessel for Trauma: The Clinical Case Study of Aisha.

作者信息

Visco-Comandini Federica, Barbieri Alberto, Mancini Francesco, Ciolfi Alessandra

机构信息

Associazione di Psicologia Cognitiva APC e Scuola di Psicoterapia Cognitiva SPC, 00185 Rome, Italy.

Psyché Clinical Center for Transcultural Mental Health, 00100 Rome, Italy.

出版信息

Brain Sci. 2025 Jan 20;15(1):94. doi: 10.3390/brainsci15010094.

Abstract

This case study examined the process of integration of cognitive behavioral therapy (CBT) and sensorimotor psychotherapy (SP) in three-phase trauma treatment with a 32-year-old female Bengali refugee with Complex Post Traumatic Disorder (C-PTSD). The treatment was provided in a Western country. The client's improvement was assessed by using self-report assessments of post-traumatic, dissociative, and depressive symptoms. Psychodiagnostics' scores gathered after 2 years of treatment showed significant improvements in post-traumatic, dissociative, and depressive symptoms. Although firm conclusions cannot be drawn due to the limitations of this study, results suggest that integrating CBT and SP in a phase-trauma approach may be an effective treatment for C-PTSD in a transcultural setting. However, replicating and standardizing such preliminary results on larger samples is necessary. : SP is an innovative psychotherapeutic intervention aimed at treating trauma through a bottom-up approach, however, little research exists regarding the efficacy of this psychotherapy. This case study aims to investigate the efficacy of the combination of CBT and SP in treating a C-PTSD patient in a transcultural setting. : Three questionnaires were administered to investigate post-traumatic, depressive, and dissociative symptoms. : Clinical and psychodiagnostic outcomes highlight significant psychological improvements in the patient. Although any firm conclusion cannot be drawn because of various intrinsic limitations (i.e., single case study) that straiten our ability to extend these results, this case study suggests that the integration of CBT and SP may be an effective treatment for C-PTSD in a transcultural setting.

摘要

本案例研究考察了认知行为疗法(CBT)与感觉运动心理疗法(SP)在对一名患有复杂性创伤后应激障碍(C-PTSD)的32岁孟加拉难民女性进行的三阶段创伤治疗中的整合过程。治疗在一个西方国家进行。通过对创伤后、解离性和抑郁症状的自我报告评估来评估患者的改善情况。治疗两年后收集的心理诊断分数显示,创伤后、解离性和抑郁症状有显著改善。尽管由于本研究的局限性无法得出确凿结论,但结果表明,在跨文化背景下,将CBT和SP整合到分阶段创伤治疗方法中可能是治疗C-PTSD的有效方法。然而,有必要在更大样本上复制并标准化这些初步结果。:SP是一种创新的心理治疗干预方法,旨在通过自下而上的方法治疗创伤,然而,关于这种心理治疗的疗效的研究很少。本案例研究旨在调查CBT和SP联合治疗跨文化背景下C-PTSD患者的疗效。:使用了三份问卷来调查创伤后、抑郁和解离性症状。:临床和心理诊断结果突出了患者心理上的显著改善。尽管由于各种内在局限性(即单病例研究)限制了我们推广这些结果的能力,无法得出任何确凿结论,但本案例研究表明,在跨文化背景下,CBT和SP的整合可能是治疗C-PTSD的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fcc/11763846/6365ea5aef4b/brainsci-15-00094-g001.jpg

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