Vaughan K, Wiese M, Gold R, Tarrier N
PTSD Clinic, Hornsby Ku-Ring-Gai Hospital, Sydney, NSW, Australia.
Br J Psychiatry. 1994 Apr;164(4):533-41. doi: 10.1192/bjp.164.4.533.
A novel approach is described for the treatment of post-traumatic stress disorder (PTSD). Eye-movement desensitisation (EMD) requires the patient to generate images of the trauma in the mind and define physiological and emotional arousal states. While concentrating on these states, lateral multisaccardic eye movements are induced. Ten consecutive cases are reported who presented with symptoms originating from a range of traumas. The effectiveness of EMD in reducing symptoms outlined by DSM-III-R is described. An independent rater indicated that eight of the ten cases showed considerable improvement in PTSD symptoms following EMD, which was maintained at follow-up. Particular reference is given to the 'specificity' of EMD in treating symptoms and the changing pattern of effect at follow-up.
本文描述了一种治疗创伤后应激障碍（PTSD）的新方法。眼动脱敏疗法（EMD）要求患者在脑海中生成创伤的图像，并确定生理和情绪唤醒状态。在专注于这些状态时，诱发横向多相眼动。报告了连续10例因一系列创伤而出现症状的病例。描述了EMD在减轻DSM-III-R所概述症状方面的有效性。一名独立评估者指出，10例病例中有8例在接受EMD治疗后PTSD症状有显著改善，且在随访中得以维持。特别提到了EMD在治疗症状方面的“特异性”以及随访时效果的变化模式。
