Foa E B, Molnar C, Cashman L
Medical College of Pennsylvania, Eastern Pennsylvania Psychiatric Institute, Philadelphia, USA.
J Trauma Stress. 1995 Oct;8(4):675-90. doi: 10.1007/BF02102894.
This paper presents a coding system developed to explore changes in narratives of rape during therapy for posttraumatic stress disorder (PTSD) involving repeated reliving and recounting of the trauma. Relationships between narrative categories hypothesized to be affected by the treatment and treatment outcome were also examined. As hypothesized, narrative length increased from pre- to post-treatment, percentage of actions and dialogue decreased and percentage of thoughts and feelings increased, particularly thoughts reflecting attempts to organize the trauma memory. Also as expected, increase in organized thoughts was correlated negatively with depression. While indices of fragmentation did not significantly decrease during therapy, the hypothesized correlation between decrease in fragmentation and reduction in trauma-related symptoms was detected.
本文介绍了一种开发的编码系统，用于探究创伤后应激障碍（PTSD）治疗期间强奸叙事的变化，该治疗涉及反复重现和讲述创伤经历。还研究了假设受治疗影响的叙事类别与治疗结果之间的关系。正如假设的那样，叙事长度从治疗前到治疗后增加，行动和对话的百分比下降，思想和感受的百分比增加，特别是反映试图整理创伤记忆的思想。同样如预期的那样，有组织思想的增加与抑郁呈负相关。虽然在治疗期间碎片化指数没有显著下降，但检测到了碎片化减少与创伤相关症状减轻之间的假设相关性。
