Friedman M J
Department of Psychiatry, Dartmouth Medical School, Hanover, NH, USA.
Community Ment Health J. 1996 Apr;32(2):173-89; discussion 191-3. doi: 10.1007/BF02249755.
This article focuses on four issues: PTSD assessment, treatment approaches, therapist issues, and current controversies. Important assessment issues include the trauma history, comorbid disorders, and chronicity of PTSD. Effective intervention for acute trauma usually requires a variant of critical incident stress debriefing. Available treatments for chronic PTSD include group, cognitive-behavioral, psychodynamic, and pharmacological therapy. Therapist self-care is essential when working with PTSD patients since this work may be functionally disruptive and psychologically destabilizing. Current controversies include advocacy vs. therapeutic neutrality, eye movement desensitization and reprocessing (EMDR), the so-called false memory syndrome, and the legitimacy of complex PTSD as a unique diagnostic entity.
创伤后应激障碍（PTSD）评估、治疗方法、治疗师相关问题以及当前的争议。重要的评估问题包括创伤史、共病障碍以及PTSD的慢性化。对急性创伤的有效干预通常需要一种关键事件应激晤谈的变体。慢性PTSD的现有治疗方法包括团体治疗、认知行为治疗、心理动力治疗以及药物治疗。治疗师的自我关怀在与PTSD患者合作时至关重要，因为这项工作可能在功能上具有破坏性且会导致心理不稳定。当前的争议包括支持与治疗中立、眼动脱敏再处理疗法（EMDR）、所谓的虚假记忆综合征以及复杂性PTSD作为一个独特诊断实体的合理性。
