Kennerley H
Warneford Hospital, Headington, Oxford, UK.
Br J Clin Psychol. 1996 Sep;35(3):325-40. doi: 10.1111/j.2044-8260.1996.tb01188.x.
The presentation of dissociative symptoms is not uncommon in clinical settings, particularly when the client has suffered trauma. The phenomenon of dissociation ranges from benign incidents, such as daydreaming, to potentially life-threatening experiences when it precipitates self-harm. Its presentation may be subtle, belying the distress which it can provoke. Cognitive therapists are well equipped to help clients formulate a working conceptualization of the dissociative episode and to develop a range of coping skills to manage and overcome the experience. This paper discusses practical ways in which the cognitive therapist can use standard and schema-focused cognitive therapy to help clients to better deal with the distressing aspects of dissociation.
分离症状在临床环境中并不罕见，尤其是当来访者遭受过创伤时。分离现象的范围从良性事件，如白日梦，到可能危及生命的经历，即当它引发自我伤害时。它的表现可能很微妙，掩盖了它可能引发的痛苦。认知治疗师有充分的能力帮助来访者形成对分离发作的有效概念化，并培养一系列应对技能来管理和克服这种经历。本文讨论了认知治疗师可以使用标准的和聚焦图式的认知疗法来帮助来访者更好地应对分离带来的痛苦方面的实用方法。
