创伤患者的心理动力学评估与治疗。
Psychodynamic assessment and treatment of traumatized patients.
作者信息
Chertoff J
出版信息
J Psychother Pract Res. 1997 Winter;7(1):35-46.
Abstract
This article describes how psychodynamic assessment and treatment of traumatized patients can improve clinical acuity. The author describes an ego psychological, psychodynamic approach that involves 1) assessing the impact of trauma on the patient's ego defensive functioning and 2) elucidating the dynamic meaning of both the patient's presenting symptoms and the traumatic events that precipitated them. Clinical descriptions illustrate the ways in which psychodynamic psychotherapy may be particularly useful with patients whose acute symptoms develop following specific events. The author points out the advantages of an ego psychological, psychodynamic approach for her patients and the limitations of more symptom-based diagnostic assessments and treatments.
摘要
本文描述了对创伤患者的心理动力学评估与治疗如何能够提高临床敏锐度。作者描述了一种自我心理学的心理动力学方法，该方法包括：1）评估创伤对患者自我防御功能的影响；2）阐明患者当前症状以及引发这些症状的创伤事件的动态意义。临床描述阐释了心理动力学心理治疗对于那些在特定事件后出现急性症状的患者可能特别有用的方式。作者指出了自我心理学的心理动力学方法对其患者的优势，以及更多基于症状的诊断评估和治疗的局限性。
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本文引用的文献
1
THE CONCEPT OF CUMULATIVE TRAUMA.累积性创伤的概念。
Psychoanal Study Child. 1963;18:286-306. doi: 10.1080/00797308.1963.11822932.
2
Repetition compulsion revisited: implications for technique.
Psychoanal Q. 1998 Jan;67(1):32-53.
3
Schizophrenic deficits in the processing of context. A test of a theoretical model.精神分裂症患者在情境加工方面的缺陷：一个理论模型的检验
Arch Gen Psychiatry. 1996 Dec;53(12):1105-12. doi: 10.1001/archpsyc.1996.01830120037008.
4
Psychotherapy of depression. Implications for reform of the health care system.
Arch Gen Psychiatry. 1996 Aug;53(8):717-23. doi: 10.1001/archpsyc.1996.01830080069011.
5
Dissociation, somatization, and affect dysregulation: the complexity of adaptation of trauma.解离、躯体化及情感失调：创伤适应的复杂性
Am J Psychiatry. 1996 Jul;153(7 Suppl):83-93. doi: 10.1176/ajp.153.7.83.
6
The borderline patient: update on the diagnosis, theory, and treatment from a psychodynamic perspective.
Am J Psychother. 1995 Summer;49(3):317-37. doi: 10.1176/appi.psychotherapy.1995.49.3.317.
7
Conflict between current knowledge about posttraumatic stress disorder and its original conceptual basis.创伤后应激障碍的现有知识与其原始概念基础之间的冲突。
Am J Psychiatry. 1995 Dec;152(12):1705-13. doi: 10.1176/ajp.152.12.1705.
8
Comments on erroneous interpretations of Freud's seduction theory.
J Am Psychoanal Assoc. 1993;41(2):571-83. doi: 10.1177/000306519304100211.
9
DSM-III and the transformation of American psychiatry: a history.《精神疾病诊断与统计手册》第三版与美国精神病学的转变：一部历史
Am J Psychiatry. 1993 Mar;150(3):399-410. doi: 10.1176/ajp.150.3.399.
10
Quality of life and dissociation in anxiety disorder patients with histories of trauma or PTSD.有创伤史或创伤后应激障碍的焦虑症患者的生活质量与解离状态
Am J Psychiatry. 1993 Oct;150(10):1512-6. doi: 10.1176/ajp.150.10.1512.
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