Chertoff J
J Psychother Pract Res. 1997 Winter;7(1):35-46.
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.
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。
