创伤与意义。

Vanista-Kosuta A, Kosuta M

Croatian Psychotherapeutic Forum, Psychotherapeutic practice, Sermageova 17, Zagreb, 10000, Croatia.

Croat Med J. 1998 Mar;39(1):54-61.

The central point in the recovery process after traumatization is the integration of the traumatic experience into a meaningful context in the person's psyche. However, there is no consensus on the best method to achieve this goal, as well as on the healing factors in post-traumatic therapy. On this background, we present the personal existential analysis as a method for the treatment of traumatized people. In our experience with war victims, traumatic experiences could spontaneously shed an additional light on the existential elements of life including its meaning. When the traumatized victim failed to elaborate the existential content of his/her traumatic experience, the symptoms became the most important way through which he/she communicated. Through the method of "protective questioning", personal existential analysis helped the individuals in integrating their traumatic experience into a meaningful attitude towards the trauma and life. The work on biographical elements supported the process of integration. In our experience, authenticity in the therapeutic relationship is the most important healing element.

创伤后的恢复过程中的核心要点是将创伤经历融入到个体心理中有意义的情境中。然而，对于实现这一目标的最佳方法以及创伤后治疗中的治愈因素，目前尚无共识。在此背景下，我们提出个人存在分析作为一种治疗受创伤者的方法。根据我们对战地受害者的经验，创伤经历能够自发地为包括生命意义在内的生存要素带来新的启示。当受创伤的受害者无法阐述其创伤经历的生存内容时，症状就成为了他们交流的最重要方式。通过“保护性提问”方法，个人存在分析帮助个体将其创伤经历融入到对创伤和生活的有意义态度中。对个人经历元素的研究支持了整合过程。根据我们的经验，治疗关系中的真实性是最重要的治愈因素。