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トラウマ後ストレス障害:医学と政治
Dan J Stein1, Soraya Seedat, Amy Iversen
1UCT Department of Psychiatry, Groote Schuur Hospital, J-2, Anzio Road, Observatory 7925, Cape Town, South Africa. dan.stein@uct.ac.za
Lancet (London, England)
|January 16, 2007
まとめ
トラウマへの曝露は一般的ですが,すべての苦痛がトラウマ後ストレス障害の診断を必要とするわけではありません. トラウマの生存者にとって,医療化と適応的対処のバランスをとることは極めて重要です.
科学分野:
- 心理学 心理学とは
- 精神科医は精神病を患っている.
- トラウマ研究 トラウマ研究
背景:
- トラウマへの曝露は,重大な心理的な結果をもたらす世界的な問題です.
- トラウマ後ストレス障害 (PTSD) の概念は,トラウマ反応の医療化を増加させました.
- PTSDの病原性に関する研究は,治療の選択肢を向上させました.
研究 の 目的:
- トラウマ対応を医療化することの利点とデメリットを見直す.
- 病理学的変化と共に適応的な対処メカニズムの重要性を強調する.
- トラウマ回復におけるレジリエンスと被害者のバランスについて議論する.
主な方法:
- トラウマ応答の医療化に関する文献レビュー.
- 南アフリカ,軍,災害後のシナリオの事例分析.
- トラウマに対する心理的反応のスペクトルの議論.
主要な成果:
- トラウマ反応の医療化には利点があるが,欠点もある.
- トラウマ後のすべての心理的苦痛は,PTSDとしてラベル付けされるべきではありません.
- トラウマと症状の発現の個別の経験は大きく異なります.
結論:
- トラウマを医療化することと,適応的対処に焦点を当てることとの間の重要なバランスが求められます.
- 可能性のある病理学的症状と共に,回復力と英雄性を認識することは,臨床医と社会にとって不可欠です.
- 過剰な医療化は,個々のトラウマ反応の微妙な点を無視する可能性があります.
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