创伤后应激障碍:医学与政治
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
概括
创伤暴露很常见,但并非所有痛苦都需要创伤后应激障碍诊断. 对创伤幸存者来说,平衡医疗化与适应性应对至关重要.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 创伤暴露是一个全球性问题,具有重大的心理后果.
- 创伤后应激障碍 (PTSD) 的概念增加了创伤反应的医疗化.
- 对PTSD病原学的研究改善了治疗选择.
研究的目的:
- 审查医疗化创伤反应的优缺点.
- 突出适应性应对机制与病理变化的重要性.
- 讨论创伤恢复中的弹性和受害者之间的平衡.
主要方法:
- 创伤反应医学化的文献综述.
- 分析了来自南非,武装部队和灾后情景的案例.
- 讨论对创伤的心理反应的范围.
主要成果:
- 创伤反应的医疗化有好处,但也有缺点.
- 并非所有创伤后的心理痛苦都应该被标记为PTSD.
- 个体对创伤的经历和症状表现的差异很大.
结论:
- 需要在医疗创伤和专注于适应性应对之间取得关键的平衡.
- 对于临床医生和社会来说,认识到性和英雄主义以及潜在的病理学是至关重要的.
- 过度医疗可能会忽视个体创伤反应的细微差别.
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