复杂创伤后应激障碍的STAIR叙事疗法:治疗性和性别少数群体创伤
Marylene Cloitre1,2, Adrienne A Lovelund3, Christie Jackson1
1National Center for PTSD Dissemination and Training Division, VA Palo Alto Healthcare System, Palo Alto, California, USA.
Journal of clinical psychology
|August 11, 2023
概括
在情感和人际关系调节和叙事疗法 (SNT) 中的技能培训有效地治疗了同性恋男性的复杂PTSD. 这种疗法将当前的压力管理与过去的创伤重新评估相结合,以改善自我同情和身份融合.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 复杂创伤后应激障碍 (C-PTSD) 是ICD-11中最近公认的诊断类别.
- C-PTSD需要治疗方法,以解决传统PTSD之外的多方面的症状.
研究的目的:
- 描述C-PTSD情感和人际关系调节和叙事疗法 (SNT) 技能培训的应用.
- 评估SNT在处理各种客户问题,包括少数民族压力和创伤方面的有效性.
- 突出治疗对来自性和性别少数群体的个体的适应性.
主要方法:
- 一个16个会议的案例研究SNT交付给一个被诊断患有C-PTSD的55岁同性恋男子.
- 对当前的压力因素进行SNT综合技能培训,并为过去的创伤重新评估提供叙事疗法.
- 治疗涉及少数民族压力,歧视和与客户身份相关的微型攻击.
主要成果:
- SNT促进了持续的少数民族压力,歧视和微型攻击的有效管理.
- 重新评估创伤性记忆,包括伴侣死于艾滋病和童年事件,导致自我理解得到改善.
- 客户发展了更完整的自我意识和更富有同情心的自我观.
结论:
- 在解决客户复杂的C-PTSD症状和相关压力因素方面,SNT被证明是相关和有效的.
- 治疗的基于技能的组成部分对于管理与身份有关的压力至关重要.
- 在性和性别少数群体中,SNT显示出治疗C-PTSD的巨大潜力.
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