复杂的创伤和看不见的:谁会成为受害者?
1Centre for Mental Health Research, City University, London, UK clinic@jaywatts.co.uk.
BMJ mental health
|October 16, 2024
概括
复杂创伤后应激障碍 (cPTSD) 的新分类可能会造成创伤层次结构的风险. 采用跨诊断方法可以确保创伤识别对所有幸存者的验证.
科学领域:
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
- 受害者学 受害者学
背景情况:
- 国际疾病分类第11版现在包括复杂的创伤后应激障碍 (cPTSD).
- 现有的框架可能无意中创建创伤层次结构,区分人格障碍和cPTSD.
- 这种划分有可能使"值得"与"不值得"的受害者概念永存.
研究的目的:
- 分析将cPTSD纳入ICD-11的含义.
- 检查持续创伤层次的风险和"不受害"的现象.
- 提出创伤识别的替代方法.
主要方法:
- 诊断框架的批判性分析.
- 对受害者学概念的审查.
- 探索跨诊断和转运方式的方法.
主要成果:
- 纳入cPTSD,在推进认可的同时,可能会加强创伤反应的双层系统.
- 幸存者很容易因为社会和机构的创伤理想而成为"非受害者".
- 当前的诊断转变可能不会从根本上改变识别复杂创伤的标准.
结论:
- 采用跨诊断和跨模式方法至关重要,以防止创伤识别的双层系统.
- 确保复杂的创伤识别是可访问的,并为所有幸存者验证是必不可少的.
- 在临床环境中,小型的,即时的创伤识别行为可以验证幸存者并扩大理解.
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