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BEREAVEMENT BY TRAUMATIC MEANS: THE COMPLEX SYNERGY OF TRAUMA AND GRIEF. 创伤性丧亲:创伤和悲伤的复杂协同作用。
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2004-01-01 DOI: 10.1080/15325020490255322
Yuval Neria, Brett T Litz

When people lose intimates unexpectedly, in particular from malicious acts of violence, they are at risk for chronic grief reactions. The phenomenology, clinical symptoms, clinical needs, and risk factors associated with loss by traumatic means and the combined influences of loss and trauma exposure are yet to be systematically studied. We review the complex interplay between trauma and loss by traumatic means. The distinctions between normal and traumatic loss, and complicated and traumatic grief, are contrasted with the traditional conceptualization of posttraumatic stress disorder. The role of various mediators such as concurrent or life-span trauma exposure and interpersonal factors, particularly the degree of attachment to the individual or group traumatically lost, is discussed. We offer a more integrated and focused view of traumatic grief, its predictors, and future directions for the integrative study of trauma and loss outcomes.

当人们意外地失去亲密关系,特别是因为恶意暴力行为,他们就有长期悲伤反应的风险。与创伤方式损失相关的现象学、临床症状、临床需求和风险因素,以及损失和创伤暴露的综合影响尚待系统研究。我们回顾了创伤和通过创伤手段造成的损失之间的复杂相互作用。将正常和创伤性损失以及复杂和创伤性悲伤之间的区别与创伤后应激障碍的传统概念进行对比。讨论了各种媒介的作用,如同时或一生的创伤暴露和人际因素,特别是对因创伤而失去的个人或群体的依恋程度。我们对创伤悲伤、其预测因素以及创伤和损失结果的综合研究的未来方向提供了更全面、更集中的观点。
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引用次数: 122
PARENTAL DEATH IN THE LIVES OF PEOPLE WITH SERIOUS MENTAL ILLNESS. 严重精神疾病患者的父母死亡。
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2003-10-01 DOI: 10.1080/15325020305883
Danson Jones, John Harvey, Debra Giza, Charles Rodican, Paul J Barreira, Cathaleene Macias

Nearly a fourth (22%) of the participants within a research sample of 148 individuals with serious mental illness reported the death of a loved one as a significant loss, and two thirds of these deaths involved the loss of one or both parents. The key determinant of the severity and duration of grief in response to the death of a parent was whether or not there were extenuating circumstances that complicated the death event, such as co-residence with the deceased at the time of death or a lack of regular social contact with anyone other than the deceased. In all instances of severe or prolonged grief, there was no preparation for the parental death, either through preparatory counseling or practical plans for funeral arrangements, financial repercussions, life-style changes, or residential relocation. Mental health agencies serving people with serious mental illness should begin to incorporate financial and emotional preparation for parental deaths and bereavement counseling as essential services.

在148名患有严重精神疾病的人的研究样本中,近四分之一(22%)的参与者报告说,亲人的死亡是一种重大损失,其中三分之二的死亡涉及失去父母中的一方或双方。父母死亡后悲伤的严重程度和持续时间的关键决定因素是,是否存在使死亡事件复杂化的减轻情况,例如在死亡时与死者同住,或与死者以外的任何人缺乏定期的社会联系。在所有严重或长期悲伤的情况下,没有对父母的死亡做好准备,无论是通过准备咨询还是葬礼安排、经济影响、生活方式改变或住宅搬迁的实际计划。为患有严重精神疾病的人提供服务的精神健康机构应该开始将父母死亡的经济和情感准备以及丧亲之痛咨询作为基本服务。
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引用次数: 14
INTO THE LIGHT 迎向光明
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2002-01-01 DOI: 10.1080/108114402753344454
L. Blair
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引用次数: 1
THE ROLE OF CARDIAC REHABILITATION IN DEALING WITH PSYCHOLOGICAL LOSS AMONG SURVIVORS OF A CARDIAC EVENT 心脏康复在处理心脏事件幸存者心理损失中的作用
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2001-10-01 DOI: 10.1080/108114401317087815
Joanne Hudson, Elizabeth Mary Board, David Lavallee
The aim of the current study was to examine the experiences of cardiac rehabilitation (CR) patients within the framework of psychological loss. All participants in this study reported experiencing losses of some nature, some of which were tangible and others less so. However, these do not appear to be strictly independent from each other in that tangible losses, such as loss of income, were underpinned by intangible losses, such as loss of self-esteem. For CR patients, it seems that the losses reported are experienced at more than one level.The first is an externally visible and objectively quantifiable level (for example, loss of occupation) , whereas the second is a more symbolic, phenomenologically based level (for example, loss of purpose as previously defined through one's occupational role). The CR program examined in this study helped patients to effectively deal with these losses and to experience additional developmental gain.
本研究的目的是探讨心脏康复(CR)患者在心理损失的框架内的经历。这项研究的所有参与者都报告说经历了某种性质的损失,其中一些是有形的,另一些则不那么明显。然而,这些似乎并不是严格相互独立的,因为有形的损失,如失去收入,是由无形的损失,如失去自尊所支撑的。对于CR患者,报告的损失似乎不止一个层次。第一个是外部可见的、客观可量化的层面(例如,失去职业),而第二个则是更具象征性的、基于现象学的层面(例如,失去先前通过职业角色定义的目标)。本研究中检查的CR计划帮助患者有效地处理这些损失并体验额外的发展收益。
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引用次数: 5
PARTNER LOSS IN LATER LIFE: GENDER DIFFERENCES IN COPING SHORTLY AFTER BEREAVEMENT 晚年失去伴侣:在丧亲之痛后不久应对的性别差异
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2001-07-01 DOI: 10.1080/108114401753201688
Bernavan Baarsen, Marjolein I. Broese van Groenou
This longitudinal study aimed to explain coping responses of older women (n = 60)and men (n = 43) at about 1 year following partner loss using a general theory of coping. The theory of mental incongruity predicts that behavioral and mental coping are responses to experienced loneliness and that they are facilitated by actual and perceived opportunities or resources. Results show that the availability of social relationships and better general health encourage coping responses among the bereaved, as well as, unexpectedly, higher social anxiety and financial stress. Results reveal opposite effects for women and men. As time elapses since the death of the partner, men more often share their emotions with others than women. Also, the results suggest that resources play different roles in coping responses of recently bereaved women and men. Among widowers financial stress may impede emotional coping responses, while among widows higher education and having a best female friend seem to function as riskfactors in coping with loss. Relative health, or the feeling one is better off than comparable others, may protect against the negative effects of partner death, particularly among recently bereaved women. It is concluded that the proposed theory offers useful concepts in understanding how recently bereaved individuals cope with partner death; however,it is not helpful in explaining the gender differences found in the present study. Further, the findings question the supposed less favorable health position of older widows and the more favorable social position of older widows and socioeconomic position of older widowers.
本纵向研究旨在解释老年女性(n = 60)和老年男性(n = 43)在失去伴侣后大约1年的应对反应,使用一般的应对理论。心理不协调理论预测,行为和心理应对是对经历过的孤独的反应,它们受到实际的和感知的机会或资源的促进。结果表明,社会关系的可用性和较好的总体健康状况鼓励了丧亲者的应对反应,以及出乎意料的更高的社会焦虑和经济压力。结果显示,对女性和男性的影响恰恰相反。在伴侣去世后,随着时间的推移,男性比女性更经常与他人分享自己的情绪。此外,研究结果还表明,资源在新近丧亲的女性和男性的应对反应中起着不同的作用。在鳏夫中,经济压力可能会阻碍情绪应对反应,而在寡妇中,高等教育和拥有最好的女性朋友似乎是应对损失的风险因素。相对健康,或感觉自己比其他可比的人过得更好,可以防止伴侣死亡的负面影响,特别是对最近失去亲人的妇女而言。结论是,所提出的理论为理解最近失去亲人的个人如何应对伴侣死亡提供了有用的概念;然而,这无助于解释本研究中发现的性别差异。此外,研究结果质疑了老年寡妇的健康状况不佳以及老年寡妇的社会地位和老年鳏夫的社会经济地位更有利的假设。
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引用次数: 39
DIALOGICAL INTERSECTIONS: THE DEATH OF A FATHER 对话的交叉点:父亲的去世
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2001-07-01 DOI: 10.1080/108114401753201642
J. Perry
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引用次数: 2
TEACHING ABOUT LOSS 关于损失的教学
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2001-07-01 DOI: 10.1080/108114401753201697
John H. Harveyand, Wilhelm J. Hofmann
In this article, we develop a case for teaching about loss as part of social and behavioral science curricula. We discuss the first author's development of a class that focuses on loss and trauma. This class emphasizes the view of loss as a pervasive aspect of human life and that it is the core experience for other phenomena, including trauma and chronic illness. The course involves a component in which students write about some loss experience that may reflect their personal life. This component permits many students to express pain, sometimes for one of the first times in their lives, regarding the events in question and relate their experience to what they have learned in the course. Significant features of the course are a score of videos and guest presentations, documenting the diversity of loss and people's myriad ways of coping with loss. It is argued that the course and students' experiences in fulfilling course requirements speak to the gains that may be realized by honest, in-depth probing of losses within the context of psychological and other literatures.
在这篇文章中,我们提出了一个案例,将失落作为社会和行为科学课程的一部分进行教学。我们将讨论第一作者如何发展一门关注损失和创伤的课程。这门课强调失去是人类生活中普遍存在的一个方面,它是其他现象的核心体验,包括创伤和慢性疾病。这门课程包括一个部分,让学生写一些可能反映他们个人生活的失去经历。这个部分允许许多学生表达痛苦,有时是他们生命中第一次,关于问题中的事件,并将他们的经历与他们在课程中学到的东西联系起来。该课程的主要特点是大量的视频和嘉宾演讲,记录了失去的多样性以及人们应对失去的各种方式。有人认为,这门课程和学生在满足课程要求方面的经验表明,在心理学和其他文献的背景下,诚实、深入地探讨损失可能会带来收益。
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引用次数: 3
STALIN'S GULAG PRISONERS AND PREVALENCE OF POST-TRAUMATIC STRESS DISORDER 斯大林的古拉格囚犯和创伤后应激障碍的流行
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2001-01-01 DOI: 10.1080/108114401753197431
M. Dougherty
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引用次数: 0
BONE MARROW TRANSPLANTATION IN A PATIENT WHO EXPERIENCED TORTURE IN A PRISONER OF WAR CAMP: NARCISSISM AND SURVIVAL 在战俘营中遭受酷刑的病人的骨髓移植:自恋与生存
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2001-01-01 DOI: 10.1080/108114401753197440
Rudolf Gregurek, Gorana Tocilj-Šimunković, Eduard Klain
Post-traumatic stress disorder has been described as a syndrome from which an individual may suffer as a result of extraordinary trauma. Torture of prisoners of war in Serbian camps during the war in Croatia is just such a stressful situation that requires mobilization of all defense mechanisms of an individual. The authors present a case study of a former prisoner of war who acquired acute myelogenous leukemia several months after release and was treated with bone marrow transplantation. On release the patient was medically examined, like all prisoners of war, and the findings did not suggest any disease. Because of the situation, the patient was in psychotherapeutic observation and treatment after his illness was diagnosed and throughout the transplantation treatment.
创伤后应激障碍被描述为一种个体可能遭受特殊创伤的综合征。在克罗地亚战争期间,塞尔维亚难民营中对战俘的酷刑就是这样一种令人紧张的情况,需要调动个人的所有防御机制。作者提出了一个前战俘的案例研究,他在释放几个月后得了急性骨髓性白血病,并接受了骨髓移植治疗。释放时,像所有战俘一样,对病人进行了医学检查,结果没有发现任何疾病。由于这种情况,患者在确诊后和整个移植治疗过程中一直处于心理治疗观察和治疗中。
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引用次数: 1
THE LIFE CYCLE AND DISABILITY: EXPERIENCES OF DISCONTINUITY IN CHILD AND FAMILY DEVELOPMENT 生命周期和残疾:儿童和家庭发展的不连续性经验
IF 4.7 4区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2001-01-01 DOI: 10.1080/108114401753197459
Daniel J. DeMarle, Pieter le Roux
Clinicians are often asked to work with parents who have one or more children with specific disabilities. Disability within the family can have a dramatic impact on family interactions and functioning across the course of the family life cycle. The authors review the potential role of disability within a family system and make specific suggestions for working with a family or the child with the disability.
临床医生经常被要求与有一个或多个孩子有特殊残疾的父母一起工作。家庭中的残疾会对整个家庭生命周期中的家庭互动和功能产生巨大影响。作者回顾了残疾在家庭系统中的潜在作用,并对与残疾家庭或残疾儿童一起工作提出了具体建议。
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引用次数: 1
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Journal of Loss & Trauma
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