创伤重复:心理安全场所的干预

Claudio Mochi
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引用次数: 0

摘要

在我早期接触心理灾难领域时,我了解了两种心理创伤。第一种是大写“T”的创伤,其中“一个强烈的压倒性事件使个体暂时无助,无法在面对无法忍受的危险,焦虑或本能唤醒时使用自我的普通应对和防御操作”1•第二种是由几个较小的压力事件组成的小创伤,这些事件可能会产生累积效应,破坏个体的心理平衡和刺激障碍。我的经验告诉我,这些定义可能是对现实的过度简化。但它也让我想到了几个问题:当一个巨大的创伤经历,一个强烈的压倒性事件,像小事件一样反复出现时,会发生什么?在这种情况下,心理健康专家能做些什么来提供支持?
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Trauma Repetition: Intervention in Psychologically Safe Places
In my early exposure to the psychological disaster field, I learned about two kinds of psychic traumas. The first being Trauma with capital "T" in which there is "a strong overwhelming event that renders an individual temporarily helpless and unable to use ordinary coping and defensive operations of ego in the face of intolerable danger, anxiety or instinctual arousal" 1• The second being a small trauma that consists of several smaller stressful events that might produce, with their cumulative effects, destabilization of the individual's psychic equilibrium and stimulus barrier. My experience taught me that these definitions could be an oversimplification of reality. But it also led me toward a couple of questions: what happens when a big Traumatic experience, a strong overwhelming event, is recurring just as much as the small ones? And what can a mental health professional do to be supportive in such occurrences?
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