[创伤性悲伤和PTSD]。

Yoshiharu Kim
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引用次数: 0

摘要

创伤性悲伤的概念曾在20世纪90年代末由皮尔森提出,但很快就被各种概念所取代,如持续悲伤或复杂悲伤,这导致了诊断标准的混淆,这些概念的共同因素是由于失去亲人而引起的心理障碍。大多数针对复杂悲伤的当代心理疗法都强调对失去意义的认知重构,这反映了一种流行的理解,即这种疾病发病的基础是依恋的丧失,而侵入症状实际上是对死者的渴望。然而,在这种情况下,由于事故或谋杀造成的死亡而引起的创伤后应激障碍的共病症状使依恋的丧失变得复杂,由于想要忘记事件的创伤性,但又想保持死者的生动形象,就会产生矛盾的心理过程。这些病例往往需要以创伤为中心的治疗,创伤性悲伤的概念,即创伤引起的悲伤,在临床上是有益的,需要通过临床实践和研究进一步验证。
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[Traumatic Grief and PTSD].

The concept of traumatic grief was once maintained by Prigerson in the late 1990s to be soon replaced by various concepts such as persistent grief or complicated grief, to cause a con- fusion of diagnostic criteria, the common element across those concepts being the psychological disturbance caused by the loss of a beloved one. Most contemporary psychotherapy for compli- cated grief put an emphasis upon the cognitive restructure of the meaning of the loss reflect- ing the prevailing understanding that the basis of the pathogenesis of the disorder is the loss of attachment and that the intrusion symptom is actually the yearning for the deceased. In those cases, however, where the loss of attachment is complicated by the comorbid symptoms of PTSD, caused by the death due to accident or murder, contradictory psychological processes are generated by the desire to forget the traumatic nature of the event but to maintain the vivid image of the deceased. The trauma-focused treatment is often necessary for those cases and the concept of traumatic grief, grief caused by trauma, would be clinically beneficial and should be further verified through clinical practice and research.

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