退伍军人创伤后应激障碍的治疗:一个案例研究

Q3 Medicine NeuroRegulation Pub Date : 2019-06-26 DOI:10.15540/NR.6.2.102
G. Lindenfeld, George R. Rozelle, J. Hummer, M. Sutherland, James Miller
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引用次数: 2

摘要

创伤后应激障碍(PTSD)是一种全身性神经炎症状态,源于创伤事件未能恢复。与创伤后应激障碍相关的主要并发症包括冲动控制问题以及与语言和身体爆发愤怒和愤怒有关的问题。退伍军人管理局(VA)预计,到2019年,9/11事件后的退伍军人人数将达到350万左右。情绪问题在战斗人员和退伍军人中很普遍,大约一半的人患有各种创伤后应激障碍症状。其中四分之三的人表示,他们正在以闪回和噩梦的形式重温创伤。目前的心理健康治疗还不能完全消除创伤后应激障碍带来的负面影响。我们提出了一种新的变革性治疗方法的案例研究,称为情绪触发刺激(RESET)疗法的再巩固增强。干预使用双耳声音来解锁记忆再巩固过程,从而释放经历创伤的情感成分。RESET疗法为实践生物反馈/神经反馈的临床医生提供了一种令人信服的治疗辅助,他们面临着持续的压力,需要提供快速、可耐受和具有成本效益的干预措施。此外,这种治疗使治疗师不必反复接触创伤患者的原始边缘活动,从而最大限度地减少了间接创伤的可能性。
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Remediation of PTSD in a Combat Veteran: A Case Study
The posttraumatic stress disorder (PTSD) condition is a systemic neuroinflammatory state that emanates from a failure to recover from traumatic occurrence(s). Major complications associated with PTSD include problems with impulse control and issues related to verbal and physical outbursts of anger and rage. The Veteran’s Administration (VA) projects a post–9/11 veteran population of around 3.5 million by 2019. Emotional problems are prevalent among combat service members and veterans with about half of the group suffering from various symptoms of PTSD. Three in four among them report they are reliving traumas in the form of flashbacks and nightmares. Current mental health treatments have not fully remediated the negative impact that results from PTSD. We present a case study of a novel and transformative treatment approach called Reconsolidation Enhancement by Stimulation of Emotional Triggers (RESET) Therapy. The intervention uses binaural sound to unlock the memory reconsolidation process, thereby releasing the emotional component of experienced trauma. RESET Therapy offers a compelling therapeutic adjunct to the practicing biofeedback/neurofeedback clinician, who is under constant pressure to deliver interventions that are rapid, tolerable, and cost-effective. Additionally, the treatment spares the therapist from repeated exposures to the raw limbic activity of traumatized patients, thereby minimizing the potential for vicarious traumatization.
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来源期刊
NeuroRegulation
NeuroRegulation Medicine-Psychiatry and Mental Health
CiteScore
2.50
自引率
0.00%
发文量
15
审稿时长
19 weeks
期刊介绍: NeuroRegulation is a peer-reviewed journal providing an integrated, multidisciplinary perspective on clinically relevant research, treatment, reviews, and public policy for neuroregulation and neurotherapy. NeuroRegulation publishes important findings in these fields with a focus on electroencephalography (EEG), neurofeedback (EEG biofeedback), quantitative electroencephalography (qEEG), psychophysiology, biofeedback, heart rate variability, photobiomodulation, repetitive Transcranial Magnetic Simulation (rTMS) and transcranial Direct Current Stimulation (tDCS); with a focus on treatment of psychiatric, mind-body, and neurological disorders. In addition to research findings and reviews, it is important to stress that publication of case reports is always useful in furthering the advancement of an intervention for both clinical and normative functioning. We strive for high quality and interesting empirical topics presented in a rigorous and scholarly manner. The journal draws from expertise inside and outside of the International Society for Neurofeedback & Research (ISNR) to deliver material which integrates the diverse aspects of the field, to include: *basic science *clinical aspects *treatment evaluation *philosophy *training and certification issues *technology and equipment
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