Treating Complex Trauma Among Veterans: Three Stage-Based Treatment Models
Treating Complex Trauma Among Veterans: Three Stage-Based Treatment Models
复制标题
DOI：
10.1002/jclp.21988
复制
发表时间：
2013-05-01
影响因子：
3
通讯作者：
Burkman, Kristine M.
中科院分区：
文献类型：
--
作者：
Landes, Sara J.;Garovoy, Natara D.;Burkman, Kristine M.
这篇文章解决了退伍军人的复杂创伤和治疗的症状表现导致的复杂创伤暴露的问题。虽然复杂创伤的定义多种多样，但与之相关的临床问题与退伍军人相关，因为他们面临着累积创伤暴露的风险，如多次战斗部署和军中性创伤。开发了几种治疗方法来解决和/或实施复杂的创伤。本文讨论了其中三种治疗方法，这些治疗方法都是基于阶段的方法，专注于现在（例如，技能培训和心理教育），然后，如果需要，可以采用以过去为重点（例如，基于暴露）的治疗：辩证行为治疗（Linehan, 1993），寻求安全（Najavits, 2002），情感和人际调节技能培训（STAIR）叙事治疗（Cloitre, Cohen, & Koenen, 2006）。本文还讨论了目前正在采取的措施，以解决由复杂创伤暴露引起的症状表现，以及实施这种护理的挑战和可能的解决方案。
This article addresses the issue of complex trauma in veterans and treatments for symptom presentations resulting from complex trauma exposure. While various definitions have been proposed for complex trauma, the clinical issues related to it are relevant for veterans as they are at risk for cumulative trauma exposures such as multiple combat deployments and military sexual trauma. Several treatments were either developed to address and/or implemented with complex trauma. This article discusses three of these treatments that share a stage-based approach, focusing on the present (e.g., skills training and psychoeducation), which can then be followed, if needed, with a past-focused (e.g., exposure-based) treatment: Dialectical Behavior Therapy (Linehan, 1993), Seeking Safety (Najavits, 2002), Skills Training in Affective and Interpersonal Regulation (STAIR) Narrative Therapy (Cloitre, Cohen, & Koenen, 2006). This article also discusses what is currently being done to address symptom presentations resulting from complex trauma exposure and challenges and possible solutions to implementing this care.