HOPE for Battered Women With PTSD in Domestic Violence Shelters

HOPE for Battered Women With PTSD in Domestic Violence Shelters
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DOI:
10.1037/a0012519
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发表时间:
2009-06-01
影响因子:
1.5
通讯作者:
Zlotnick, Caron
Zlotnick, Caron
中科院分区:
心理学4区
文献类型:
--
作者:
Johnson, Dawn M.;Zlotnick, Caron

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当你试图治疗有持续安全问题的受虐妇女时,你是否感到不知所措?收容所中的受虐妇女除了传统上接受的个案管理外,还能从心理治疗中受益吗?什么样的治疗对收容所中的受虐妇女最有益?创伤后应激障碍(PTSD)是与亲密伴侣暴力(IPV)相关的最普遍的疾病。创伤后应激障碍与严重的损害和资源损失有关,这可能严重影响庇护受虐妇女为自己和孩子建立长期安全的能力。因此,我们为患有创伤后应激障碍的受庇护受虐妇女开发了一种新的治疗方法,即通过赋权帮助克服创伤后应激障碍(希望)。HOPE是一种短期的认知行为治疗,处于家庭暴力庇护所中患有PTSD的受虐妇女的初步发展阶段。它侧重于稳定,安全和赋权,并教导妇女管理其创伤后应激障碍症状的技能,这些症状可能会干扰她们获得重要社区资源的能力,并为自己和子女建立安全。最后给出了一个利用HOPE的实例。未来的发展方向和临床应用进行了讨论。
Do you feel overwhelmed when attempting to treat battered women with ongoing safety concerns? Could battered women in shelters benefit from psychotherapy in addition to the case management they traditionally receive? What type of treatment would be most beneficial for battered women in shelters? Posttraumatic stress disorder (PTSD) is the most prevalent disorder associated with intimate partner violence (IPV). PTSD is associated with severe impairment and loss of resources, which can severely impact a sheltered battered woman's ability to establish long-term safety for herself and her children. Consequently, we have developed a new treatment for sheltered battered women with PTSD, Helping to Overcome PTSD through Empowerment (HOPE). HOPE is a short-term cognitive-behavioral treatment in a preliminary stage of development for battered women with PTSD in domestic violence shelters. It focuses on stabilization, safety, and empowerment and teaches women skills to manage their PTSD symptoms that may interfere with their ability to access important community resources and establish safety for themselves and their children. A case example utilizing HOPE is offered. Future directions and clinical applications are discussed.