Memory and Forgetting.

Memory and Forgetting.
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DOI:
10.1007/s11920-018-0950-7
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发表时间:
2018-08-28
影响因子:
6.7
通讯作者:
Brewin CR
Brewin CR
中科院分区:
医学2区
文献类型:
--
作者:
Brewin CR

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我总结了最近的发展,在理解PTSD的记忆现象学,描述了最突出的理论模型,并概述了新的治疗形式,旨在修改创伤记忆。在ICD-11中强调了具有在现在被重温的性质的侵入性记忆。关于创伤记忆是否混乱的争论导致了一种区分,即通常排练得很好的全局叙事和可能发生中断和碎片化的最可怕时刻的情景记忆。试图阻止创伤记忆的初步巩固在预防方面有希望,但面临实际困难。理论的发展已经导致了一些有希望的治疗方法,包括预检索普萘洛尔和图像重写。研究表明,通过改变创伤回忆来改善PTSD的预防和治疗有真实的可能性,尽管这些干预措施的理论基础仍然存在争议。
I summarize recent developments in understanding the phenomenology of memory in PTSD, describe the most prominent theoretical models, and outline new forms of treatment aimed at modifying the traumatic memory. Intrusive memories that have the quality of being relived in the present have been highlighted in ICD-11. Debate over whether trauma memories are disorganized has led to a distinction between global narratives that are usually well rehearsed and episodic memories of the most frightening moments when disruptions and fragmentation may occur. Attempts to prevent the initial consolidation of trauma memories have promise in prevention but face practical difficulties. Theoretical developments have led to a number of promising treatments for established PTSD including pre-retrieval propranolol and imagery rescripting. Research has suggested real possibilities to improve the prevention and treatment of PTSD by modifying trauma recall even though the theoretical basis for these interventions remains controversial.
负面情绪内容破坏了情节记忆的连贯性。
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