Dissociation and hypnosis in post-traumatic stress disorders
Dissociation and hypnosis in post-traumatic stress disorders
复制标题
创伤后应激障碍中的解离和催眠
DOI：
10.1002/jts.2490010104
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发表时间：
1988
影响因子：
3.3
通讯作者：
D. Spiegel
中科院分区：
文献类型：
--
作者：
D. Spiegel
在注意到普通心理治疗与创伤后应激障碍（PTSD）治疗议程的根本区别之后，本文以Yalom（1981）的四个存在主义主题死亡、自由、孤立和无意义作为组织原则，讨论了创伤与-à-vis PTSD的概念。论文的中间部分着重于分离在创伤后应激障碍症状学中的作用，表明许多创伤后应激障碍症状本质上是分离的；它是对事件记忆和经历本身的一种防御。本文回顾了支持创伤后应激障碍与可催眠性之间联系的研究，并通过两个案例讨论了催眠在治疗创伤性应激中的应用。后一节着重于催眠的局限性，移情方面的考虑，最后总结了作者的八个“C”治疗方法：面对，凝结，忏悔，安慰，意识，集中，控制和一致性。
After noting the fundamental differences between the agenda of ordinary psychotherapy and the treatment of post-traumatic stress disorder (PTSD), the paper discusses the concept of trauma vis-à-vis PTSD using Yalom's (1981) four existential themes of death, freedom, isolation, and meaninglessness as organizing principles. The middle section of the paper focuses on the role of dissociation in the symptomatology of PTSD, suggesting, among other things, that many PTSD symptoms are dissociative in nature; that it is a defense against both memories of the event and the experience itself. Research is reviewed supporting the connection between PTSD and hypnotizability and the use of hypnosis in treating traumatic stress is discussed followed by two case examples. The latter section focuses on the limitations of hypnosis, transference considerations, and ends with a summary of the author's eight “C's” treatment approach: confront, condensation, confession, consolation, consciousness, concentration, control, and congruence.