Neurocognitive considerations in the treatment of attachment and complex trauma in children

Neurocognitive considerations in the treatment of attachment and complex trauma in children
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儿童依恋和复杂创伤治疗中的神经认知考虑

DOI:
10.1177/1359104513486998
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发表时间:
2014
影响因子:
1.8
通讯作者:
Karen Zilberstein
Karen Zilberstein
中科院分区:
医学4区
文献类型:
--
作者:
Karen Zilberstein

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越来越多的证据表明,儿童在成长的关键时期遭受剥夺和虐待,往往会造成认知上的损失。虽然儿童在神经认知领域受到影响的程度各不相同,但这些因素会影响儿童如何处理、管理和理解创伤和依恋经历,以及他们对治疗的反应。目前关于创伤和依恋的研究更倾向于认知的某些方面而不是其他方面。这些文献讨论了注意力、记忆、认知偏差、内部工作模式、信念和归因,作为影响个人对经验的理解的方式。其他类别,如工作记忆、处理速度、语言、听觉或知觉处理、元认知技能和认知僵化或灵活性很少出现。这篇论文考察了认知与依恋和复杂创伤之间的接口有哪些是已知的,哪些是未知的,以及这些知识如何为治疗提供信息。它探索了现有的研究,并提供了一个案例小品,作为如何将这些知识整合到治疗战略中的一个例子。
Accumulating evidence suggests that children suffering deprivation and maltreatment at critical times in their development often pay a cognitive toll. While children vary to the extent that neurocognitive domains are affected, those factors influence how children process, manage and understand traumatic and attachment experiences as well as how they respond to treatment. Current research on trauma and attachment favor some aspects of cognition over others. The literature discusses attention, memory, cognitive biases, internal working models, beliefs and attributions as ways that impact an individual’s understanding of experience. Other categories such as working memory, processing speed, verbal, auditory or perceptual processing, metacognitive skills, and cognitive rigidity or flexibility rarely surface. This paper examines what is and is not known about the interface of cognition with attachment and complex trauma and how that knowledge can inform treatment. It explores existing research and offers a case vignette as an example of how that knowledge can be integrated into treatment strategies.
DOI: 10.1176/appi.ajp.159.3.483
发表时间: 2002-03-01
影响因子: 17.7
作者:
Beers, SR;De Bellis, MD
通讯作者: De Bellis, MD
DOI: 10.1037/a0013345
发表时间: 2008-12-01
影响因子: 7.6
作者:
Schmeichel, Brandon J.;Volokhov, Rachael N.;Dernaree, Heath A.
通讯作者: Dernaree, Heath A.