COMPLEX PTSD - A SYNDROME IN SURVIVORS OF PROLONGED AND REPEATED TRAUMA
COMPLEX PTSD - A SYNDROME IN SURVIVORS OF PROLONGED AND REPEATED TRAUMA
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DOI：
10.1002/jts.2490050305
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发表时间：
1992-07-01
影响因子：
3.3
通讯作者：
HERMAN, JL
中科院分区：
文献类型：
--
作者：
HERMAN, JL
本文回顾了长期、反复创伤的幸存者中存在复杂形式的创伤后疾病的证据。目前正在考虑将这种综合征纳入 DSM-IV，名称为 DESNOS（未另行说明的极度应激障碍）。当前 PTSD 的诊断公式主要源自对相对有限的创伤事件幸存者的观察。这种表述未能捕捉到长期、反复创伤所带来的千变万化的后遗症。与单一的创伤事件相比，长期的、重复的创伤只有在受害者处于犯罪者控制下的被囚禁状态时才会发生。服从强制控制的心理影响有许多共同特征，无论是发生在公共政治领域还是发生在性关系和家庭关系的私人领域。
This paper reviews the evidence for the existence of a complex form of post-traumatic disorder in survivors of prolonged, repeated trauma. This syndrome is currently under consideration for inclusion in DSM-IV under the name of DESNOS (Disorders of Extreme Stress Not Otherwise Specified). The current diagnostic formulation of PTSD derives primarily from observations of survivors of relatively circumscribed traumatic events. This formulation fails to capture the protean sequelae of prolonged, repeated trauma. In contrast to a single traumatic event, prolonged, repeated trauma can occur only where the victim is in a state of captivity, under the control of the perpetrator. The psychological impact of subordination to coercive control has many common features, whether it occurs within the public sphere of politics or within the private sphere of sexual and domestic relations.