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Spirituality and Trauma: The Role of Clergy in the Treatment of Posttraumatic Stress Disorder

机译:精神与创伤:神职人员在创伤后应激障碍治疗中的作用

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摘要

An increased awareness of the spiritual aspects of health and illness has recently led to changes in psychiatry residency training as well as hospital accreditation requirements. The spiritual impact of trauma has been an area of particular interest, as trauma evokes certain existential questions and crises. It is estimated that from 5–11% of trauma survivors will go on to develop posttraumatic stress disorder (PTSD). Given the spiritual challenges of the experience of trauma, patients with PTSD could benefit from spiritual assessment and intervention as part of their overall treatment plan, and clergy can be utilized to perform this. The literature exploring the spiritual impact of trauma and the use of clergy in the treatment of trauma survivors is reviewed. The methods used by three chaplains in a residential treatment program for PTSD at one facility are described and discussed. Both the literature and the experiences of the clergy suggest that exploration of trauma-related existential conflicts in patients with PTSD is beneficial. However, there is a notable dearth of controlled scientific studies evaluating the effectiveness of spiritual interventions with this treatment population. The need for controlled studies to verify the usefulness of spiritual assessment and intervention in patients with PTSD is noted, and a more rigorous analysis of how clergy can best serve this treatment population is encouraged.trauma - posttraumatic stress disorder - spirituality - religion - clergy - psychotherapy
机译:最近人们对健康和疾病的精神方面的意识增强,导致精神病住院医师培训以及医院认证要求的变化。创伤的精神影响一直是引起人们特别关注的领域,因为创伤引起了某些生存问题和危机。据估计,有5-11%的创伤幸存者会继续发展为创伤后应激障碍(PTSD)。鉴于创伤经历的精神挑战,创伤后应激障碍患者可以从精神评估和干预中受益,这是其整体治疗计划的一部分,神职人员可以用来执行此任务。文献探讨了创伤的精神影响和神职人员在治疗创伤幸存者中的使用。描述和讨论了三个牧师在一个设施的PTSD住宅治疗程序中使用的方法。文献和神职人员的经验都表明,探索创伤后应激障碍患者中与创伤相关的生存冲突是有益的。但是,目前尚缺乏控制科学研究来评估这种治疗人群的精神干预效果。指出需要进行对照研究以验证精神创伤评估和干预对PTSD患者的有用性,并鼓励对神职人员如何最有效地为该治疗人群提供更严格的分析。创伤-创伤后应激障碍-灵性-宗教-神职人员-心理治疗

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