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首页> 外文期刊>Psychiatry >Contributions of psychodynamic approaches to treatment of PTSD and trauma: a review of the empirical treatment and psychopathology literature.
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Contributions of psychodynamic approaches to treatment of PTSD and trauma: a review of the empirical treatment and psychopathology literature.

机译：心理动力学方法治疗创伤后应激障碍和创伤的贡献：经验治疗和心理病理学文献综述。

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摘要

Reviews of currently empirically supported treatments for post-traumatic stress disorder (PTSD) show that despite their efficacy for many patients, these treatments have high nonresponse and dropout rates. This article develops arguments for the value of psychodynamic approaches for PTSD, based on a review of the empirical psychopathology and treatment literature. Psychodynamic approaches may help address crucial areas in the clinical presentation of PTSD and the sequelae of trauma that are not targeted by currently empirically supported treatments. They may be particularly helpful when treating complex PTSD. Empirical and clinical evidence suggests that psychodynamic approaches may result in improved self-esteem, increased ability to resolve reactions to trauma through improved reflective functioning, increased reliance on mature defenses with concomitant decreased reliance on immature defenses, the internalization of more secure working models of relationships, and improved social functioning. Additionally, psychodynamic psychotherapy tends to result in continued improvement after treatment ends. Additional empirical studies of psychodynamic psychotherapy for PTSD are needed, including randomized controlled outcome studies.
机译：目前对创伤后应激障碍（PTSD）的经验支持治疗的评论表明，尽管对许多患者有效，这些治疗仍具有很高的无反应性和辍学率。本文在对经验性心理病理学和治疗文献进行回顾的基础上，提出了心理动力学方法对创伤后应激障碍的价值的论点。心理动力学方法可能有助于解决PTSD的临床表现和创伤后遗症中的关键问题，这些问题目前尚无经验支持的治疗方法。在治疗复杂的PTSD时，它们可能特别有用。经验和临床证据表明，心理动力学方法可能会改善自尊，通过改善反射功能来增强对创伤反应的解决能力，增加对成熟防御的依赖，同时减少对未成熟防御的依赖，建立更安全的关系工作模型，并改善了社交功能。另外，心理动力学心理疗法倾向于在治疗结束后导致持续的改善。需要针对PTSD进行心理动力学心理治疗的其他经验研究，包括随机对照结果研究。

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