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首页> 外文期刊>Psychotherapy >A Group Therapy Approach to Treating Combat Posttraumatic Stress Disorder: Interpersonal Reconnection Through Letter Writing
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A Group Therapy Approach to Treating Combat Posttraumatic Stress Disorder: Interpersonal Reconnection Through Letter Writing

机译：小组治疗方法治疗战斗后创伤性应激障碍：通过写信进行人际重连

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摘要

Many who have served in a war zone carry deep emotional wounds that go beyond the typical symptom clusters of reexperiencing, avoidanceumbing, and hyperarousal that comprise a diagnosis of posttraumatic stress disorder (PTSD). Specifically, many combatants experience unresolved grief, guilt, and shame caused by losses and traumatic experiences suffered in war, called "moral injury" by some clinicians and researchers (e.g., Litz et al., 2009; Shay, 1994). We describe the aspects of human attachment that set the stage for grief, guilt, and shame, and outline the 3-phase group therapy model we have implemented in a clinical setting to foster the reconnection of severed human bonds. Special attention is paid to killing and related phenomena that are unique to combat PTSD. The program phases include psychoeducation, trauma-focused therapy, and aftercare, which focuses on assisting the veterans in reconnecting with their families and communities. The use of letter writing as an intervention is illustrated through case examples, and clinical outcomes are anecdotally described.
机译：在战区服役的许多人所遭受的情感创伤深远，超出了典型的症状群：重新体验，避免/麻木和过度兴奋，这些症状包括对创伤后应激障碍（PTSD）的诊断。具体而言，许多战斗人员经历了战争中遭受的损失和创伤经历所导致的未解决的悲伤，内lt和耻辱，一些临床医生和研究人员将其称为“道德损伤”（例如Litz等，2009; Shay，1994）。我们描述了为依恋，内gui和羞耻搭建舞台的人类依恋方面，并概述了我们在临床环境中实施的三阶段团体治疗模型，以促进人与人之间断链的重新连接。特别要注意打击PTSD的杀戮和相关现象。该计划的阶段包括心理教育，针对创伤的治疗和善后服务，其重点是协助退伍军人与其家人和社区重新建立联系。通过案例举例说明了使用信件写作作为干预措施的情况，并对临床结果进行了描述。

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