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首页> 外文期刊>Journal of contemporary psychotherapy >Using Acceptance and Commitment Therapy to Guide Exposure-Based Interventions for Posttraumatic Stress Disorder
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Using Acceptance and Commitment Therapy to Guide Exposure-Based Interventions for Posttraumatic Stress Disorder

机译：使用接受和承诺疗法来指导针对创伤后应激障碍的基于暴露的干预

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摘要

Exposure is considered one of the most effective interventions for PTSD. There is a large body of research for the use of imaginal and in vivo exposure in the treatment of PTSD, with prolonged exposure (PE) therapy being the most researched example. Acceptance and commitment therapy (ACT) has sometimes been called an exposure-based treatment, but how exposure is implemented in ACT for PTSD has not been well articulated. Although support for the use of ACT in PTSD treatment is limited to a handful of case studies and open trials, research suggests ACT is particularly useful in flexibly targeting avoidance behavior-arguably the most important process in the continued maintenance of PTSD symptoms. The purpose of this paper is to explore the use of exposure within ACT in PTSD treatment. Through an overview of PE and ACT, and with the use of case examples, we describe how ACT principles and techniques may inform exposure-based treatments for PTSD in order to create more flexible approaches. In addition, understanding exposure within an ACT framework may also contribute to clarifying processes of change.
机译：暴露被认为是PTSD最有效的干预措施之一。假想和体内暴露在创伤后应激障碍治疗中的应用已有大量研究，而延长暴露（PE）治疗是研究最多的例子。接受和承诺治疗（ACT）有时被称为基于暴露的治疗，但是尚不清楚如何在ACT中针对PTSD实施暴露。尽管支持PTSD治疗中使用ACT的支持仅限于少数案例研究和公开试验，但研究表明ACT在灵活地规避规避行为方面可能特别有用，这可以说是持续保持PTSD症状的最重要过程。本文的目的是探讨PTSD治疗中ACT中的暴露使用。通过对PE和ACT的概述，并通过使用案例，我们描述ACT原理和技术如何为PTSD的基于暴露的治疗提供信息，从而创建更灵活的方法。此外，在ACT框架内了解暴露也可能有助于阐明变化过程。

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