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首页> 外文期刊>Journal of contemporary psychotherapy >Trauma-Focused CBT for Traumatic Grief in Military Children
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Trauma-Focused CBT for Traumatic Grief in Military Children

机译：以创伤为重点的CBT用于军事儿童的创伤性悲伤

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Abstract Although military children are typically as resilient as the general child population, the ongoing conflict has exposed military children to unusual stressors such as repeated deployment, severe injury, or the death of a parent or sibling. U.S. forces have experienced more than 5,600 casualties during Operation Iraqi Freedom and Operation Enduring Freedom, with growing numbers of suicides among Service members. These deaths have affected thousands of military children. Most bereaved military children experience adaptive grief characterized by deep sadness, longing for the deceased person, and being comforted by positive memories of the deceased. A smaller number of military children develop childhood traumatic grief, characterized by trauma symptoms that interfere with adaptive grieving. Children with traumatic grief get "stuck" on the traumatic aspects of the death such as picturing the imagined or real details of the death; imagining the pain their loved one experienced in the moments before dying; wishing for revenge; and becoming angry at those who do not understand or share the child's thoughts and feelings about the death. These children avoid reminders of the deceased person. Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based treatment for children with trauma symptoms including those with traumatic grief. TF-CBT may be particularly suitable for military families. This article describes the clinical application of TF-CBT for traumatic grief in military children.
机译：摘要尽管军事儿童通常具有与一般儿童同等的弹性，但持续的冲突使军事儿童面临不同寻常的压力，例如反复部署，重伤或父母或兄弟姐妹死亡。在“伊拉克自由行动”和“持久自由行动”中，美军经历了5,600多人的伤亡，而且服役人员中的自杀人数不断增加。这些死亡影响了成千上万的军人儿童。大多数丧亲的军人儿童会经历适应性悲伤，其特征是深深的悲伤，对死者的渴望以及对死者的积极记忆所安慰。数量较少的军人儿童会在儿童时期遭受创伤性悲伤，其特征是创伤性症状会干扰适应性悲伤。饱受创伤之苦的儿童会“沉迷”于死亡的创伤方面，例如描绘死亡的想象或真实细节;想象他们所爱的人在临终前的痛苦;希望报仇;并对那些不了解或分享孩子对死亡的想法和感受的人感到生气。这些孩子避免提醒死者。专注于创伤的认知行为疗法（TF-CBT）是一种基于证据的治疗，适用于有创伤症状的儿童，包括那些遭受创伤的儿童。 TF-CBT可能特别适合军人家庭。本文介绍了TF-CBT在军事儿童创伤性悲伤中的临床应用。

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