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首页> 外文期刊>The journal of forensic psychiatry & psychology >Eye Movement Desensitization and Reprocessing (EMDR) in a forensic patient with Posttraumatic Stress Disorder (PTSD) resulting from homicide: a case study
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Eye Movement Desensitization and Reprocessing (EMDR) in a forensic patient with Posttraumatic Stress Disorder (PTSD) resulting from homicide: a case study

机译：杀人术后患者的法医患者中的眼睛运动脱敏和再加工（EMDR）：一个案例研究

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摘要

Posttraumatic Stress Disorder (PTSD) resulting from perpetration, is highly prevalent in forensic populations and has been associated with future risk of anger, aggressive behavior, and criminal recidivism. Since forensic psychiatry aims at reducing violence and recidivism, treatment of PTSD in this population is of great importance. Controlled studies to the feasibility and effectiveness of PTSD treatment within forensic populations are lacking. In five case studies, however, feasibility of EMDR is demonstrated in offenders with PTSD and comorbid disorders like psychosis or depression. The present case study aimed to expand this knowledge by describing the application of EMDR to a forensic psychiatric patient with a narcissistic personality disorder with antisocial and borderline features, and PTSD resulting from a murder he committed. Over the course of EMDR, PTSD symptoms (both established by clinical interview and self-report) decreased. Posttreatment, the patient did not meet the criteria for PTSD anymore. Importantly, results were maintained during eight months follow-up and no adverse events took place. The results of this case study offer strong support for a randomized controlled study.
机译：由于持续的造成的前后应激障碍（PTSD）在法医人群中普遍普遍，并且与未来的愤怒，侵略行为和犯罪累犯的风险有关。由于法医精神病学旨在减少暴力和累犯，因此在这种人群中的治疗PTSD是非常重要的。缺乏对应激群体治疗的可行性和有效性的对照研究。然而，在五个案例研究中，EMDR的可行性在具有PTSD和COMORBID疾病等精神病或抑郁症的罪犯中证明。本案例研究旨在通过描述EMDR向法医精神病患者的应用，具有自恋的人格障碍与反社会和边界特征，并从他承诺引起的谋杀案引起的谋杀。在EMDR的过程中，PTSD症状（由临床访谈和自我报告建立）减少。患者不再符合PTSD的标准了。重要的是，结果在八个月后维持，没有发生不良事件。本案研究的结果为随机对照研究提供了强大的支持。

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