暴力袭击造成的创伤后应激障碍临床个案报告

Psychotherapy of Posttraumatic Stress Disorder Caused By Violence:A Case Study

目的分析暴力袭击造成的创伤后应激障碍形成的心理机制,探讨运用系统脱敏法,结合认知疗法与行为疗法中的放松训练,治疗暴力袭击造成的PTSD(创伤后应激障碍)的方法和步骤,为此类案例的临床治疗提供借鉴。方法采用访谈法、认知疗法,放松训练及系统脱敏法对一名暴力袭击造成的PTSD患者进行心理咨询与治疗。结果患者认识到PTSD发生的心理机制,在没有任何药物辅助的情况下,通过认知治疗、系统脱敏法及放松训练,患者社会功能与心理功能已经基本恢复。结论系统脱敏法结合认知疗法与放松训练,对暴力袭击造成的创伤后应激障碍的治疗有显著的临床疗效。

Objective To analyze the psychological mechanism of posttraumatic stress disorder caused by violence, explore the methods and procedure of PTSD by using systematic desensitization combined with cognitive therapy and muscle relaxation training of behavior therapy, to provide references for clinical therapy of posttraumatic stress disorder. Methods To adopt the method of interview, cognitive therapy, muscle relaxation training and systematic desensitization during the counseling and treatment of PTS- D. Results The client clearly knew the psychological mechanism of PTSD. Without any pharmaceutical, the client had already recovered from PTSD on her social function and psychological function through cognitive therapy, systematic desensitization and muscle relaxation training. Conclusion Systematic desensitization combined with cognitive therapy and muscle relaxation training take great effect on the treatment of PTSD caused by violence.