An archetypal approach to treating combat post-traumatic stress disorder

R. Brook
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Abstract

Jungian model of psychotherapeutic work with veterans is presented. Universal – archetypal – topics evident in the traditions of many warrior cultures are singled out: acceptance of one’s destiny as a warrior, making peace with the dead or killed, restoration of honour to the enemy, etc.; moral and spiritual traumas of war are discussed. A relatively low value of emotional catharsis in the clinical perspective of trauma is stressed – together with the importance of witnessing the experience of trauma from the side of a non-joudgmental and devoted person. Concentration on a mere eradication of a symptom is shown as a reductionist attidude of a professional and such that is experienced as disrespectful and immoral from the side of a veteran. The task of a health care professional is described as acceptance of a «shadow» side of a warrior’s drives, of the reality of evil and destruction but beyond the context of epistemologic or psychiatric frames. Meanwhile, being diagnosed with PTSD leads, in the author’s opinion, to social marginalization of a veteran together with civil society impotence as «a psychic disease» is to be treated by health care professionals. Posttraumatic symptoms are viewed in the context of a psychic function that they can play as well as a call to «the warrior’s path», a moral and spiritual journey of a veteran to a deepened and more engaged life. Following Jung, the author offers to use the experience of individuation that includes psychological spaciousness, self-acceptance, greater responsibility for their conduct, and a meaningful position in the wider society. The understandable, but misguided strategy evident in the western society to adoin discussions about war is highlighted. The author warns that undivided traumatic experience may influence the warrior indirectly causing intergenerational breakdown and persistent dissociated trauma.
这是治疗创伤后应激障碍的典型方法
荣格模式的心理治疗工作与退伍军人提出。在许多战士文化的传统中,普遍的-原型-主题被挑出来:接受自己作为战士的命运,与死者或被杀者和平相处,恢复敌人的荣誉等等;讨论了战争的道德和精神创伤。从创伤的临床角度来看,情感宣泄的价值相对较低,同时强调从一个不评判和忠诚的人的角度见证创伤经历的重要性。专注于仅仅根除一种症状表现为一种专业人士的简化主义态度,这种态度从退伍军人的角度来看是不尊重和不道德的。卫生保健专业人员的任务被描述为接受战士驱力的“阴影”一面,接受邪恶和毁灭的现实,但超越了认识论或精神病学框架的背景。同时,提交人认为,被诊断患有创伤后精神紧张性精神障碍会导致退伍军人被社会边缘化,再加上在民间社会被视为"精神疾病"的阳痿,必须由卫生保健专业人员治疗。创伤后症状被认为是一种精神功能,它们可以发挥作用,也可以召唤“战士之路”,这是一段退伍军人走向更深入、更投入生活的道德和精神之旅。继荣格之后,作者提出使用个性化的经验,包括心理空间,自我接受,对自己的行为更大的责任,以及在更广泛的社会中有意义的地位。书中强调了西方社会在讨论战争时明显存在的可以理解但被误导的策略。作者警告说,未分离的创伤经历可能会间接影响战士,导致代际崩溃和持续的分离性创伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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