治疗长期悲伤障碍的意象重写：见解、实例和未来方向

IF 2 Q3 PSYCHIATRY

European Journal of Trauma & Dissociation Pub Date : 2024-06-24 DOI:10.1016/j.ejtd.2024.100435

Franziska Lechner-Meichsner , Paul A. Boelen , Muriel A. Hagenaars

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引用次数: 0

摘要

背景意象重描（ImRs）在过去几十年中受到越来越多的关注。事实证明，它能有效减轻焦虑症、饮食失调症和创伤后应激障碍等一系列精神障碍中与厌恶记忆相关的症状。鉴于其拟议的工作机制，ImRs 也可能是治疗长期悲伤障碍（PGD）的一种相关策略，其中负面评价、无助感和未满足的需求作为维持因素起着关键作用。方法我们针对 PGD 的几个核心主题提供了临床案例：（1）未履行的责任、自责和内疚；（2）第三方的失败、他责和愤怒；（3）未完成的事业、困扰的心灵和遗憾；（4）不尽人意的告别；（5）情感孤独；（6）自我认同的破碎和自我清晰度的降低。结果根据案例，我们说明了如何将 ImRs 应用于每个主题。结论我们希望激励临床医生应用 ImRs，并激励研究人员研究 ImRs 作为 PGD 的治疗策略。

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Imagery rescripting in the treatment of prolonged grief disorder: Insights, examples, and future directions

Background

Imagery Rescripting (ImRs) has received increasing attention in the past decades. It proved to be effective in reducing symptoms associated with aversive memories in a range of mental disorders, including anxiety disorders, eating disorders, and posttraumatic stress disorder. Given its proposed working mechanisms, ImRs may also be a relevant treatment strategy for prolonged grief disorder (PGD), where negative appraisals, helplessness, and unmet needs play a key role as maintaining factors.

Objective

We aimed to illustrate how ImRs may be used in the treatment of PGD.

Method

We present examples of clinical cases for several central themes in PGD: (1) Unfulfilled responsibilities, self-blame, and guilt; (2) Third-party failures, other-blame, and anger; (3) Unfinished businesses, troubled minds, and regrets; (4) Unsatisfactory goodbyes; (5) Emotional loneliness; 6) Shattered self-identity and reduced self-clarity.