{"title":"创伤性丧亲:创伤和悲伤的复杂协同作用。","authors":"Yuval Neria, Brett T Litz","doi":"10.1080/15325020490255322","DOIUrl":null,"url":null,"abstract":"<p><p>When people lose intimates unexpectedly, in particular from malicious acts of violence, they are at risk for chronic grief reactions. The phenomenology, clinical symptoms, clinical needs, and risk factors associated with loss by traumatic means and the combined influences of loss and trauma exposure are yet to be systematically studied. We review the complex interplay between trauma and loss by traumatic means. The distinctions between normal and traumatic loss, and complicated and traumatic grief, are contrasted with the traditional conceptualization of posttraumatic stress disorder. The role of various mediators such as concurrent or life-span trauma exposure and interpersonal factors, particularly the degree of attachment to the individual or group traumatically lost, is discussed. We offer a more integrated and focused view of traumatic grief, its predictors, and future directions for the integrative study of trauma and loss outcomes.</p>","PeriodicalId":47527,"journal":{"name":"Journal of Loss & Trauma","volume":"9 1","pages":"73-87"},"PeriodicalIF":2.5000,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15325020490255322","citationCount":"122","resultStr":"{\"title\":\"BEREAVEMENT BY TRAUMATIC MEANS: THE COMPLEX SYNERGY OF TRAUMA AND GRIEF.\",\"authors\":\"Yuval Neria, Brett T Litz\",\"doi\":\"10.1080/15325020490255322\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>When people lose intimates unexpectedly, in particular from malicious acts of violence, they are at risk for chronic grief reactions. The phenomenology, clinical symptoms, clinical needs, and risk factors associated with loss by traumatic means and the combined influences of loss and trauma exposure are yet to be systematically studied. We review the complex interplay between trauma and loss by traumatic means. The distinctions between normal and traumatic loss, and complicated and traumatic grief, are contrasted with the traditional conceptualization of posttraumatic stress disorder. The role of various mediators such as concurrent or life-span trauma exposure and interpersonal factors, particularly the degree of attachment to the individual or group traumatically lost, is discussed. We offer a more integrated and focused view of traumatic grief, its predictors, and future directions for the integrative study of trauma and loss outcomes.</p>\",\"PeriodicalId\":47527,\"journal\":{\"name\":\"Journal of Loss & Trauma\",\"volume\":\"9 1\",\"pages\":\"73-87\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2004-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1080/15325020490255322\",\"citationCount\":\"122\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Loss & Trauma\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/15325020490255322\",\"RegionNum\":4,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, SOCIAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Loss & Trauma","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/15325020490255322","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, SOCIAL","Score":null,"Total":0}
BEREAVEMENT BY TRAUMATIC MEANS: THE COMPLEX SYNERGY OF TRAUMA AND GRIEF.
When people lose intimates unexpectedly, in particular from malicious acts of violence, they are at risk for chronic grief reactions. The phenomenology, clinical symptoms, clinical needs, and risk factors associated with loss by traumatic means and the combined influences of loss and trauma exposure are yet to be systematically studied. We review the complex interplay between trauma and loss by traumatic means. The distinctions between normal and traumatic loss, and complicated and traumatic grief, are contrasted with the traditional conceptualization of posttraumatic stress disorder. The role of various mediators such as concurrent or life-span trauma exposure and interpersonal factors, particularly the degree of attachment to the individual or group traumatically lost, is discussed. We offer a more integrated and focused view of traumatic grief, its predictors, and future directions for the integrative study of trauma and loss outcomes.
期刊介绍:
In one forum, Journal of Loss and Trauma brings together scholarship on personal losses relating to family, health, and aging issues. The journal addresses issues dealing with psychological and physical health and interpersonal losses relative to extended family, community life, and society as a whole. In order to broaden the reader"s perspective on loss and bereavement, the journal defines loss as a major reduction in a person"s resources, whether personal, material, or symbolic, to which the person was emotionally attached. Types of loss covered include: death and dying; dissolution and divorce; loss of employment; life-threatening diseases and long-term disability; loss of possessions; homelessness.