Attachment to therapist, the working alliance, and emotional processing of traumatic material in session among Veterans diagnosed with posttraumatic stress disorder
فایل پیوست به درمانگر، اتحاد کار، و پردازش عاطفی از مواد آسیب زا در جلسه در میان جانبازان مبتلا به اختلال استرس پس از سانحه
:عنوان
Abstract: Combat related posttraumatic stress (PTSD) continues to be a pervasive phenomenon, and world-wide PTSD rates are rising. Although a number of treatment approaches are utilized to address traumatic stress, veterans diagnosed with this disorder often have PTSD symptoms decades after the original combat trauma. Emotional processing appears to be a critical component in most effective treatments for PTSD. However, many veterans are unable to engage in this activity. Theory and research suggest that a secure attachment to the therapist and a strong working alliance will facilitate readiness to process emotional material in session. Sixty-eight self-selecting veterans diagnosed with combat-related PTSD were administered the Client Attachment to Therapist Scale (CATS), the Working Alliance Inventory-Short Form (WAI-SF), the Post-traumatic Checklist-Military Version (PCL-M), the University of Rhode Island Change Assessment scale (URICA), and a demographic questionnaire to examine the possible associations between adult attachment, the working alliance, and readiness to process traumatic material in session. Results suggest that fostering a strong, secure emotional bond may play a central role in working with veterans with posttraumatic stress. Veterans’ attachment to their therapists appears to affect whether there will be agreement on the goals and tasks of therapy, as well as motivation to carry out these tasks. Motivational interviewing may be a useful tool to assist veterans in weighing the pros and cons of addressing their PTSD. Limitations of the study and future research were also discussed.
Keywords: Attachment,Posttraumatic stress disorder,Stage of change,Veterans, Working alliance
ترجمه چکیده : مبارزه با جانباز استرس پس از سانحه همچنان به صورت یک پدیده ای فراگیر و نرخ PTSD در سراسر جهان در حال افزایش است اگر چه تعدادی از روش های درمانی مورد استفاده برای رسیدگی به جانبازان استرس پس از سانحه مبتلا به این اختلال اغلب علائم PTSD دهه پس از تروما مبارزه با اصلی پردازش هیجانی به نظر می رسد یکی از اجزای مهم در درمانهای موثر برای PTSD با این حال بسیاری از جانبازان قادر به شرکت در این نظریه فعالیت و تحقیق می باشد نشان می دهد که دلبستگی ایمن به درمانگر و اتحاد قوی کار خواهد کرد آمادگی برای پردازش مواد عاطفی تسهیل in session Sixtyeight selfselecting veterans diagnosed with combatrelated PTSD were administered the Client Attachment to Therapist Scale CATS the Working Alliance InventoryShort Form WAISF the Posttraumatic ChecklistMilitary Version PCLM the University of Rhode Island Change Assessment scale URICA and a demographic questionnaire to examine the possible asso ciations between adult attachment the working alliance and readiness to process traumatic material in session Results suggest that fostering a strong secure emotional bond may play a central role in working with veterans with posttraumatic stress Veterans attachment to their therapists appears to affect whether there will be agreement on the goals and tasks of therapy as well as motivation to carry out these tasks Motivational interviewing may be a useful tool to assist veterans in weighing the pros and cons of addressing their PTSD Limitations of the study and future research were also discussed (این متن توسط ماشین ترجمه شده است لذا ممکن است نیاز به ویرایش داشته باشد)
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