Understanding and treating complicated grief: What can we learn from posttraumatic stress disorder?

被引:23
作者
Ehlers, Anke [1 ]
机构
[1] Kings Coll London, Inst Psychiat, Dept Psychol, London SE5 8AF, England
基金
英国惠康基金;
关键词
cognitive model; complicated grief; posttraumatic stress disorder; traumatic grief;
D O I
10.1111/j.1468-2850.2006.00015.x
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The article outlines possible parallels between the phenomenology and treatment of complicated grief (CG) and posttraumatic stress disorder ( PTSD). In particular, it explores how treatment procedures used in Cognitive Therapy for PTSD (Ehlers & Clark, 2000) may be adapted for the treatment of CG. Stimulus Discrimination may be helpful in breaking the link between everyday triggers and "felt presence" memories of the deceased. Memory Updating procedures may help the patient accept that the deceased is no longer alive and no longer suffering. Reclaiming your Life procedures may help the patient access autobiographical memories that are not linked to the deceased and counteract beliefs about the value of life without the deceased. The article further addresses the necessity of specifying the idiosyncratic beliefs that prevent coming to terms with the death, of understanding the relationship between beliefs and coping strategies, and of distinguishing memories from rumination.
引用
收藏
页码:135 / 140
页数:6
相关论文
共 11 条
[1]   A cognitive-behavioral conceptualization of complicated grief [J].
Boelen, Paul A. ;
van den Hout, Marcel A. ;
van den Bout, Jan .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2006, 13 (02) :109-128
[2]   STIMULUS-CONTROL APPLICATIONS TO THE TREATMENT OF WORRY [J].
BORKOVEC, TD ;
WILKINSON, L ;
FOLENSBEE, R ;
LERMAN, C .
BEHAVIOUR RESEARCH AND THERAPY, 1983, 21 (03) :247-251
[3]   The construction of autobiographical memories in the self-memory system [J].
Conway, MA ;
Pleydell-Pearce, CW .
PSYCHOLOGICAL REVIEW, 2000, 107 (02) :261-288
[4]   Cognitive therapy for post-traumatic stress disorder: development and evaluation [J].
Ehlers, A ;
Clark, DM ;
Hackmann, A ;
McManus, F ;
Fennell, M .
BEHAVIOUR RESEARCH AND THERAPY, 2005, 43 (04) :413-431
[5]   Posttraumatic stress disorder following political imprisonment: The role of mental defeat, alienation, and perceived permanent change [J].
Ehlers, A ;
Maercker, A ;
Boos, A .
JOURNAL OF ABNORMAL PSYCHOLOGY, 2000, 109 (01) :45-55
[6]   Intrusive re-experiencing in post-traumatic stress disorder: Phenomenology, theory, and therapy [J].
Ehlers, A ;
Hackmann, A ;
Michael, T .
MEMORY, 2004, 12 (04) :403-415
[7]   A cognitive model of posttraumatic stress disorder [J].
Ehlers, A ;
Clark, DM .
BEHAVIOUR RESEARCH AND THERAPY, 2000, 38 (04) :319-345
[8]   A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessments as early interventions for posttraumatic stress disorder [J].
Ehlers, A ;
Clark, DM ;
Hackmann, A ;
McManus, F ;
Fennell, M ;
Herbert, C ;
Mayou, R .
ARCHIVES OF GENERAL PSYCHIATRY, 2003, 60 (10) :1024-1032
[9]  
EVANS C, IN PRESS J TRAUMATIC
[10]   AUTOBIOGRAPHICAL MEMORY DISTURBANCE IN COMBAT-RELATED POSTTRAUMATIC-STRESS-DISORDER [J].
MCNALLY, RJ ;
LASKO, NB ;
MACKLIN, ML ;
PITMAN, RK .
BEHAVIOUR RESEARCH AND THERAPY, 1995, 33 (06) :619-630