ABSTRACT

Co-occurring posttraumatic stress disorder (PTSD) and substance use disorders (SUD) following combat exposure affects a significant proportion of military veterans. Guilt and shame are common to PTSD-SUD, suggesting a possible role as a mechanism underlying both disorders. Cultivating self-compassion (SC) among veterans is a logical approach to treating guilt and shame. The purpose of this article is threefold: (a) present scientific theories of SC in the veteran population with emphasis on PTSD, substance use, and guilt and shame; (b) present a case study that highlights how self-compassion-focused treatment (SCFT) can be utilized in a group format with veterans with PTSD-SUD and posttraumatic guilt; and (c) discuss implications of our findings for refining SCFT within a group intervention setting among this population and for future research.

 抽象的

战斗暴露后同时发生的创伤后应激障碍（PTSD）和药物使用障碍（SUD）影响了很大一部分退伍军人。内疚和羞耻感在 PTSD-SUD 中很常见，这表明这可能是这两种疾病的潜在机制。培养退伍军人的自我同情心（SC）是治疗内疚和羞耻感的合理方法。本文的目的有三个：(a) 提出退伍军人群体中 SC 的科学理论，重点关注 PTSD、药物滥用、内疚和羞耻； (b) 提出一个案例研究，强调如何以小组形式对患有 PTSD-SUD 和创伤后内疚感的退伍军人使用自我同情中心治疗 (SCFT)； (c) 讨论我们的研究结果对于在该人群的群体干预环境中完善 SCFT 以及对未来研究的影响。