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Brief Eclectic Psychotherapy for Moral Trauma (BEP-MT): treatment protocol description and a case study.
European journal of psychotraumatology Pub Date : 2021-07-05 , DOI: 10.1080/20008198.2021.1929026
Simone M de la Rie 1 , Antoine van Sint Fiet 1 , Jannetta B A Bos 1 , Nora Mooren 1 , Geert Smid 1, 2 , Berthold P R Gersons 1, 3
Affiliation  

Background: Traumatic events can be related to severe transgressions or violations of moral boundaries. Moral injury (MI) has been described as 'the lasting psychological, biological, spiritual, behavioral and social impact of perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations.' These events can provoke emotions such as remorse, guilt and shame, and affects someone's self-image and identity. Objective: The aim of the study is to evaluate a treatment protocol that addresses the specific characteristics of moral trauma in treatment of PTSD, next to anxiety. Method: Brief Eclectic Psychotherapy for Moral Trauma (BEP-MT) is an adaptation of the evidence-based Brief Eclectic Psychotherapy for PTSD (BEPP). BEP-MT integrates components of cognitive-behavioural, psychodynamic, constructivist, and systemic psychotherapy. In the current study treatment progress of a refugee Dusan was monitored. Prior to and after treatment the Clinical-Administered PTSD Scale for DSM-5, the PTSD Checklist (PCL-5), the Brief Symptom Inventory (BSI) and the Moral Injury Appraisal Scale (MIAS) were administered. Every session moral emotions were assessed on a Likert scale. Results: Whereas PTSD complaints and strong feelings of guilt and shame were manifest prior to treatment, during BEP MT a gradual decline in the intensity of the moral emotions was found. After BEP-MT Dusan no longer met criteria for PTSD and his psychological complaints diminished. Conclusion: The case of Dusan has shown it is worthwhile to address moral trauma and BEP- MT is a promising treatment protocol for patients suffering from PTSD after moral trauma. Further research is needed to examine the effectiveness of BEP-MT.

中文翻译:

道德创伤的简要折衷心理治疗 (BEP-MT):治疗方案描述和案例研究。

背景:创伤事件可能与严重的违法行为或违反道德界限有关。道德伤害 (MI) 被描述为“实施、未能预防或见证违反根深蒂固的道德信仰和期望的行为所造成的持久的心理、生物、精神、行为和社会影响。” 这些事件会激起悔恨、内疚和羞愧等情绪,并影响一个人的自我形象和身份认同。目的:本研究的目的是评估一种治疗方案,该方案在治疗 PTSD 时解决道德创伤的具体特征,仅次于焦虑。方法:针对道德创伤的简要折衷心理治疗 (BEP-MT) 是对基于证据的针对 PTSD 的简要折衷心理治疗 (BEPP) 的改编。BEP-MT 整合了认知行为、心理动力学、建构主义和系统性心理治疗。在目前的研究中,监测了难民杜桑的治疗进展。在治疗之前和之后,对 DSM-5 的临床管理的 PTSD 量表、PTSD 检查表 (PCL-5)、简要症状清单 (BSI) 和道德伤害评估量表 (MIAS) 进行了管理。每节课的道德情绪都按照李克特量表进行评估。结果:虽然 PTSD 投诉和强烈的内疚感和羞耻感在治疗前表现出来,但在 BEP MT 期间,发现道德情绪的强度逐渐下降。在 BEP-MT 之后,Dusan 不再符合 PTSD 的标准,他的心理抱怨也减少了。结论:Dusan 的案例表明解决道德创伤是值得的,BEP-MT 是道德创伤后患有 PTSD 患者的一种有前途的治疗方案。
更新日期:2021-07-05
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