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Cultural concepts of distress and complex PTSD: Future directions for research and treatment
Clinical Psychology Review ( IF 12.8 ) Pub Date : 2022-03-07 , DOI: 10.1016/j.cpr.2022.102143
Eva Heim 1 , Thanos Karatzias 2 , Andreas Maercker 3
Affiliation  

Complex post-traumatic stress disorder (CPTSD) was introduced as a new diagnostic category in ICD-11. It encompasses PTSD symptoms along with disturbances in self-organisation (DSO), i.e., affect dysregulation, negative self-concept, and disturbances in relationships. Quantitative research supports the validity of CPTSD across different cultural groups. At the same time, evidence reveals cultural variation in the phenomenology of PTSD, which most likely translates into cultural variation with regard to DSO. This theoretical review aims to set the ground for future research on such cultural aspects in the DSO. It provides a theoretical introduction to cultural clinical psychology, followed by a summary of evidence on cultural research related to PTSD and DSO. This evidence suggests that the way how DSO symptoms manifest, and the underlying etiological processes, are closely intertwined with cultural notions of the self, emotions, and interpersonal relationships and interpersonal relationships. We propose directions for future research and implications for culturally sensitive clinical practice.



中文翻译:

痛苦和复杂创伤后应激障碍的文化概念:研究和治疗的未来方向

复杂的创伤后应激障碍 (CPTSD) 作为 ICD-11 中的一个新诊断类别被引入。它包括 PTSD 症状以及自我组织障碍 (DSO),即情绪失调、消极自我概念和人际关系障碍。定量研究支持 CPTSD 在不同文化群体中的有效性。同时,证据揭示了 PTSD 现象学中的文化差异,这很可能转化为 DSO 的文化差异。本理论回顾旨在为 DSO 中此类文化方面的未来研究奠定基础。它提供了对文化临床心理学的理论介绍,然后总结了与 PTSD 和 DSO 相关的文化研究的证据。这一证据表明 DSO 症状的表现方式,以及潜在的病因过程,与自我、情感、人际关系和人际关系的文化观念密切相关。我们提出了未来研究的方向和对文化敏感的临床实践的影响。

更新日期:2022-03-07
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