Psychosis, Trauma and Dissociation

Psychosis, Trauma and Dissociation pdf epub mobi txt 电子书 下载 2026

出版者:Wiley
作者:Moskowitz, Andrew/ Schafer, Ingo/ Dorahy, Martin J., Ph.D.
出品人:
页数:380
译者:
出版时间:2009-1
价格:687.00元
装帧:
isbn号码:9780470511732
丛书系列:
图书标签:
  • 精神病学
  • 创伤
  • 解离
  • 心理治疗
  • 精神分析
  • 创伤知情护理
  • 心理健康
  • 临床心理学
  • 神经精神病学
  • 自我心理学
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具体描述

In the 100 years since Eugen Bleuler unveiled his concept of schizophrenia, which had dissociation at its core, the essential connection between traumatic life events, dissociative processes and psychotic symptoms has been lost. Psychosis, Trauma and Dissociation is the first book to attempt to reforge this connection, by presenting challenging new findings linking these now disparate fields, and by comprehensively surveying, from a wide range of perspectives, the complex relationship between dissociation and psychosis. A cutting-edge sourcebook, Psychosis, Trauma and Dissociation brings together highly-respected professionals working in the psychosis field with renowned clinicians and researchers from the fields of traumatic stress, dissociation and the dissociative disorders, and will be of interest to those working with or studying psychotic or dissociative disorders, as well as trauma-related conditions such as borderline personality disorder or complex post-traumatic stress disorder. It makes an invaluable contribution to the burgeoning literature on severe mental disorders and serious life events. The book has three sections: Connecting trauma and dissociation to psychosis - an exploration of the links between trauma, dissociation and psychosis from a wide range of historical and theoretical perspectives. Comparing psychotic and dissociative disorders - a presentation of empirical and clinical perspectives on similarities and differences between the two sets of disorders. Assessing and treating hybrid and boundary conditions - consideration of existing and novel diagnostic categories, such as borderline personality disorder and dissociative psychosis, that blend or border dissociative and psychotic disorders, along with treatment perspectives emphasising humanistic and existential concerns.

潜入心灵的幽暗深处:一场关于创伤、解离与身份重塑的深度探索 图书名称: 潜入心灵的幽暗深处:一场关于创伤、解离与身份重塑的深度探索 内容简介: 本书旨在为心理学研究者、临床治疗师以及所有对人类心智韧性与脆弱性抱有深切兴趣的读者,提供一个全面、深入且充满洞察力的框架,用以理解复杂性创伤(Complex Trauma)对个体自我结构、情绪调节能力以及人际关系模式所产生的持久性影响。我们聚焦于创伤经验如何在其发生之时,便开始重塑大脑的神经生物学通路,并最终在成年后的生活中,以解离症状、情感失调乃至边缘性人格特征等形式显现出来。 第一部分:创伤的底层逻辑与神经生物学回响 本部分将深入剖析童年期早期、长期且反复发生的创伤事件——如系统性的忽视、虐待或依恋创伤——如何从根本上影响心智的发展轨迹。我们不满足于对创伤事件的简单描述,而是着重探讨“生命早期逆境”(Early Life Adversity, ELA)如何通过以下机制改变个体: 1. 压力反应系统的失调(HPA轴与自主神经系统): 我们将详细考察持续的威胁感知如何导致下丘脑-垂体-肾上腺(HPA)轴的慢性激活或耗竭,进而影响皮质醇水平的昼夜节律和应激耐受阈值。书中将特别引入Polygala理论(Polygala Theory of Stress Response),阐述在缺乏安全感环境中,个体如何发展出超强警觉(Hypervigilance)或完全的“冻结”状态(Freeze Response),这与急性应激反应的“战或逃”模式存在本质区别。 2. 依恋理论的再审视: 传统的依恋理论(安全型、回避型、矛盾型)不足以完全解释复杂性创伤的后果。本书将引入“紊乱型依恋”(Disorganized Attachment)的深入分析,探讨当主要照料者既是安慰的来源又是恐惧的源头时,婴幼儿大脑如何构建出无法整合的内在工作模型(Internal Working Models)。我们将探讨这些模型如何演变为成年后在亲密关系中的矛盾、恐惧与回避的循环。 3. 记忆的碎片化与情景重现: 创伤记忆并非如普通记忆般被整合到自传体记忆中,而是以片段化、感官化的“闪回”或躯体感觉的形式存在。本书将结合闪回记忆理论(Flashbulb Memory Theory in Trauma),解释为何某些特定的感官输入(气味、声音、光线)能瞬间绕过认知审查,将个体“拉回”到创伤发生的当下时刻。 第二部分:解离的频谱与自我结构的瓦解 解离(Dissociation)是心智在面对无法承受的痛苦时所采取的一种生存策略。本书将解离视为一个连续光谱,而非一个非此即彼的二元状态。我们致力于区分生理性解离(如恍惚、麻木)与心理性解离(如人格解体、现实解离)。 1. 连续体上的解离症状: 我们将详细描绘从日常的“走神”到严重的边缘性解离(Borderline Dissociation),再到复杂性创伤幸存者中常见的结构性解离(Structural Dissociation)之间的过渡。本书将聚焦于解离如何影响时间感、身体的感知以及“自我”的统一性。 2. 躯体化与情绪调节障碍: 创伤往往“储存在身体里”。我们将探讨“身体记忆”(Body Memories)的概念,阐述创伤如何导致自主神经系统持续处于激活状态,表现为慢性疼痛、纤维肌痛或其他不明原因的躯体化症状。情绪调节(Affect Regulation)的失败,表现为极端的易怒、情绪风暴或情感的彻底麻木(Numbing),是解离的直接后果。 3. 身份的“多重性”: 针对复杂的身份认同问题,本书将避免使用具有误导性的术语,而是采用“自我状态”(Ego States)或“部分心智”(Parts of the Mind)的框架来描述那些功能性地被分离、但并非完全独立的人格部分。这些部分分别承载着不同的情绪、记忆和应对策略(如“保护者”、“受害者”、“疏离者”)。理解这些部分间的内部冲突,是整合过程的关键。 第三部分:整合与疗愈的路径:从稳定到重塑 本书的最终目标是提供一个清晰、循序渐进的临床整合模型,强调疗愈的阶段性与患者自主性的重要性。我们坚信,真正的疗愈不是消除症状,而是将碎片化的经验整合入一个更具适应性的、连贯的生命叙事中。 1. 稳定化优先:基础的堡垒构建: 在处理创伤记忆或深度解离之前,首要任务是建立“内在稳定化”。这包括: 情绪容忍度训练: 引入DBT(辩证行为疗法)中的技能,如“苦乐自知”和“情绪命名”,帮助个体在不被情绪淹没的情况下感知和体验感受。 身体接地技术(Grounding Techniques): 侧重于使用五感来锚定当前时刻,对抗现实解离。 边界设置与安全感的重建: 强调在治疗关系内外建立清晰、可预测的安全结构。 2. 创伤处理的精准时机: 只有在个体具备足够的内部资源和外部支持时,才应谨慎地处理创伤核心记忆。我们将讨论“双重觉知”(Dual Awareness)技术的重要性,即患者在处理痛苦记忆的同时,仍能保持对当下安全环境的觉察。 3. 叙事整合与意义重构: 疗愈的最高阶段在于将创伤经历从一个持续的“正在发生”的威胁,转化为一个“已经发生”的、虽然痛苦但已完成的生命事件。这涉及: 发展新的叙事: 将“受害者”身份转化为“幸存者”身份,识别并命名自己为痛苦中采取的积极应对策略(即使当时是适应不良的)。 超越“功能正常”: 探讨如何从仅仅“不被症状困扰”的状态,迈向真正的“蓬勃发展”(Post-Traumatic Growth),发现创伤经验带来的新的价值观、更深的人际联结和更强的自我认知。 本书特色: 本书的撰写严格基于现象学描述和临床经验观察,结合最前沿的神经科学发现,但始终保持对受苦者内在经验的深刻尊重。我们避免过度理论化,力求将复杂的心理过程转化为清晰、可操作的临床洞察。本书不仅关注病理,更着眼于人类心灵在极端压力下所展现出的惊人潜能和恢复力。它是一份地图,指引我们穿越心智深处的迷雾,最终抵达整合与自我接纳的彼岸。

作者简介

Dr. Andrew Moskowitz, Clinical Senior Lecturer, University of Aberdeen, UK

Ingo Schäfer, M.D., Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf, Germany

Martin Justin Dorahy, Department of Psychology, University of Canterbury, Christ Church, New Zealand

目录信息

Chapter 1 Historical Conceptions of Dissociation and Psychosis: Nineteenth and Early Twentieth Century Perspectives on Severe Psychopathology (pages 7–20): Warwick Middleton, Martin J. Dorahy and Andrew Moskowitz
Chapter 2 Hysterical Psychosis: A Historical Review and Empirical Evaluation (pages 21–33): Eliezer Witztum and Onno van der Hart
Chapter 3 Association and Dissociation in the Historical Concept of Schizophrenia (pages 35–49): Andrew Moskowitz
Chapter 4 Ego?Fragmentation in Schizophrenia: A Severe Dissociation of Self?Experience (pages 51–64): Christian Scharfetter
Chapter 5 Delusional Atmosphere, The Psychotic Prodrome and Decontextualized Memories (pages 65–78): Andrew Moskowitz, Lynn Nadel, Peter Watts and W. Jake Jacobs
Chapter 6 The Complex Overlap between Dissociation and Schizotypy (pages 79–89): Timo Giesbrecht and Harald Merckelbach
Chapter 7 Pierre Janet on Hallucinations, Paranoia and Schizophrenia (pages 91–103): Andrew Moskowitz, Gerhard Heim, Isabelle Saillot and Vanessa Beavan
Chapter 8 From Hysteria to Chronic Relational Trauma Disorder: The History of Borderline Personality Disorder and its Links with Dissociation and Psychosis (pages 105–115): Elizabeth Howell
Chapter 9 An Attachment Perspective on Schizophrenia: The Role of Disorganized Attachment, Dissociation and Mentalization (pages 117–133): Giovanni Liotti and Andrew Gumley
Chapter 10 Childhood Trauma in Psychotic and Dissociative Disorders (pages 135–150): Ingo Schafer, Colin A. Ross and John Read
Chapter 11 Dissociative Symptoms in Schizophrenia (pages 151–163): Ingo Schafer, Volkmar Aderhold, Harald J. Freyberger and Carsten Spitzer
Chapter 12 Psychotic Symptoms in Complex Dissociative Disorders (pages 165–175): Vedat Sar and Erdinc Ozturk
Chapter 13 Advances in Assessment: The Differential Diagnosis of Dissociative Identity Disorder and Schizophrenia (pages 177–189): Marlene Steinberg and Harold D. Siegel
Chapter 14 Cognitive Perspectives on Dissociation and Psychosis: Differences in the Processing of Threat? (pages 191–207): Martin J. Dorahy and Melissa J. Green
Chapter 15 Depersonalization Disorder and Schizotypal Personality Disorder (pages 209–220): Daphne Simeon and Holly K. Hamilton
Chapter 16 Contributions of Traumatic Stress Studies to the Neurobiology of Dissociation and Dissociative Disorders: Implications for Schizophrenia (pages 221–238): Eric Vermetten, Ruth Lanius and J. Douglas Bremner
Chapter 17 Treating Dissociative and Psychotic Disorders Psychodynamically (pages 239–253): Valerie Sinason and Ann?Louise S. Silver
Chapter 18 Dissociative Psychosis: Clinical and Theoretical Aspects (pages 255–269): Onno van der Hart and Eliezer Witztum
Chapter 19 Trauma?Based Dissociative Hallucinosis: Diagnosis and Treatment (pages 271–280): Barry Nurcombe, James G. Scott and Mary E. Jessop
Chapter 20 Dissociative Schizophrenia (pages 281–294): Colin A. Ross
Chapter 21 The Role of Double Binds, Reality?Testing and Chronic Relational Trauma in the Genesis and Treatment of Borderline Personality Disorder (pages 295–306): Ruth A. Blizard
Chapter 22 Pharmacotherapy in the Collaborative Treatment of Trauma?Induced Dissociation and Psychosis (pages 307–318): Thomas Rudegeair and Susie Farrelly
Chapter 23 Accepting and Working with Voices: The Maastricht Approach (pages 319–332): Dirk Corstens, Sandra Escher and Marius Romme
Chapter 24 Dissociation, Psychosis and Spirituality: Whose Voices are we Hearing? (pages 333–345): Patte Randal, Jim Geekie, Ingo Lambrecht and Melissa Taitimu
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