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Working the Double Edge: Unbraiding Pathology and Resiliency in the Narratives of Early-Recovery Trauma Survivors

机译:发挥双重优势:在早期恢复创伤幸存者的叙事中展现病理学和韧性

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摘要

The purposes of this article are to (a) document salient characteristics and dilemmas of early recovery from complex trauma as evidenced in the narratives of 20 trauma survivors in treatment; (b) identify sources and expressions of resiliency that may coexist, and indeed be intertwined, with severe psychopathology; and (c) consider what the narratives tell us that therapists might need to know as they approach the task of offering help to traumatized patients in the relational context of psychotherapy. Using a grounded theory analysis of interview transcripts of survivors, preludes to vulnerability (i.e., experiences and circumstances that portend of harm and set the stage for recurrent and extreme abuse) are discussed. The ways in which self-experience and identity development can become corrupted by recurrent trauma are presented. Narrative analysis reveals that adaptations to trauma are typically both pathogenic and suggestive of resilient capacities that may be mined in the service of functionality, and recovery.
机译:本文的目的是(a)记录复杂创伤中早期恢复的显着特征和困境,如20名正在治疗的创伤幸存者的叙述所证明的那样; (b)确定可能与严重的精神病理学共存甚至相互交织的复原力的来源和表现形式; (c)考虑叙述如何告诉我们,治疗师在心理治疗的关系背景下接近为受创伤的患者提供帮助的任务时可能需要知道。使用对幸存者访谈笔录的扎实理论分析,讨论了脆弱性的前奏(即表明危害的经验和情况并为反复和极端虐待奠定了基础)。提出了通过反复创伤破坏自我体验和身份发展的方式。叙事分析表明,对创伤的适应通常既是致病性的,又暗示了可以在功能和恢复中挖掘出来的弹性能力。

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