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专家称灾难性事件后应给受灾群众安全感和归属感--亲稳网络舆情监控室
2012-08-10
灾害性事件发生后,人们如何判断自己心理上是否受到了干扰,或者是否需要进行治疗?首都医科大学附属北京安定医院心理危机与压力管理中心主任西英俊说,但凡是人,经历过重大突发性、灾难性事件都会有心理上的反应和生理上的反应。
The disaster after the incident,People how to judge their psychological if affected by the interference,Or whether to need treatment?The capital university of medical sciences, affiliated hospital of Beijing stability psychological crisis and stress management center director west handsome said,But every man,Experienced significant sudden、Catastrophic events will have psychological reaction and physical reaction。
心理反应包括惊恐、紧张、焦虑、担忧;生理反应方面可能表现出胃肠道不适、植物神经紊乱、睡眠问题、饮食问题。这些都是我们正常人经历突发事件以后会出现的反应,当然还会呈现出很多别的状态,具体到每个人的自身特点,比如躯体不适,还有急性应激障碍。后者则属于精神障碍的范畴。
Psychological reaction including alarmed、nervous、anxiety、concerns;Physiological reactions may show gastrointestinal discomfort、Plant nerve disorder、Sleep problems、diet。These are our normal person experience will be emergency response,Of course will also show many other state,Specific to each person's own characteristics,Such as body discomfort,And acute stress disorder。The latter belongs to the category of mental disorders。
西英俊说,一个月之内,如果当事人很明显地出现一些情况是跟所经历事件有关联的,比如说话多、情绪激动、又哭又闹,就是精神运动性兴奋;不讲话、运动迟滞,和别人少有交流,就是精神运动性抑制。还有一部分当事人表现得更为严重,就是在灾害发生的短暂时刻,可能会出现反应性精神病的表现,甚至出现幻觉、妄想,以及冲动性行为的精神病表现,这就是急性应激障碍的类型。
The handsome said,Within a month,If the parties obviously appear some situation is to experience events have correlation,Such as talk more、emotional、Cry and make,Athletic spirit is excited;Don't talk、Movement hysteresis,And others less communication,Spirit is athletic inhibition。As part of the parties were much more serious,Is in the disaster of the moment,May appear reaction of the mental performance,Even hallucinations、delusion,And it is the mental behavior performance,This is the type of acute stress disorder。
再有就是创伤后应激障碍(PTSD),这是近几年特别热门的精神科研究项目。
Another is the post-traumatic stress disorder(PTSD),This is particularly popular in recent years of psychiatric research project。
如果一个人精神异常超过一个月以后依然表现比较突出,临床症状跟这个灾难事件有明确关联,并且有三个核心症状:一是有不断反复的闯入性的回忆,包括一些当时的画面和感受不断在脑海里闪现,二是易被激惹,还有就是表现出回避性的反应、过敏性的反应,这就是创伤后应激障碍的核心症状。如果这些症状持续3个月,就是慢性创伤后应激障碍;如果灾难发生以后半年才出现,这就是延迟型的创伤后应激障碍。
If a personal mental disorder in more than a month later still more outstanding performance,Clinical symptoms with this disaster events have clear association,And there are three core symptoms:The first is constantly repeated into sexual memories,Include some of the pictures and the feeling was constantly in mind flash,2 it is easy to be seen,And it is also show elusion reaction、Allergic reaction,This is the core of post-traumatic stress disorder symptoms。If these symptoms for 3 months,Is chronic post-traumatic stress disorder;If the disaster after half a year to appear,This is the delay type of post-traumatic stress disorder。
西英俊说,还有一些其他和创伤性事件相关联的精神科方面的问题,包括抑郁症、抑郁状态,包括物质滥用和惊恐发作等,都可能会被一些灾难性事件诱发出来。
The handsome said,And some other and traumatic event the spirit of the KeFang associated problems,Including depression、Depression state,Including substance abuse and panic attacks, etc,All may be some catastrophic event evoked out。
上述情况出现时应该怎么办?西英俊认为,大部分经历过灾难性事件的当事人不会发展成为创伤后应激障碍,因为每个人天生都有自我修复的能力,每个人几乎都有他的社会资源可以运用,经过一段时间的沉淀,便可以从创伤中走出来,甚至比之前的自己更加强大,更加具有应对不堪的能力。
The above situation appear to should do?The handsome think,Most of the experience of the development of the catastrophic events will not be post-traumatic stress disorder,Because each born by the person who has the ability to repair itself,Everyone has his almost all social resources can be used,After a period of precipitation,He can go out from trauma,Even before the more powerful than yourself,More of the ability to deal with unbearable。
因为,人类也是生物的一种,就像鹿见到狮子、老虎会跑得很快,人也是这样,在灾难发生以后会动员所有的资源和力量,即便没有逃脱死亡命运,也会启动内在的所有力量与死亡抗争下去。对于情绪的把控,有时不需要你来教他如何保持镇定和沉着,事实上,很多人那时候就是处于镇定状态的。
because,Human is also a kind of creature,Like deer saw the lion、The tiger will run fast,So it is with people,After the disaster will mobilize all resources and power,Even though there is no escape from fate death,Will also start inner strength and death on all struggle。For the control of emotions,Sometimes don't need you to teach him how to keep calm and presence,In fact,A lot of people at that time is in the state of calm。
而对于有问题的当事人来说,就需要进行精神科方面的干预了,这个干预包括药物干预和心理学的干预。
And to have a problem for the party,They require KeFang spirit the intervention,This intervention includes drug intervention and the psychology intervention。
西英俊告诉大家,灾难发生以后,人的心理自我调整,与非灾难时出现心理问题需要自行调整是完全不一样的。非灾难时一个人出现的心理亚健康问题,我们看到的主要是内因,会建议他应该做点什么。但是在灾难之下,尤其是刚刚发生灾难以后带给人的心理冲击,有时候是不可抗拒的,不仅仅要看内因还要看外因。
The handsome tell you,After a disaster,The person's psychology adjust itself,With the disaster occurs when the psychological problems need to adjust the is completely different。The disaster when a person appears mental sub-health problem,We see the main cause is,Will suggest he should do something??????。But under the disaster,Especially just happen to people after the disaster of the psychological impact,Sometimes is irresistible,Not only to see to see the internal external cause。
“灾难性事件发生后的心理危机干预,一个取决于人的自我调整,但是在激进期,尤其需要社会力量,需要政府部门和各职能部门,给受灾群众以安全感和归属感,这个再怎么强调也不为过。”西英俊如是说。记者 黄哲雯
“Catastrophic event psychological crisis intervention,A depends on human ego adjustment,But in radical period,Especially need social power,Government departments need and the functional departments,Give the people affected by the disaster to security and belonging,This cannot emphasize too much。”The handsome said。Reporter HuangZheWen
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