โดย ผู้จัดการออนไลน์ | 21 กันยายน 2549 02:28 น. |
"With the World Health Report 2001 devoted to mental health, international health has never been more attentive to mental health than now. With this enhanced recognition have also come increased expectations and responsibilities, including the development of policy to mitigate the effects of natural disasters, armed conflict, war, and forced displcements. (p. 611)"
Let understand Post Traumatic Stress Disorder (PTSD) first before going to the point:
at http://en.wikipedia.org/wiki/PTSD
Post-traumatic stress disorder (PTSD) is a term for certain psychological consequences of exposure to, or confrontation with, stressful experiences that the person experiences as highly traumatic. [1] The experience must involve actual or threatened death, serious physical injury, or a threat to physical and/or psychological integrity. It is occasionally called post-traumatic stress reaction to emphasize that it is a routine result of traumatic experience rather than a manifestation of a pre-existing psychological weakness on the part of the patient.
It is possible for individuals to experience traumatic stress without manifesting Post-Traumatic Stress Disorder, as indicated in the Diagnostic and Statistical Manual of Mental Disorders.
Symptoms of PTSD can include the following: nightmares, flashbacks, emotional detachment or numbing of feelings (emotional self-mortification or dissociation), insomnia, avoidance of reminders and extreme distress when exposed to the reminders ("triggers"), irritability, hypervigilance, memory loss, and excessive startle response, clinical depression and anxiety, loss of appetite.
Regarding the interventions, basic counseling for PTSD includes education about the condition and provision of safety and support (Foa 1997). Cognitive therapy shows good results (Resick 2002), and group therapy may be helpful in reducing isolation and Stigma (Foy 2002).
Cognitive Therapy and/or Cognitive Behavioral Therapy most closely ally with the Scientist-Practitioner Model of Clinical Psychology, in which clinical practice and research is informed by a scientific perspective; clear operationalization of the "problem" or "issue;" an emphasis on measurement (and measurable changes in cognition and behavior); and measureable goal-attainment.
Some of the many benefits of group therapy:
Dyadic Developmental Psychotherapy is an effective and evidence-based treatment developed by Daniel Hughes, Ph.D., (Hughes, 2005, Hughes, 2004, Hughes, 2003; Hughes, 1997)(13-15). Its basic principles are described by Hughes (2003) and summarized as follows:
Weiss et al. (2003) said that "While the concept of PTSD is useful, it has dominated that study of many disaster and emergency responses. The better epidemiological literature highlights the need for a range of diagnotic assessments. Screening should ensure that there is a recognition of risk, adaptive responses and the common patterns of psychosocial morbidity and the contribution of background factors, both experiences and strengths and vulnerabilities. Posttraumatic growth should also be considered. (p. 612)"
"The social component of interventions should make appropriate use of local resources and promote active community participation, recognizing both local capacities and their limitations. Because most activities and resources are currently focused on clinical services, rather than community action, more attention to the latter to correct the imbalance may be required. Community-based supports should make use of group interactions to build or restore social networks, to help communities rebuild institutions and infrastructures, and to enable people to return to previous activities or develop acceptable alternatives. (p. 614)"
Thank you krab Khun Bright and Khun Seangia...
I will pack heap of self-management programming learnt from here in Australia...bring them back to help Thai populations soon on Dec.
Hoping to write some information later on.
No problem krab P' Dr. O+
I will definitely make publication of the knowledge in Thai when I start working in Bangkok on Dec krab.
Thank you for your comments and keep in touch always krab.