|
Trauma models of mental disorders (alternatively called trauma models of psychopathology) emphasize the effects of psychological trauma, particularly in early development, as the key causal factor in the development of some or many psychiatric disorders, or a vulnerability for depression and anxiety, in addition to trauma as an adult as in posttraumatic stress disorder. Trauma models are typically founded on the view that traumatic experiences (including but not limited to actual physical or sexual abuse) are more common or more serious than thought in the histories of those diagnosed with mental disorders. Such models have traditionally been associated with psychoanalytic approaches, notably Sigmund Freud's early ideas on childhood sexual abuse and hysteria. John Bowlby, who developed attachment theory, also describes the negative mental health consequences, based on his observations, of the effects on infants and young children when a positive relationship with a caregiver is lacking.〔Cassidy, J., & Shaver, P., (Eds). (1999) ''Handbook of Attachment: Theory, Research, and Clinical Applications''. Guilford Press, NY〕 In addition there is significant research supporting the linkage between early experiences of chronic maltreatment and later problems.〔Main, M. & Hesse, E. (1990). "Parents' unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism?" In Greenberg, M., Cicchetti, D., and Cummings, M. (Eds.), ''Attachment In The Preschool Years: Theory, Research, and Intervention''. Chicago: University of Chicago Press.〕 In the 1960s trauma models also became associated with humanist and anti-psychiatry approaches, particularly in regard to understanding schizophrenia and the role of the family. Personality disorders have also been a focus, particularly borderline personality disorder. Extreme versions of trauma models have implicated the fetal environment and the trauma of being born, or have been associated with recovered memory controversies. More generally, trauma models highlight particularly stressful and traumatic factors in early attachment relations and in the development of mature interpersonal relationships. They are often presented as a counterpoint to a psychiatry claimed to be too focused on genetics, neurochemistry and medication. ==History== In the 1940s, '50s, '60s and '70s some mental health professionals proposed trauma models to understand schizophrenia: Harry Stack Sullivan, Frieda Fromm-Reichmann, Theodore Lidz, Gregory Bateson, Silvano Arieti, R.D. Laing and others. They held that schizophrenia is induced by experiences in profoundly disturbed families, or by attempts to cope with a damaging society. In the 1950s Sullivan's theory that schizophrenia is related to interpersonal relationships was widely accepted in the United States. The Diagnostic and Statistical Manual of Mental Disorders, or DSM, does not claim that the specific etiology of schizophrenia and other serious psychoses has been established. However, the psychogenic models proposed by these early researchers such as the "schizophrenogenic mother" are no longer accepted in the psychiatric profession. Since the 1960s pharmacological treatments became the increasing focus of psychiatry, and by the 1980s the theory that the family dynamics could be implicated in schizophrenia became unacceptable in Germany. Before his death in 2001, aged ninety, Lidz, one of the main proponents of the "schizophrenogenic" parents theory, expressed regret that current research in biological psychiatry is "barking up the wrong tree".〔() – article on Theodore Lidz〕 Like Lidz, Laing maintained until his death that the cause of both schizoid personalities and schizophrenia was influenced by family relationships. In 1975 Silvano Arieti won the American National Book Award in the field of science for his book, ''Interpretation of Schizophrenia'', which advances a psychological model for understanding all the regressive types of the disorder.〔(associazionesilvanoarieti.org ) – page on Arieti (mostly in Italian)〕 According to more recent research, child abuse at home plays a causal role in depression, PTSD, eating disorders, substance abuse and dissociative disorders. The more severe the abuse the more probability symptoms will develop in adult life. In the psychiatric field it is hypothesized that child abuse is less related to the most serious psychoses, such as schizophrenia. However, some mental health professionals maintain that the relationship is stronger in psychoses than neuroses. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「trauma model of mental disorders」の詳細全文を読む スポンサード リンク
|