[1]江茜茜,朱云程,季卫东.精神分析疗法治疗儿童睡行症1 例报告[J].南方医科大学学报,2019,(05):505.[doi:10.12122/j.issn.1673-4254.2019.05.01]
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精神分析疗法治疗儿童睡行症1 例报告()
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《南方医科大学学报》[ISSN:1673-4254/CN:44-1627/R]

卷:
期数:
2019年05期
页码:
505
栏目:
出版日期:
2019-05-15

文章信息/Info

Title:
Psychoanalytic therapy for a child with somnambulism: a case report
作者:
江茜茜朱云程季卫东
关键词:
儿童睡行症心理治疗分离性焦虑障碍
Keywords:
children somnambulism psychotherapy separation anxiety disorder
DOI:
10.12122/j.issn.1673-4254.2019.05.01
摘要:
睡行症是一种意识分裂的状态,由觉醒受损引起,属于半梦半醒状态,目前尚无有效的方法和药物来治疗儿童睡行症。我 们报告1例儿童睡行症患者,该4岁半女童1周内每晚都有与分离焦虑障碍相关的睡行现象。经过正式的评估和适当的干预, 症状在1周内消失。治疗过程经历了五个阶段:疾病诊断、建立信任关系、信息收集、监督和个性化心理治疗。梦游作为一种特 殊的梦的形式,可以通过观察儿童梦游的表现方式收集到足够的信息,并从其父母的精确描述中观察到。心理治疗应该在儿童 早期进行干预,可以显著减少无意识欲望的异常复苏。心理治疗可能是儿童睡行症的一种可用治疗选择。
Abstract:
Somnambulism is defined as a state of dissociated consciousness triggered by impaired arousal, which results in partial wakefulness and partial sleep. No effective therapy or medication has been available for treating children with somnambulism. Herein we present a case in a 4.5-year-old girl, who presented with somnambulism associated with separation anxiety disorder every night in a week. The girl received formal assessment and appropriate interventions, and the symptoms disappeared within a week. The treatment was carried out in 5 stages: diagnosis of the disease, establishment of trust, information collection, supervision, and individualized psychotherapy. Although dreams in childhood can be difficult to interpret, close observation of the behaviors in sleepwalking, as a special form of dream, in addition to the more precise description by the guardians, still provides useful clues to understand those dreams. For children with somnambulism, early intervention with psychotherapy can significantly decrease the false revival of the unconscious desires, and thus may serve as a treatment option other than medications.

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更新日期/Last Update: 1900-01-01