바로가기메뉴

본문 바로가기 주메뉴 바로가기

ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

logo

외상 후 스트레스 장애와 관련된 자서전적 외상 기억의 조직화 특성

The characteristics of autobiographical trauma memory organization associated with posttraumatic stress disorder

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2012, v.31 no.1, pp.197-220
안현의 (이화여자대학교)
주혜선 (이화여자대학교)
  • 다운로드 수
  • 조회수

초록

외상적 사건을 경험한 이후에 대부분의 사람들은 외상 경험으로부터 회복되지만 일부 사람들은 외상으로 인한 심리적 후유증을 호소하는데 대표적으로 외상 후 스트레스 장애(Posttraumatic Stress Disorder; PTSD)가 있다. 외상 후 스트레스 장애의 특징 가운데 하나는 외상 후 심리적 고통과 부적응이 외상 사건의 기억과 밀접한 관련성을 지니고 있다는 것이다. 의식적 수준에서 회상되는 외상 기억인 자서전적 외상 기억(autobiographical trauma memory)에 관심을 가져온 여러 경험적 연구들은 외상 사건을 현재 어떻게 기억하고 있으며 그 세부 내용들은 어떻게 연결되어 있는지, 기억의 조직화 여부에 따라 외상 후 심리적 반응은 달라질 수 있다고 설명한다. 하지만 외상 후 스트레스 증상과 관련된 자서전적 외상 기억의 조직화 특성에 관해 일관되지 않은 경험적 근거들이 제시되고 있어 그 관계가 명확하지 않다. 본 연구에서는 외상 후 스트레스 증상과 관련된 자서전적 외상 기억의 조직화 특성에 관한 경험적 연구들의 논쟁을 살펴보고 이와 같은 논쟁을 다양한 관점에서 이해하고자 하였다. 특히, 선행 연구들에서 조직화 특성에 대한 이해와 접근 차이를 보이는 것에 주목하고 미시적 조직화와 거시적 조직화의 개념을 처음으로 소개하며 이러한 개념적 차이가 앞서 언급한 논쟁과는 어떻게 관련되는지를 함께 제시하였다.

keywords
Posttraumatic stress disorder, autobiographical trauma memory, organization, micro-organization, macro- organization., Posttraumatic stress disorder, autobiographical trauma memory, organization, micro-organization, macro- organization., 외상 후 스트레스 장애, 자서전적 외상 기억, 조직화, 미시적 조직화, 거시적 조직화

Abstract

Most people recover from traumatic experience, however, some develop posttrauma symptoms such as posttraumatic stress disorder (PTSD). One of characteristics of PTSD is that the posttrauma symptoms are closely related to the memory of the traumatic incident. Recent empirical studies have suggested that the characteristics of autobiographical trauma memory is associated with posttraumatic stress disorder, including how the survivors remember or retrieve their experience, how the memory details are well-connected with one another, and how well organized or fragmented such autobiographical trauma memories are. However the evidences so far have been unclear and inconsistent in conceptualizing the mechanisms of how trauma memories operate. The present study reviews both the empirical and the theoretical research on autobiographical trauma memory of PTSD. We also present the notions of micro-organization and macro-organizations of trauma memory in explaining the inconsistent findings from previous research. Future research directions and clinical implications are discussed as well.

keywords
Posttraumatic stress disorder, autobiographical trauma memory, organization, micro-organization, macro- organization., Posttraumatic stress disorder, autobiographical trauma memory, organization, micro-organization, macro- organization., 외상 후 스트레스 장애, 자서전적 외상 기억, 조직화, 미시적 조직화, 거시적 조직화

참고문헌

1.

도상금, 최진영 (2003). 외상 경험 및 우울과 자서전적 기억의 일반화 경향성. 한국심리학회지: 임상, 22(2), 321-341.

2.

지현경 (2008). 자서전적 기억의 과일반화 경향과 PTSD, 침습 및 회피. 석사학위 청구논문. 이화여자대학교.

3.

American Psychological Association. (2006). Evidence-based practice in psychology. American Psychologist, 61(4), 271-285.

4.

Amir, N., Stafford, J., Freshman, M. S., & Foa, E. B. (1998). Relationship between trauma narrative and trauma pathology. Journal of Traumatic Stress, 11(2), 385-392.

5.

Arrindell, W. A., & Ettema, J. H. M. (1986). Scl-90: Handleiding bijeen multidimensionele psychopathologie-indicator [SCL-90: Manual of a multidimensional psychopathology indicator]. Lisse: Swetz & Zeitlinger.

6.

Bach, M., Bach, D., de Zwaan, M., Serim, M., & Bohmer, F. (1996). Validierung der deutschen version der 20-item Toronto-Alexithymie-Skala bei Normalpersonen und psychiatrischen patienten. [Validation of the german version of the 20-item Toronto Alexithymia Scale in normal person and psychiatric patients]. Psychotherapie, Pscychosomatik, Medizinische Psychologie, 46(1), 23-28.

7.

Beck, A. T., & Steer, R. A. (1997). Beck Depression Inventory manual. San Antonio, Texas: The Psychological Corporation.

8.

Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability and validity of a dissociation scale. Journal of Nervous Mental Disease, 174(12), 727-735.

9.

Berntsen, D., & Rubin, D. C. (2006). The Centrality of Event Scale: A measure of integrating a trauma into one’s identity and its relation to post-traumatic stress disorder symptoms. Behaviour Research and Therapy, 44(2), 219-231.

10.

Berntsen, D., & Rubin, D. C. (2007). When a trauma becomes a key to identity: Enhanced integration of trauma memories predicts posttraumatic stress disorder symptoms. Applied Cognitive Psychology, 21(4), 417-431.

11.

Berntsen, D., Rubin, D. C., & Bohni, M. K. (2008). Contrasting models of posttraumatic stress disorder: Reply to Monroe and Mineka. Psychological Review, 115(4), 1099-1107.

12.

Berntsen, D., Willert, M., & Rubin, D. C. (2003). Splintered memory or vivid Land marks?: Qualities and organization of traumatic memories with and without PTSD. Applied Cognitive Psychology, 17(6), 675-693.

13.

Brewin, C. R. (2011). The nature and significance of memory disturbance in posttraumatic stress disorder. Annual Review of Clinical Psychology, 7, 203-227.

14.

Brewin, C. R., Dagleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670-686.

15.

Cardena, E., Classen, K., & Spiegel, D. (1991). Stanford Acute Stress Reaction Questionnaire. Stanford, California: Stanford University Medical School.

16.

Caspi, Y., Gil, S., Ben-Ari, I. Z., Koren, D., Aaron-Peretz, J., & Klein, E. (2005). Memory of the traumatic event is associated with increased risk for PTSD: A retrospective study of patients with traumatic brain injury. Journal of Loss and Trauma, 10(4), 319-335.

17.

Davidson, J. R. T., Book, S. W., Colket, J. T., Tupler, L. A., Roth, S., David, D., Hertzberg, M., Mellman, T., Beckham, J. C., Smith, R. D., Davison, R. M., Katz, R., & Feldman, M. E. (1997). Assessment of a new self-rating scale for posttraumatic stress disorder: The Davidson Trauma Scale. Psychological Medicine, 27(1), 153-160.

18.

Dekel, S., & Bonanno, G. A. (in press). Change in trauma memory and patterns of posttraumatic stress. Psychological Trauma: Theory, Research, Practice, and Policy.

19.

Ehlers, A. (2010). Understanding and treating unwanted trauma memories in posttraumatic stress disorder. Journal of Psychology, 218(2), 141-145.

20.

Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319-345.

21.

Engelhard, I. A., van den Hout, M. A., Kindt, M., Arntz, A., & Schouten, E. (2003). Peritraumatic dissociation and posttraumatic stress after pregnancy loss: A prospective study. Behaviour Research and Therapy, 41(1), 67-78.

22.

Falsetti, S. A., Resnick, H. S., Resick, P. A., & Kilpatrick, D. G. (1993). The modified PTSD symptom scale: A brief self-report measure of posttraumatic stress disorder. The Behavior Therapist, 16, 161-162.

23.

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structural Clinical Interview of DSM-IV Axis I Disorders. Washington, DC: American Psychiatric Press.

24.

Flesch, R. (1948). A new readability yardstick. Journal of Applied Psychology, 32, 221-233.

25.

Flesch, R. (1949). The Art of Readable Writing. New York: Harper & Brothers.

26.

Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9(4), 445-451.

27.

Foa, E. B., Molnar, C., & Cashman, L. (1995). Change in rape narratives during exposure therapy for posttraumatic stress disorder. Journal of Traumatic Stress, 8(4), 675-690.

28.

Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress, 6(4), 459-473.

29.

Foa, E. B., Steketee, G., & Rothbaum, B. O. (1989). Behavioral cognitive conceptualization of post-traumatic stress disorder. Behavior Therapy, 20(2), 155-176.

30.

Gray, M. J., & Lombardo, T. W. (2001). Complexity of trauma narratives as an index of fragmented memory in PTSD: A critical Analysis. Applied Cognitive Psychology, 15(7), 171-186.

31.

Halligan, S. L., Michael, T., Clark, D. M., & Ehlers, A. (2003). Posttraumatic stress disorder following assault: The role of cognitive processing, trauma memory, and appraisals. Journal of Consulting and Clinical Psychology, 71(3), 419-431.

32.

Harvey, A. G., & Bryant, R. A. (1999). A qualitative investigation of the organization of traumatic memories. British Journal of Clinical Psychology, 38(4), 401-405.

33.

Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5(3), 377-391.

34.

Horowitz, M. J. (1976). Stress response syndromes. New York: Jason Aronson.

35.

Jelinek, L., Randjbar, S., Seifert, D., Kellner, M., & Moritz, S. (2009). The organization of autobiographical and nonautobiographical memory in posttraumatic stress disorder (PTSD). Journal of Abnormal Psychology, 118(2), 288-298.

36.

Jobson., L. (2011). Cultural differences in levels of autonomous orientation in autobiographical remembering in posttraumatic stress disorder. Applied Cognitive Psychology, 25(2), 175-182.

37.

Jones, C., Harvey, A. G., & Brewin, C. R. (2007). The organization and content of trauma memories in survivors of road traffic accidents. Behaviour Research and Therapy, 45(1), 151-162.

38.

Kilpatrick, D. G. (1988). Rape aftermath symptom test. In M. Hersen & A. S. Bellack (Eds.), Dictionary of behavioral assessment techniques (366-367). Oxford: Pergamon Press.

39.

Lewis, S. J. (2003). Do one-shot preventative interventions for PTSD work? A systematic research synthesis of psychological debriefings. Aggression and Violent Behavior, 8, 329-343.

40.

McNally, R. J. (1997). Implicit and explicit memory for trauma-related information in PTSD. In Yehuda, Rachel, McFarlane, & C. Alexander (Eds.), Psychobiology of posttraumatic stress disorder(pp. 219-224). New York: New York Academy of Sciences.

41.

McNally, R., Bryant, R. A., & Ehlers, A. (2003). Does early psychological intervention promote recovery from posttraumatic stress? Psychological Science in the Public Interest, 4, 45-79.

42.

Murray, J., Ehlers, A., & Mayou, R. A. (2002). Dissociation and posttraumatic stress disorder: Two prospective studies of road traffic accident survivors. British Journal of Psychiatry, 180, 363-368.

43.

Pennebaker, J. W., Francis, M. E., & Booth, R. J. (2001). Linguistic Inquiry and Word Count (LIWC). Mahwah, NJ: Erlbaum.

44.

Porter, S., & Birt, A. R. (2001). Is traumatic memory special? A comparison of traumatic memory characteristics with memory for other emotional life experiences. Applied Cognitive Psychology, 15(7), 101-117.

45.

Psychological First Aid: Field Operations Guide (2006). National Child Traumatic Stress Network and National Center for PTSD.

46.

Rubin, D. C. (2011). The coherence of memories for trauma: Evidence from posttraumatic stress disorder. Consciousness and Cognition, 20(3), 857-865.

47.

Rubin, D. C., Berntsen, D., & Bohni. M. K. (2008). A memory-based model of posttraumatic stress disorder: Evaluating basic assumptions underlying the PTSD diagnosis. Psychological Review, 115(4), 985-1011.

48.

Rubin, D. C., Feldman, M. E., & Beckham, J. C. (2004). Reliving, emotions, and fragmentation in the autobiographical memories of veterans diagnosed with PTSD. Applied Cognitive Psychology, 18(1), 17-35.

49.

Smeets, T., Giesbrecht, T., Raymaekers, L., Shaw, J., & Merckelbach, H. (2010). Autobiographical integration of trauma memories and repressive coping predict post-traumatic stress symptoms in undergraduate students. Clinical Psychology and Psychotherapy, 17(3), 211-218.

50.

Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory (Self-Evaluation Questionnaire). California: Consulting Psychologists Press.

51.

Spitzer, R. L., Williams, J. B., Gibbon, M., & First, M. B. (1990). Structured Clinical Interview for DSM-III-R-patient edition (SCID-P, version 1.0). Washington: American Psychiatric Press.

52.

Tellegen, D. K., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences (“absorption”), a trait related to hypnotic susceptibility. Journal of Abnormal Psychology, 83(3), 268-277.

53.

Terr, L. C. (1992). Childhood traumas: An outline and overview. In M. E. Hertzig & E. A. Farber (Eds.), Annuals progress in child psychiatry and child development (pp. 165-186). New York: Brunner/Mazel.

54.

van der Hart, O., Bolt, H., & van der Kolk, B. A. (2005). Memory fragmentation in dissociative identity disorder. Journal of Trauma & Dissociation, 6(1), 55-70.

55.

van der Kolk, B. A., & Fisler, R. (1995). Dissociation and the fragmentary nature of traumatic memories: Overview and exploratory study. Journal of Traumatic Stress, 8(4), 505-525.

56.

Van Emmerik, A. A. P., Kamphuls, J. H., Hulsbosch, A. M., & Emmelkamp, P. M. G. (2002). Single session debriefing after psychological trauma: A meta-analysis. The Lancet, 360, 766-771.

57.

van Minnen, A., Wessel, I., Dijkstra, T., & Roelofs, K. (2002). Changes in PTSD patients' narratives during prolonged exposure therapy: A replication and extension. Journal of Traumatic Stress, 15(3), 255-258.

한국심리학회지: 일반