Skip to main content

Lebensrückblickstherapie bei Traumafolgestörungen

  • Chapter
  • First Online:
Der Lebensrückblick in Therapie und Beratung

Zusammenfassung

Nach Traumatisierungen kommt es bei einer substanziellen Gruppe von Überlebenden zur Ausbildung einer Traumafolgestörung. Die posttraumatische Belastungsstörung (PTBS) stellt hierbei eine der häufigsten psychischen Folgestörungen dar, deren Symptomatik durch drei Beschwerdekomplexe mit den Symptombereichen Wiedererleben, Vermeidung/Entfremdung und vegetative Übererregung in den Klassifikationssystemen klar umschrieben ist (DSM-IV, Saß et al. 2003; ICD-10, Dilling et al. 2005). Eine der zentralen Auswirkungen, die durch das Erleben des Traumas und durch die Entwicklung bzw. das Vorhandensein der PTBS entstehen, betrifft die Enkodierung und das Abrufen autobiografischer Erinnerungen. Die gestörte Gedächtniskonsolidierung nach traumatischen Erfahrungen kann zu einer Fragmentierung des traumatischen Narrativs und in der Folge zu einer fehlenden Verortung und Vergeschichtlichung der traumatischen Situation führen und gilt als ein zentraler aufrechterhaltender Faktor.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 74.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Literatur

  • American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders (4., rev. Aufl.). Washington, DC: American Psychiatric Association.

    Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Arntz, A., Meeren, M., & Wessel, I. (2002). No evidence for overgeneral memories in borderline personality disorder. Behaviour Research and Therapy, 40, 1063–1068.

    Article  PubMed  Google Scholar 

  • Berntsen, D. (2001). Involuntary memories of emotional events: Do memories of traumas and extremely happy events differ? Applied Cognitive Psychology, 15, 135–158.

    Article  Google Scholar 

  • Bisson, J., & Andrew, M. (2007). Psychological treatment of post-traumatic stress disorder (PTSD). The Cochrane Database of Systematic Review, Issue 3.

    Google Scholar 

  • Brewin, C. R. (2003). Posttraumatic stress disorder: Malady or myth? New Haven: Yale University Press.

    Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Boelen, P. A., Huntjens, R. J. C., van Deursen, D. S., & Van Den Hout, M. A. (2010). Autobiografical memory specificity and symptoms of complicated grief, depression, and posttraumatic stress disorder following loss. Journal of Behavior Therapy and Experimental Psychiatry, 41(4), 331–337.

    Article  Google Scholar 

  • Bohlmeijer, E., Smit, F., & Cuijpers, P. (2003). Effects of reminiscence and life review on late-life depression: A meta-analysis. International Journal of Geriatric Psychiatry, 18(12), 1088–1094.

    Article  PubMed  Google Scholar 

  • Cienfuegos, A. J., & Monelli, C. (1983). The testimony of political repression as a therapeutic instrument. American Journal of Orthopsychiatry, 53, 43–53.

    Article  PubMed  Google Scholar 

  • Conway, M. A. (2005). Memory and the self. Journal of Memory and Language, 53(4), 594–628.

    Article  Google Scholar 

  • Conway, M. A., & Pleydell-Pearce, C. W. (2000). The construction of autobiographical memories in the self-memory system. Psychological Review, 107(2), 261–288.

    Article  PubMed  Google Scholar 

  • Dilling, H., Mombour, W., & Schmidt, M. H. (2005). Internationale Klassifikation psychischer Störungen. ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien (5., durchges. u. erg. Aufl.). Bern: Huber.

    Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Ehlers, A., & Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: A cognitive approach. Behavioural and Cognitive Psychotherapy, 23, 217–249.

    Article  PubMed  Google Scholar 

  • Ehlers, A., Maercker, A., & Boos, A. (2000). Predictors of chronic PTSD following political imprisonment: The role of mental defeat, alienation, and perceived permanent change. Journal of Abnormal Psychology, 109, 45–55.

    Article  PubMed  Google Scholar 

  • Ehlers, A., Hackmann, A., Steil, R., Clohessy, S., Wenninger, K., & Winter, H. (2002). The nature of intrusive memories after trauma: The warning signal hypothesis. Behaviour Research and Therapy, 40, 995–1002.

    Article  PubMed  Google Scholar 

  • Ehlers, A., Hackmann, A., & Michael, T. (2004). Intrusive reexperiencing in posttraumatic stress disorder: Phenomenology, theory, and therapy. Memory, 12, 403–415.

    Article  PubMed  Google Scholar 

  • Ehring, T., Ehlers, A., & Glucksmann, E. (2008). Do cognitive models help in predicting the severity of posttraumatic stress disorder, phobia, and depression after motor vehicle accidents? A prospective longitudinal study. Journal of Consulting and Clinical Psychology, 76, 219–230.

    Article  PubMed  Google Scholar 

  • Engelhard, I. M., 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, 67–78.

    Article  PubMed  Google Scholar 

  • Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive behavioral therapy for PTSD. New York: Guilford.

    Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Hackmann, A., Ehlers, A., Speckens, A., & Clark, D. M. (2004). Characteristics and content of intrusive memories in PTSD and their changes in treatment. Journal of Traumatic Stress, 17(3), 231–240.

    Article  PubMed  Google Scholar 

  • Haight, B. K., & Webster, J. D. (1995). The art and science of reminiscence: Theory, research, methods and application. Washington, DC: Taylor & Francis.

    Google Scholar 

  • Halligan, S. L., Clark, D. M., & Ehlers, A. (2002). Cognitive processing, memory, and the development of PTSD symptoms: Two experimental analogue studies. Journal of Behavior Therapy and Experimental Psychiatry, 33, 73–89.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Harvey, A. G., Bryant, R. A., & Dang, S. T. (1998). Autobiographical memory in acute stress disorder. Journal of Consulting and Clinical Psychology, 66, 500–506.

    Article  PubMed  Google Scholar 

  • Hauer, B. J. A., Wessel, I., & Merckelbach, H. (2006). Intrusions, avoidance and overgeneral memory in a non-clinical sample. Clinical Psychology and Psychotherapy, 13, 264–268.

    Article  Google Scholar 

  • Hellawell, S. J., & Brewin, C. R. (2002). A comparison of flashbacks and ordinary autobiographical memories of trauma: Cognitive resources and behavioural observations. Behaviour Research and Therapy, 40, 1139–1152.

    Article  Google Scholar 

  • Holmes, E. A., Grey, N., & Young, K. A. D. (2005). Intrusive images and “hotspots” of trauma memories in posttraumatic stress disorder: An exploratory investigation of emotions and cognitive themes. Journal of Behavior Therapy and Experimental Psychiatry, 36(1), 3–17.

    Article  PubMed  Google Scholar 

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

    Google Scholar 

  • Jones, B., Heard, H., Startup, M., Swales, M., Williams, J. M. G., & Jones, R. S. P. (1999). Autobiographical memory and dissociation in borderline personality disorder. Psychological Medicine, 29, 1397–1404.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Joseph, S., Williams, R., & Yule, W. (1997). Understanding posttraumatic stress. A psychosocial perspective on PTSD and treatment. Chichester, UK: Wiley.

    Google Scholar 

  • Kleim, B., & Ehlers, A. (2008). Reduced autobiographical memory specificity predicts depression and posttraumatic stress disorder after recent trauma. Journal of Consulting and Clinical Psychology, 76(2), 231–242.

    Article  PubMed  Google Scholar 

  • Knaevelsrud, C., Böttche, M., & Kuwert, P. (2009). Long-term effects of civilian war trauma: Epidemiological, sociological and psychotherapeutic aspects. Abstract, 11th European Conference on Traumatic Stress, Oslo, Norway.

    Google Scholar 

  • Knaevelsrud, C., Böttche, M., & Kuwert, P. (2011). Integrative Testimonial Therapie (ITT): Eine biographisch narrative Schreibtherapie zur Behandlung von posttraumatischen Belastungsstörungen bei ehemaligen Kriegskindern. Psychotherapie im Alter, 1(8), 27–41.

    Google Scholar 

  • Knaevelsrud, C., Böttche, M., Freyberger, H. J., Renneberg, B., & Kuwert, P. (submitted). Integrative Testimonial Therapy (ITT) – a therapist-assisted internet-based writing therapy for traumatized child survivors of the 2nd World War with PTSD.

    Google Scholar 

  • Kolk, B. A. Van Der (1994). The body keeps the score: Memory and the emerging psychobiology of post traumatic stress. Harvard Review of Psychiatry, 1, 253–265.

    Article  PubMed  Google Scholar 

  • Kolk, B. A. Van Der, & Fisler, R. (1995). Dissociation and the fragmentary nature of traumatic memories: Overview and exploratory study. Journal of Traumatic Stress, 8, 505–525.

    Article  PubMed  Google Scholar 

  • Koriat, A., Goldsmith, M., & Pansky, A. (2000). Toward a psychology of memory accuracy. Annual Review of Psychology, 51, 481–538.

    Article  PubMed  Google Scholar 

  • Kuyken, W., & Brewin, C. R. (1995). Autobiographical memory functioning in depression and reports of early abuse. Journal of Abnormal Psychology,104, 585–591.

    Article  PubMed  Google Scholar 

  • Lange, A., Rietdijk, D., Hudcovicova, M., van de Ven, J. P., Schrieken, B., & Emmelkamp, P. M. (2003). Interapy: A controlled randomized trial of the standardized treatment of posttraumatic stress through the Internet. Journal of Consulting and Clinical Psychology, 71(5), 901–909.

    Article  PubMed  Google Scholar 

  • Lyttle, N., Dorahy, H. D., & Huntjens, R. J. C. (2010). Conceptual and perceptual priming and dissociation in chronic posttraumatic stress disorder. Journal of Abnormal Psychology, 119(4), 777–790.

    Article  PubMed  Google Scholar 

  • Maercker, A. (2002). Posttraumatische Belastungsstörungen und komplizierte Trauer. Lebensrückblicks‐ und andere Interventionen. In A. Maercker (Hrsg.), Alterspsychotherapie und klinische Gerontopsychologie (S. 245–282). Berlin: Springer.

    Chapter  Google Scholar 

  • Mayou, R. A., Ehlers, A., & Bryant, B. (2002). Posttraumatic stress disorder after motor vehicle accidents: 3-year follow-up of a prospective longitudinal study. Behaviour Research and Therapy, 40, 665–675.

    Article  PubMed  Google Scholar 

  • McNally, R. J. (2003). Remembering trauma. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • McNally, R. J., Litz, B. T., Prassas, A., Shin, L. M., & Weathers, F. W. (1994). Emotional priming of autobiographical memory in posttraumatic stress disorder. Cognition & Emotion, 8, 351–367.

    Article  Google Scholar 

  • Michael, T., Ehlers, A., & Halligan, S. L. (2005). Enhanced priming for trauma-related material in posttraumatic stress disorder. Emotion, 5, 103–112

    Article  PubMed  Google Scholar 

  • Moore, S. A., & Zoellner, L. A. (2007). Overgeneral autobiographical memory and traumatic events: An evaluative review. Psychological Bulletin, 133(3), 419–437.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • National Institute for Clinical Excellence (NICE). (2005). Posttraumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care. Guideline No. 26. London: The Royal College of Psychiatrists & The British Psychological Society.

    Google Scholar 

  • Neuner, F., Schauer, M., Karunakara, U., Klaschik, C., & Elbert, T. (2004). A comparison of narrative exposure therapy, supportive counseling and psychoeducation for treating posttraumatic stress disorder in an African refugee settlement. Journal of Consulting and Clinical Psychology, 72(4), 579–587.

    Article  PubMed  Google Scholar 

  • Neuner, F., Catani, C., Ruf, M., Schauer, E., Schauer, M., & Elbert, T. (2008). Narrative exposure therapy for the treatment of child and adolescent war victims: From neurobiology to field intervention. Child and Adolescent Psychiatric Clinics of North America, 17, 641–664.

    Article  PubMed  Google Scholar 

  • Neuner, F., Schauer, M., & Elbert, T. (2009). Narrative Exposition und andere narrative Verfahren. In A. Maercker (Hrsg.), Handbuch der posttraumatischen Belastungsstörungen (S. 302–318). Heidelberg: Springer.

    Google Scholar 

  • Peace, K. A., & Porter, S. (2004). A longitudinal investigation of the reliability of memories for trauma and other emotional experiences. Applied Cognitive Psychology, 18, 1143–1159.

    Article  Google Scholar 

  • Peeters, F., Wessel, I., Merckelbach, H., & Boon-Vermeeren, M. (2002). Autobiographical memory specificity and the course of major depressive disorder. Comprehensive Psychiatry, 43, 344–350.

    Article  PubMed  Google Scholar 

  • Pillemer, D. B. (1998). Momentous events, vivid memories. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • 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, 101–117.

    Article  Google Scholar 

  • Robjant, K., & Fazel, M. (2010) The emerging evidence for narrative exposure therapy: A review. Clinical Psychology Review, 30(8), 1030–1039.

    Article  PubMed  Google Scholar 

  • Rubin, D. C., & Kozin, M. (1984). Vivid memories. Cognition, 16, 81–95.

    Article  PubMed  Google Scholar 

  • Saß, H., Wittchen, H.-U., & Zaudig, M. (2003). Diagnostisches und Statistisches Manual Psychischer Störungen (DSM-IV-TR). Göttingen: Hogrefe.

    Google Scholar 

  • Schönfeld, S., Ehlers, A., Böllinghaus, I., & Rief, W. (2007). Overgeneral memory and suppression of trauma memories in posttraumatic stress disorder. Memory, 15, 339–352.

    Article  PubMed  Google Scholar 

  • Spitzer, C., Barnow, S., Völzke, H., John, U., Freyberger, H. J., & Grabe, H. J. (2008). Trauma and posttraumatic stress disorder in the elderly: Findings from a German community study. Journal of Clinical Psychiatry, 69, 693–700.

    Article  PubMed  Google Scholar 

  • Tulving, E. (2001). Episodic memory and common sense: How far apart? In A. Baddeley, M. Conway & J. Aggleton (Hrsg.), Episodic memory. New directions in research (S. 269–287). Oxford: Oxford University Press.

    Google Scholar 

  • Tulving, E. (2005). Episodic memory: from mind to brain. Annual review of Psychology, 53, 1–25.

    Article  Google Scholar 

  • Williams, J. M. G., Ellis, N. C., Tyers, C., Healey, H., Rose, G. & MacLeod, A. K. (1996). The specificity of autobiographical memory and imageability of the future. Memory & Cognition, 24, 116–125.

    Article  Google Scholar 

  • Williams, J. M. G., Chan, S., Crane, C., Barnhofer, T., Eade, J., & Healy H. (2006). Retrieval of autobiographical memories: The mechanisms and consequences of truncated search. Cognition and Emotion, 20, 351–382.

    Article  Google Scholar 

  • Williams, J. M.G., Barnhofer, T., Crane, C., Hermans, D., Raes, F., Watkins, E., & Dalgleish, T. (2007). Autobiographical memory specificity and emotional disorder. Psychological Bulletin, 133, 122–148.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Knaevelsrud, C., Kuwert, P., Böttche, M. (2013). Lebensrückblickstherapie bei Traumafolgestörungen. In: Maercker, A., Forstmeier, S. (eds) Der Lebensrückblick in Therapie und Beratung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28199-0_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-28199-0_7

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-28198-3

  • Online ISBN: 978-3-642-28199-0

  • eBook Packages: Humanities, Social Science (German Language)

Publish with us

Policies and ethics