2010-08-012024-05-13https://scholars.lib.ntu.edu.tw/handle/123456789/644847摘要：本研究計畫擬設計一個三年期前瞻性追蹤研究，以車禍意外事件的非明顯腦傷受創者為研究對象，嘗試探索受創者的性格或特質傾向、自我界定記憶、自我狀態、復原因子、以及創傷後壓力症狀的關連性。車禍意外是經常發生死傷嚴重的人為創傷事件，而且經歷車禍意外之受創者也有相當高的比例會發展出急慢性之心理疾病，其中之一為創傷後壓力疾患（PTSD）。創傷事件會衝擊到個體原先存有的認知基模，容易產生不同狀態的自我概念之間的落差，因而傾向造成心理痛苦，甚至演變發展為心理疾患。再者，個體當前自我概念的提取，視所觸及的個人記憶而定，而自我界定記憶乃其中最能反映個人身分的記憶。實徵研究顯示，罹患創傷後壓力疾患的個體所提取的記憶多為負向、與創傷經驗有關的記憶；此類記憶特性很可能與各個自我狀態之間的落差有顯著相關，而個人性格與特質傾向或許在此影響途徑中有所影響。基於此，本研究希望藉由前瞻性的研究設計，以探索受創者的性格傾向、復原力特質、自我界定記憶、自我狀態、與創傷後壓力症狀/疾患的可能關連，來增進對創傷與PTSD之病理性連結的瞭解，同時，進而思索在創傷之心理療癒中，協助受創個體整合他（她）的「自我」，以落實「培能育化(empowerment)」的臨床應用之可能性。<br> Abstract: This three-year prospective research project aims to investigate the association of trauma exposure, personal dispositions, self-defining memory, self-states, resilient factors, and posttraumatic stress symptoms in non-brain-injured survivors of motor vehicle accident (MVA). Motor vehicle accidents frequently occur and often cause high death toll and injuries. Victims of MVA may be very likely to develop acute and/or posttraumatic stress symptoms and/or disorders. Existing self-concepts may be impacted by traumatic event, leading to the discrepancies among different self-states. Such discrepancies may probably in terns play as an important factor in the development of psychological distress in general and posttraumatic symptoms/disorder in specific. In addition, the current self-defining memories can be viewed as the autobiographical memories that mostly reflect the identity of the individual. Self-concepts that individuals report upon enquiry may be related to autobiographical memories that individuals remember. Patients with posttraumatic stress disorder (PTSD) or with more PTSD symptoms may report more negative, trauma-related memories, and their memories may be associated with greater discrepancies among various self-states. Moreover, personal dispositions such like neuroticism/extroversion and resilience may be influential in this etiological path to PTSD related problems.In testing the above hypotheses, this three-year research project, taking MVA as example of human-made trauma, plans to use self-report scales and interview in a prospective research with multiple assessments in various time points post the MVA trauma. It is hope that, by exploring the plausible association of dispositional and resilient factors, self-defining memories, discrepancies of self-states, and posttraumatic stress symptoms or disorders, we will better understand of the psychopathological links between trauma and PTSD, and their risk and protective factors as well. Furthermore, it will be more likely to shed light in our search for remedies to help the traumatized individuals to integrate her/his own “self states” in order to actualize empowerment in clinical application.車禍意外創傷後壓力症狀自我界定記憶自我落差motor vehicle accidentposttraumatic stress symptomsself-defining memoryself-discrepancy