您深深理解個案的痛苦源於早年的創傷，您也充滿慈悲地想要陪伴他們走出陰影。然而，每當痛苦來襲，個案卻只能用「自我傷害」來換取片刻的平靜。對於他們而言，自傷不是求死，而是為了活下去的「自我調節」手段。面對這樣的個案，傳統的創傷治療往往要求先穩定才能處理創傷，但個案卻似乎永遠無法穩定；而直接進行創傷處理，又擔心引發更激烈的解離與自毀。
**如果，有一種治療模式，不因個案仍有自傷行為而將其拒之門外，甚至能精準地轉化這種毀滅性的調節機制，您願意了解嗎？**
由德國精神醫學權威 **Martin Bohus** 教授所發展的 **DBT-PTSD（辯證行為治療－創傷後壓力症候群模式）**，正是為了這群飽受童年虐待、複雜性創傷（CPTSD）所苦的個案所設計的實證治療模式 。[1][2] #### 為什麼 DBT-PTSD 能帶來改變？
1. **接納「自傷」的功能性，建立替代技能**
DBT-PTSD 繼承了 Marsha Linehan 的辯證哲學，首先肯認個案的自傷行為在當下是為了「調節極端痛苦」或「中斷解離」。治療師不是站在對立面制止，而是與個案合作，分析行為鏈鎖，並透過高強度的 **「痛苦耐受」與「抗解離技能」** 訓練，讓個案在情緒海嘯來襲時，能有比自傷更有效的浮木 。[3][4]
2. **直面創傷核心：羞愧感與自我厭惡**
許多複雜創傷個案的核心不是恐懼，而是深層的 **「羞愧感」（Shame）與「罪惡感」（Guilt）**。Martin Bohus 的模式獨特地整合了 **慈悲聚焦治療（CFT）** 的元素，協助個案修復破碎的自我概念，將對自己的攻擊轉化為自我慈悲 。這不僅是處理記憶，更是靈魂的修復。[5][1]
3. **結構化的暴露治療**
這不是漫無目的的談話。DBT-PTSD 是一個階段性的治療計畫，在建立足夠的安全與技能後，透過精心設計的 **暴露程序（Exposure）**，協助個案在安全的情境下重新處理創傷記憶，打破迴避的惡性循環 。[6][3]
#### 給治療師的邀請
面對將「自傷當作生存策略」的個案，我們需要的不是更多的焦慮，而是更精準的地圖。DBT-PTSD 在多項大型臨床研究中證實，其療效優於傳統的認知處理治療（CPT），特別是在改善情緒調節困難與自傷行為上 。[2][7]
邀請您一起來學習這套兼具「科學實證」與「人文慈悲」的治療模式。讓我們不再對個案的傷口感到手足無措，而是成為那個能穩穩接住他們、引領他們穿越風暴的燈塔。
**看見傷口背後的求生渴望，用專業帶領個案找回安穩。**
【訓練課程】：
[1] Full article: Dialectical behaviour therapy for posttraumatic ... https://www.tandfonline.com/doi/full/10.1080/20008066.2022.2157159
[2] DBT-PTSD – a comprehensive treatment program for ... https://nachasconsulting.com/training/dbt-ptsd-a-comprehensive-treatment-program-for-complex-ptsd-related-to-childhood-abuse/
[3] A research programme to evaluate DBT-PTSD, a modular treatment ... https://pmc.ncbi.nlm.nih.gov/articles/PMC6402166/
[4] [PDF] Dialectical Behaviour Therapy for Complex Post-Traumatic Stress ... https://www.ccpa-accp.ca/wp-content/uploads/2022/02/Dialectical-Behavior-Therapy-for-Complex-Post-Traumatic-Stress-Disorder.pdf
[5] What Is Compassion-Focused Therapy (CFT) — Healing ... https://www.thetherapyspace.co/blog/what-is-compassion-focused-therapy-cft----healing-shame-self-criticism-trauma
[6] 【DBT-PTSD：針對童年虐待所致複雜型PTSD 的 ... https://www.facebook.com/mmhdbt/posts/dbt-ptsd%E9%87%9D%E5%B0%8D%E7%AB%A5%E5%B9%B4%E8%99%90%E5%BE%85%E6%89%80%E8%87%B4%E8%A4%87%E9%9B%9C%E5%9E%8B-ptsd-%E7%9A%84%E6%96%B0%E5%B8%8C%E6%9C%9B%E6%96%87%E9%A6%AC%E5%81%95%E7%B4%80%E5%BF%B5%E9%86%AB%E9%99%A2%E7%B2%BE%E7%A5%9E%E9%86%AB%E5%AD%B8%E9%83%A8-%E6%9E%97%E6%89%BF%E5%84%92%E9%86%AB%E5%B8%AB%E5%9C%A8%E8%87%A8%E5%BA%8A%E5%B7%A5%E4%BD%9C%E4%B8%AD%E6%88%91%E5%80%91%E7%B6%93%E5%B8%B8%E9%81%87%E5%88%B0%E5%9B%A0%E7%AB%A5%E5%B9%B4%E8%99%90%E5%BE%85%E8%80%8C%E7%95%99%E4%B8%8B%E5%89%B5%E5%82%B7%E7%9A%84%E5%80%8B%E6%A1%88%E5%A5%B9%E5%80%91%E9%99%A4%E4%BA%86%E5%8F%8D%E8%A6%86%E7%B6%93%E9%A9%97/1179572920871371/
[7] Dialectical Behavior Therapy for Posttraumatic Stress ... https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2768029
[8] Dialectical Behavior Therapy for Posttraumatic Stress ... https://pubmed.ncbi.nlm.nih.gov/32697288/
[9] Dialectical Behaviour Therapy for Complex PTSD https://www.dbt-training.co.uk/course/dialectical-behaviour-therapy-for-complex-ptsd-16-20-march-2026/
[10] Martin Bohus https://www.bcnbp.org/images/pdf/20151211/Bohus.pdf
[11] German Clinical Trials Register https://drks.de/search/en/trial/DRKS00027824
[12] DBT-PTSD: Effective Treatment for Complex PTSD After Childhood ... https://www.studocu.vn/vn/document/truong-dai-hoc-sai-gon/lich-su-tam-ly-hoc/ptsd-rlsssc-2018/115664786
[13] What is Compassion-Focused Therapy https://www.mentalhealthacademy.com.au/blog/what-is-compassion-focused-therapy
[14] Self-compassion in PTSD https://self-compassion.org/wp-content/uploads/2021/01/BraehlerNeff-2020.pdf
[15] [PDF] DBT-PTSD - APC/SPC https://apc.it/wp-content/uploads/2020/04/ENGLISH-Online-Workshop-DBT-PTSD-prof.-Bohus-22-23-24-May-2020-1.pdf
[16] How DBT Helps Adults Heal from Trauma and PTSD in IOP ... https://houstondbtcenter.com/how-dbt-helps-adults-heal-from-trauma-and-ptsd-in-iop-programs/
[17] A research programme to evaluate DBT-PTSD, a modular treatment ... https://pubmed.ncbi.nlm.nih.gov/30873283/
[18] Exploring the roles of compassion and post‐traumatic stress ... https://bpspsychub.onlinelibrary.wiley.com/doi/full/10.1111/bjc.12465
[19] [PDF] A research programme to evaluate DBT-PTSD, a modular treatment ... https://awp-freiburg.de/pdf/dbt_stoerungen/dbt-ptbs/2019-DBT-PTSD-in-BPDED.pdf
[20] DBT for Complex Trauma - Mind-Reframed https://www.mind-reframed.com/dbt-trauma/
