{"id":11385566,"date":"2009-07-15T00:00:00","date_gmt":"2009-07-14T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/psychicke-trauma-a-jeho-lecba\/"},"modified":"2009-07-15T00:00:00","modified_gmt":"2009-07-14T22:00:00","slug":"psychicke-trauma-a-jeho-lecba","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/","title":{"rendered":"Psychick\u00e9 trauma a jeho l\u00e9\u010dba"},"content":{"rendered":"<p style=\"text-align: justify;\">P\u0159i rekrea\u010dn\u00edm a technick\u00e9m pot\u00e1p\u011bn\u00ed mohou nastat traumatick\u00e9 situace, jak\u00fdmi jsou nap\u0159. stav dus\u00edkov\u00e9 nark\u00f3zy, dekompresn\u00ed nemoc nebo nutnost pomoci lidem, kte\u0159\u00ed v souvislosti s pot\u00e1p\u011bn\u00edm pr\u00e1v\u011b pro\u017e\u00edvaj\u00ed n\u011bjak\u00e9 probl\u00e9my, nap\u0159. ztr\u00e1tu orientace nebo pocit du\u0161en\u00ed, co\u017e m\u016f\u017ee b\u00fdt n\u00e1sledkem pobytu pod vodou nad vlastn\u00ed hranice posti\u017een\u00e9ho pot\u00e1p\u011b\u010de. Kdy\u017e takovou situaci n\u011bkdo skute\u010dn\u011b za\u017eije, tak se mu k n\u00ed neust\u00e1le a opakovan\u011b vracej\u00ed my\u0161lenky. <\/p>\n<p style=\"text-align: justify;\">Vyhled\u00e1v\u00e1 rady od p\u0159\u00edbuzn\u00fdch a p\u0159\u00e1tel, \u010dte na p\u0159\u00edslu\u0161n\u00e9 t\u00e9ma \u010dasopiseck\u00e9 \u010dl\u00e1nky a \u010dasto si i kupuje p\u0159\u00edslu\u0161n\u00e9 odborn\u00e9 knihy. To v\u0161e mu pom\u00e1h\u00e1 o zm\u00edn\u011bn\u00e9 situac\u00ed p\u0159em\u00fd\u0161let a pochopit, jak\u00e9 pocity vlastn\u011b pro\u017e\u00edv\u00e1, i kdy\u017e u\u017e se z on\u00e9 problematick\u00e9 situace dostal a vzpamatoval. P\u0159esto v\u0161ak ka\u017ed\u00fd z n\u00e1s z\u016fst\u00e1v\u00e1 se sv\u00fdmi pocity osamocen a emoce spojen\u00e9 s minulost\u00ed se n\u00e1m vracej\u00ed znovu a znovu &ndash; i kdy\u017e se dok\u00e1\u017eeme pod\u00edvat na pro\u017eit\u00e9 trauma v\u011bcn\u011b a racion\u00e1ln\u011b. M\u016f\u017eeme ale v\u016fbec mluvit o traumatu? Za prv\u00e9 je pot\u0159eba rozli\u0161ovat mezi traumatem s mal\u00fdm &ldquo;t&rdquo; a Traumatem s velk\u00fdm &ldquo;T&rdquo;. \u010c\u00edm siln\u011bj\u0161\u00ed byl pocit vlastn\u00ed zranitelnosti p\u0159i konfrontaci s extr\u00e9mn\u00edm nebezpe\u010d\u00edm, t\u00edm siln\u011bj\u0161\u00ed budou traumatick\u00e9 n\u00e1sledky takov\u00e9ho z\u00e1\u017eitku.<\/p>\n<p style=\"text-align: justify;\">V definici posttraumatick\u00e9 stresov\u00e9 poruchy v DSM IV TR (t.j. v Diagnostick\u00e9 a statistick\u00e9 p\u0159\u00edru\u010dce ment\u00e1ln\u00edch poruch) se \u0159\u00edk\u00e1, \u017ee traumatick\u00e9 ud\u00e1losti jsou situace, p\u0159i kter\u00fdch do\u0161lo k \u00famrt\u00ed nebo k velmi v\u00e1\u017en\u00e9mu zran\u011bn\u00ed (nebo tomu bylo velmi bl\u00edzko), nebo kter\u00e9 hrozily v\u00e1\u017enou fyzickou \u00fajmou vlastn\u00ed osoby nebo n\u011bkoho jin\u00e9ho. Tv\u00e1\u0159\u00ed v tv\u00e1\u0159 takov\u00e9 situaci za\u017e\u00edv\u00e1 \u010dlov\u011bk velik\u00fd strach a pocity bezmoci \u010di hr\u016fzy. Z psychologick\u00e9ho hlediska lze \u0159\u00edci, \u017ee trauma za\u010d\u00edn\u00e1 tam, kde se emoce ji\u017e nedaj\u00ed zvl\u00e1dnout a kde se jedn\u00e1 o pocit zoufal\u00e9 bezmocnosti. <\/p>\n<p style=\"text-align: justify;\">Traumatick\u00fd z\u00e1\u017eitek se zpravidla vrac\u00ed formou nep\u0159\u00edjemn\u00fdch vzpom\u00ednek a\/nebo no\u010dn\u00edch m\u016fr a kdy\u017e se objev\u00ed n\u011bjak\u00e1 nov\u00e1 situace, kter\u00e1 ob\u011bti p\u0159ipom\u00edn\u00e1 p\u016fvodn\u00ed trauma, c\u00edt\u00ed se takov\u00e1 osoba siln\u011b znepokojen\u00e1 a za\u017e\u00edv\u00e1 stejn\u00e9 nebo podobn\u00e9 fyziologick\u00e9 projevy, jako p\u0159i p\u016fvodn\u00ed ud\u00e1losti. N\u00e1sledkem p\u016fvodn\u00ed situace se traumatizovan\u00e1 osoba sna\u017e\u00ed uchr\u00e1nit se a vyhnout \u010demukoliv, co j\u00ed p\u0159ipom\u00edn\u00e1 onu hr\u016fznou ud\u00e1lost. V p\u0159\u00edpad\u011b posttraumatick\u00e9 stresov\u00e9 poruchy p\u0159etrv\u00e1vaj\u00ed p\u0159\u00edslu\u0161n\u00e9 reakce d\u00e9le ne\u017e m\u011bs\u00edc a maj\u00ed zna\u010dn\u011b negativn\u00ed dopad na spole\u010denskou i profesn\u00ed funkci posti\u017een\u00e9 osoby.<\/p>\n<p style=\"text-align: justify;\"> V problematick\u00fdch situac\u00edch si lid\u00e9 vytv\u00e1\u0159ej\u00ed r\u016fzn\u00e9 strategie, do kter\u00fdch pat\u0159\u00ed mimo jin\u00e9 vym\u00fd\u0161len\u00ed, pl\u00e1nov\u00e1n\u00ed a uskute\u010d\u0148ov\u00e1n\u00ed konkr\u00e9tn\u00edch postup\u016f, pomoci kter\u00fdch se daj\u00ed vy\u0159e\u0161it konkr\u00e9tn\u00ed obt\u00ed\u017en\u00e9 stavy. Du\u0161evn\u00ed odolnost (schopnost psychobiologick\u00e9 regenerace) lze definovat jako spr\u00e1vn\u011b sestavenou mno\u017einu psychologick\u00fdch, biologick\u00fdch a vn\u011bj\u0161\u00edch (okoln\u00edch) prvk\u016f umo\u017e\u0148uj\u00edc\u00ed lidem p\u0159ekonat obdob\u00ed velk\u00e9ho zmatku a siln\u00e9ho stresu, ani\u017e by dan\u00e9 t\u011b\u017ek\u00e9 situaci podlehli. Lid\u00e9 jsou tedy vybaveni vlastn\u00edmi n\u00e1stroji, s jejich\u017e pomoc\u00ed lze traumata \u0159e\u0161it. V n\u011bkter\u00fdch specifick\u00fdch situac\u00edch v\u0161ak tento syst\u00e9m nesta\u010d\u00ed.<\/p>\n<p style=\"text-align: justify;\">Francine Shapiro, psycholo\u017eka a \u010dlenka Institutu pro v\u00fdzkum du\u0161evn\u00edho zdrav\u00ed (zm\u00edn\u011bn\u00fd Institut se nach\u00e1z\u00ed v kalifornsk\u00e9m Palo Alto) objevila metodu, pomoci kter\u00e9 lze reaktivovat zp\u016fsob \u0159e\u0161en\u00ed stresov\u00fdch situac\u00ed. P\u0159\u00edb\u011bh o tom, jak tuto metodu objevila, je pom\u011brn\u011b zn\u00e1m\u00fd. B\u011bhem proch\u00e1zky v parku si Shapiro, kterou tr\u00e1pily n\u011bjak\u00e9 znepokojuj\u00edc\u00ed my\u0161lenky, v\u0161imla, \u017ee po n\u011bkolika okam\u017eic\u00edch jejich znepokojiv\u00fd obsah zmizel. Kdy\u017e se pokusila vzpomenout si na obsah, kter\u00fd ji tak znepokojoval, uv\u011bdomila si, \u017ee u\u017e nem\u00e1 takovou emo\u010dn\u00ed s\u00edlu, jakou m\u011bl p\u0159edt\u00edm. Shapiro za\u010dala v\u011bnovat pozornost okolnostem, kter\u00e9 prov\u00e1zely vytvo\u0159en\u00ed on\u011bch znepokojiv\u00fdch my\u0161lenek, ale i n\u00e1sledn\u00e9 oslabov\u00e1n\u00ed emo\u010dn\u00ed v\u00fdznamnosti. <\/p>\n<p style=\"text-align: justify;\">Vypozorovala, \u017ee kdy\u017e se vyvolal obsah my\u0161lenky, za\u010daly se jej\u00ed o\u010di pohybovat rychle a rytmicky diagon\u00e1ln\u00edm sm\u011brem. Pochopila, \u017ee mezi pohybem o\u010d\u00ed a \u00fabytkem emo\u010dn\u00ed intenzity obsahu neodbytn\u00fdch my\u0161lenek m\u016f\u017ee b\u00fdt souvislost. V n\u00e1sleduj\u00edc\u00edch t\u00fddnech za\u010dala tento objev testovat na p\u0159\u00e1tel\u00edch a zn\u00e1m\u00fdch. To byl za\u010d\u00e1tek EMDR.<br \/> Zkratka EMDR je akronymem pro Eye Movement Desensitization and Reprocessing, co\u017e je forma l\u00e9\u010dby nemoc\u00ed stresov\u00e9ho p\u016fvodu (p\u0159eklad akronymu: Pohybem o\u010d\u00ed k znecitliv\u011bn\u00ed a transformaci).<br \/> V klinick\u00e9 praxi se krom\u011b pohybu o\u010d\u00ed pou\u017e\u00edv\u00e1 i naslouch\u00e1n\u00ed r\u016fzn\u00fdm zvuk\u016fm (naslouchaj\u00edc\u00ed osob\u011b p\u0159ich\u00e1zej\u00ed zvuky do sluch\u00e1tek st\u0159\u00eddav\u011b zprava a zleva) a tak\u00e9 se pou\u017e\u00edv\u00e1 stimulace k\u016f\u017ee poklepem.<\/p>\n<p style=\"text-align: justify;\"> Metodu EMDR lze pou\u017e\u00edvat pouze pro l\u00e9\u010debn\u00e9 \u00fa\u010dely a m\u016f\u017ee ji aplikovat pouze \u0159\u00e1dn\u011b vy\u0161kolen\u00fd psychoterapeut. Podle teorie EMDR, informace souvisej\u00edc\u00ed s traumatem \u010dlov\u011bk nezpracov\u00e1v\u00e1, takov\u00e9 informace u n\u011bj z\u016fst\u00e1vaj\u00ed ulo\u017eeny do nervov\u00e9 soustavy ve sv\u00e9 p\u016fvodn\u00ed podob\u011b. P\u0159edstavy, my\u0161lenky, zvuky, v\u016fn\u011b, pocity, fyzick\u00e9 vjemy a p\u0159esv\u011bd\u010den\u00ed, zkr\u00e1tka v\u0161e, co se znich odvozuje, se ukl\u00e1d\u00e1 v s\u00edti neuron\u016f a tyto neurony pak \u017eij\u00ed sv\u00fdm nez\u00e1visl\u00fdm \u017eivotem. Tato s\u00ed\u0165 &ndash; ulo\u017een\u00e1 do emo\u010dn\u00edho mozku a odpojen\u00e1 od jak\u00e9hokoliv racion\u00e1ln\u00edho v\u011bdom\u00ed &ndash; se stane mno\u017einou nezpracovan\u00fdch informac\u00ed, kter\u00e1 se reaktivuje p\u0159i sebemen\u0161\u00ed p\u0159ipom\u00ednce za\u017eit\u00e9ho traumatu. Mozek pracuje pomoci asociac\u00ed, co\u017e je velmi d\u016fle\u017eit\u00e9 pro emo\u010dn\u00ed vzpom\u00ednky: Ka\u017ed\u00fd pocit a vjem p\u0159ipom\u00ednaj\u00edc\u00ed n\u011bco, co prov\u00e1zelo traumatickou situaci, okam\u017eit\u011b vyvol\u00e1v\u00e1 vzpom\u00ednku na p\u016fvodn\u00ed ud\u00e1lost. I t\u011blo m\u00e1 pam\u011b\u0165!<\/p>\n<p style=\"text-align: justify;\"> P\u0159i aplikaci EMDR se nejd\u0159\u00edve vyvol\u00e1vaj\u00ed t\u011blesn\u00e9 pocity a emoce souvisej\u00edc\u00ed s traumatickou ud\u00e1lost\u00ed a potom se pohybem o\u010d\u00ed, pomoci zvuk\u016f nebo stimulac\u00ed k\u016f\u017ee (poklepem) usiluje o p\u0159eru\u0161en\u00ed spojitosti mezi t\u011bmito znepokojiv\u00fdmi pocity a onou ud\u00e1lost\u00ed. P\u0159i pohybech o\u010d\u00ed pak \u010dlov\u011bka spont\u00e1nn\u011b napadaj\u00ed voln\u00e9 asociace a ty aktivuj\u00ed a z\u00e1rove\u0148 transformuj\u00ed asociativn\u00ed spojen\u00ed mezi vzpom\u00ednkami (navz\u00e1jem propojen\u00fdmi prost\u0159ednictv\u00edm emoc\u00ed). V\u0161eobecn\u011b se uzn\u00e1v\u00e1, \u017ee tento pohyb o\u010d\u00ed je srovnateln\u00fd s pohybem o\u010d\u00ed, kter\u00fd prob\u00edh\u00e1 b\u011bhem sp\u00e1nku (tzv. REM, t.j. Rapid Eye Movement, rychl\u00fd pohyb o\u010d\u00ed), kter\u00fd je vlastn\u011b p\u0159irozenou ochranou p\u0159ed zhor\u0161ov\u00e1n\u00edm funkce mozku, nebo\u0165 se j\u00edm dokon\u010duje to, co jsme nedok\u00e1zali dokon\u010dit p\u0159i pln\u00e9m v\u011bdom\u00ed. Ke kladn\u00fdm n\u00e1sledk\u016fm vyvolan\u00fdm c\u00edlen\u00fdm pohybem o\u010d\u00ed pat\u0159\u00ed tak\u00e9 tzv. &ldquo;relaxa\u010dn\u00ed odezva&rdquo; (n\u011bkdy pova\u017eovan\u00e1 za v\u016fbec nejd\u016fle\u017eit\u011bj\u0161\u00ed n\u00e1sledek), kter\u00e1 se projevuje okam\u017eit\u00fdm sn\u00ed\u017een\u00edm srde\u010dn\u00edho pulsu a zv\u00fd\u0161en\u00edm t\u011blesn\u00e9 teploty.<br \/>&nbsp;<\/p>\n<p style=\"text-align: justify;\">P\u0159i nasazen\u00ed psychoterapie EMDR pacienti zjist\u00ed, \u017ee se jejich schopnost vzpomenout si na traumatickou ud\u00e1lost nem\u011bn\u00ed, ale zm\u011bnila se intenzita emoc\u00ed spojovan\u00fdch s onou ud\u00e1lost\u00ed. V praxi to znamen\u00e1, \u017ee pacienti si sice na ud\u00e1lost vzpom\u00ednaj\u00ed, ale ta pro n\u011b ji\u017e nen\u00ed n\u011bco sv\u00e9bytn\u00e9ho, nen\u00ed ji\u017e p\u0159\u00ed\u010dinou vyvol\u00e1v\u00e1n\u00ed emoc\u00ed typick\u00fdch pro reakci na traumatick\u00e9 ud\u00e1losti. Pacienti l\u00e9\u010den\u00ed metodou EMDR popisuj\u00ed svou zku\u0161enost tak, \u017ee jim p\u0159ipad\u00e1, jako by sed\u011bli ve vlaku a sledovali traumatickou ud\u00e1lost odv\u00edjet se p\u0159ed jejich o\u010dima, ov\u0161em oni sleduj\u00ed prob\u00edhaj\u00edc\u00ed d\u011bj s odstupem, nejsou jeho p\u0159\u00edm\u00fdmi \u00fa\u010dastn\u00edky. Tato terapie pom\u00e1h\u00e1 pacient\u016fm zpracovat traumatickou ud\u00e1lost jak z emo\u010dn\u00edho hlediska, tak i psychologicky.<br \/> EMDR se \u00fasp\u011b\u0161n\u011b pou\u017e\u00edv\u00e1 po mimo\u0159\u00e1dn\u00fdch ud\u00e1lostech, nap\u0159. po velk\u00fdch katastrof\u00e1ch, kter\u00e9 doslova ot\u0159\u00e1sly sv\u011btem. Bylo tomu tak i po tsunami z roku 2004, p\u0159i kter\u00e9m se mnoho pot\u00e1p\u011b\u010d\u016f dostalo do velk\u00fdch pot\u00ed\u017e\u00ed a EMDR jim pomohla k pot\u00e1p\u011bn\u00ed se znovu vr\u00e1tit. <br \/> &nbsp;<\/p>\n<p style=\"text-align: justify;\">Dobr\u00fdm p\u0159\u00edkladem je situace, do kter\u00e9 se v t\u00e9to souvislosti dostal jeden pot\u00e1p\u011b\u010dsk\u00fd instruktor. Jednoho r\u00e1na vyplul s n\u011bkolika pot\u00e1p\u011b\u010di na obvykl\u00fd celodenn\u00ed v\u00fdlet spojen\u00fd s pot\u00e1p\u011bn\u00edm. B\u011bhem pobytu na mo\u0159i se skupina z r\u00e1dia dozv\u011bd\u011bla, \u017ee jejich vesnici zas\u00e1hly vlny tsunami. T\u011bmto pot\u00e1p\u011b\u010d\u016fm to v\u0161ak nep\u0159ipadalo jako n\u011bco mimo\u0159\u00e1dn\u011b nebezpe\u010dn\u00e9ho.<br \/> Po n\u00e1vratu byli sv\u011bdky ohromn\u00e9 zk\u00e1zy. Kdy\u017e o dva m\u011bs\u00edce pozd\u011bji tento instruktor po\u017e\u00e1dal o psychologickou pomoc, l\u00ed\u010dil, jak se od t\u00e9 doby zm\u011bnil jeho \u017eivot.  <\/p>\n<p style=\"text-align: justify;\">Nec\u00edtil se b\u00fdt stejn\u00fdm \u010dlov\u011bkem a nemohl pracovat jako pot\u00e1p\u011b\u010dsk\u00fd instruktor, proto\u017ee na n\u011bj padala hr\u016fza jen p\u0159i p\u0159edstav\u011b, \u017ee by se m\u011bl potopit pod vodu, nebo tam dokonce v\u00e9st skupinu dal\u0161\u00edch lid\u00ed. Ta hr\u016fzn\u00e1 ud\u00e1lost v n\u011bm opakovan\u011b vyvol\u00e1vala pocity velk\u00e9 \u00fazkosti, nap\u0159. byl p\u0159esv\u011bd\u010den, \u017ee v t\u00e9to oblasti u\u017e nikdy nebude moci pracovat a tak\u00e9 se ob\u00e1val, \u017ee bude muset zm\u011bnit sv\u00e9 zam\u011bstn\u00e1n\u00ed za n\u011bco m\u00e9n\u011b n\u00e1ro\u010dn\u00e9ho, ale i m\u00e9n\u011b zaj\u00edmav\u00e9ho. Tento pot\u00e1p\u011b\u010d tak\u00e9 uvedl, \u017ee v\u011bci, kter\u00e9 mu d\u0159\u00edve d\u011blaly radost a \u010dinily jej \u0161\u0165astn\u00fdm, te\u010f pro n\u011bj nic neznamenaj\u00ed.<br \/> K pr\u016fvodn\u00edm p\u0159\u00edznak\u016fm pat\u0159ily poruchy sp\u00e1nku (\u010dast\u00e9 buzen\u00ed se), no\u010dn\u00ed m\u016fry a opakovan\u00e9 vidiny cel\u00e9 hr\u016fzn\u00e9 scen\u00e9rie, v\u010detn\u011b pohledu na le\u017e\u00edc\u00ed mrtvoly. Tak\u00e9 si st\u011b\u017eoval na velkou podr\u00e1\u017ed\u011bnost. Konstatoval, \u017ee se mu zm\u011bnilo cel\u00e9 vid\u011bn\u00ed sv\u011bta, p\u0159estal si d\u011blat pl\u00e1ny do budoucna a \u017eivot vid\u011bl velmi pesimisticky.<br \/> &nbsp;<\/p>\n<p style=\"text-align: justify;\">To v\u0161e bylo prov\u00e1zeno pocity bezmocnosti a nedostatkem motivace. P\u0159\u00edroda, lid\u00e9, pr\u00e1ce a pl\u00e1ny do budoucna, zkr\u00e1tka v\u0161e, co pro n\u011bj a\u017e do doby on\u00e9 katastrofy n\u011bco znamenalo, mu nyn\u00ed p\u0159ipadalo bezcenn\u00e9. Vyh\u00fdbal se \u0159e\u010dem o tom, co se stalo a ned\u00edval se na televizi. M\u011bl pocit, \u017ee kdyby se tehdy n\u011bco stalo jeho p\u0159\u00e1tel\u016fm nebo pot\u00e1p\u011b\u010d\u016fm z jeho skupiny, pocit sv\u00e9 viny by v\u016fbec neunesl. D\u00edky EMDR za\u010dal tento instruktor norm\u00e1ln\u011b sp\u00e1t ji\u017e po prvn\u00edm psychoterapeutick\u00e9m sezen\u00ed. Po t\u0159ech sezen\u00edch se mohl vr\u00e1tit ke sv\u00e9 pr\u00e1ci, kterou vykon\u00e1 val na nejr\u016fzn\u011bj\u0161\u00edch m\u00edstech ve sv\u011bt\u011b a op\u011bt dok\u00e1zal v\u00e9st pot\u00e1p\u011b\u010de p\u0159i sestupech pod vodu (jeho terapii vedla doktorka Isabel Fernandez). <\/p>\n<p style=\"text-align: justify;\">Dal\u0161\u00ed p\u0159\u00edpad zn\u00e1m\u00fd z odborn\u00e9 literatury popisuje situaci, kdy po \u00famrt\u00ed pot\u00e1p\u011b\u010de, kter\u00fd zem\u0159el p\u0159i tr\u00e9ninku, trp\u011bl pot\u00e1p\u011b\u010dsk\u00fd instruktor posttraumatick\u00fdm stresem, kter\u00e9ho se nemohl zbavit. Po \u010dty\u0159ech terapeutick\u00fdch sezen\u00edch bylo zaznamen\u00e1no zna\u010dn\u00e9 zlep\u0161en\u00ed pacientova stavu a kladn\u00fd v\u00fdvoj pokra\u010doval i po sezen\u00edch dal\u0161\u00edch (Ladd G. &ldquo;Terapie psychologick\u00e9 \u00fajmy po \u00famrt\u00ed p\u0159i p\u0159\u00edstrojov\u00e9m d\u00fdch\u00e1n\u00ed&rdquo;, Pot\u00e1p\u011bn\u00ed a hyperbarick\u00e1 medicina, 2007; 37: 36-39).<br \/> Na z\u00e1v\u011br lze uv\u00e9st p\u0159\u00edpad strachu z plav\u00e1n\u00ed na hlubok\u00e9 vod\u011b, kter\u00fd byl d\u00edky metod\u011b EMDR vyl\u00e9\u010den s vynikaj\u00edc\u00edm v\u00fdsledkem (John Campbell-Beattie, kv\u011bten 2002).<\/p>\n<p style=\"text-align: justify;\"><strong>O autorovi<\/strong><\/p>\n<p>Federica Alfieri , psycholo\u017eka a psychoterapeutka, vy\u0161kolen\u00e1 na aplikaci psychoterapie EMDR <a href=\"mailto:alfieri.federica@yahoo.it\">alfieri.federica@yahoo.it<\/a>.<\/p>\n<p><strong>Pozn\u00e1mka:<\/strong><\/p>\n<p style=\"text-align: justify;\"> Evropsk\u00e1 asociace EMDR. Administr\u00e1tora Dafna m\u016f\u017eete kontaktovat na adrese &nbsp; <a href=\"mailto:dafna@emdr.co.il\">dafna@emdr.co.il<\/a> nebo prost\u0159ednictv\u00edm webov\u00e9 str\u00e1nky&nbsp; <a href=\"http:\/\/ www.emdr-europe.org\">www.emdr-europe.org<\/a> Tam najdete v\u0161echny zem\u011b a m\u011bsta, kde byste mohli pro pot\u00e1p\u011b\u010de pot\u0159ebovat a pou\u017e\u00edt psychoterapii EMDR.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>P\u0159i rekrea\u010dn\u00edm a technick\u00e9m pot\u00e1p\u011bn\u00ed mohou nastat traumatick\u00e9 situace, jak\u00fdmi jsou nap\u0159. stav dus\u00edkov\u00e9 nark\u00f3zy, dekompresn\u00ed nemoc nebo nutnost pomoci lidem, kte\u0159\u00ed v souvislosti s&#8230;<\/p>\n","protected":false},"author":1,"featured_media":11374222,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[],"authors":[994],"class_list":["post-11385566","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","authors-federica-alfieri-cs_cz"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Psychick\u00e9 trauma a jeho l\u00e9\u010dba - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Psychick\u00e9 trauma a jeho l\u00e9\u010dba - Alert Diver\" \/>\n<meta property=\"og:description\" content=\"P\u0159i rekrea\u010dn\u00edm a technick\u00e9m pot\u00e1p\u011bn\u00ed mohou nastat traumatick\u00e9 situace, jak\u00fdmi jsou nap\u0159. stav dus\u00edkov\u00e9 nark\u00f3zy, dekompresn\u00ed nemoc nebo nutnost pomoci lidem, kte\u0159\u00ed v souvislosti s...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/\" \/>\n<meta property=\"og:site_name\" content=\"Alert Diver\" \/>\n<meta property=\"article:published_time\" content=\"2009-07-14T22:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"1411\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"microfilla\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Napsal(a)\" \/>\n\t<meta name=\"twitter:data1\" content=\"microfilla\" \/>\n\t<meta name=\"twitter:label2\" content=\"Odhadovan\u00e1 doba \u010dten\u00ed\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minut\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/\"},\"author\":{\"name\":\"microfilla\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b\"},\"headline\":\"Psychick\u00e9 trauma a jeho l\u00e9\u010dba\",\"datePublished\":\"2009-07-14T22:00:00+00:00\",\"dateModified\":\"2009-07-14T22:00:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/\"},\"wordCount\":2127,\"publisher\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#organization\"},\"image\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg\",\"articleSection\":[\"Clanky\"],\"inLanguage\":\"cs\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/\",\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/\",\"name\":\"Psychick\u00e9 trauma a jeho l\u00e9\u010dba - Alert Diver\",\"isPartOf\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg\",\"datePublished\":\"2009-07-14T22:00:00+00:00\",\"dateModified\":\"2009-07-14T22:00:00+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#breadcrumb\"},\"inLanguage\":\"cs\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"cs\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#primaryimage\",\"url\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg\",\"contentUrl\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg\",\"width\":2000,\"height\":1411},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/alertdiver.eu\/cs_CZ\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Psychick\u00e9 trauma a jeho l\u00e9\u010dba\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#website\",\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/\",\"name\":\"Alert Diver Europe\",\"description\":\"Access, discover and share the latest diving safety content from DAN Europe.\",\"publisher\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/alertdiver.eu\/cs_CZ\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"cs\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#organization\",\"name\":\"Alert Diver Europe\",\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"cs\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/02\/cropped-favicon.png\",\"contentUrl\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/02\/cropped-favicon.png\",\"width\":512,\"height\":512,\"caption\":\"Alert Diver Europe\"},\"image\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b\",\"name\":\"microfilla\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"cs\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/09f39449f14df8c3ad651888221bb907?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/09f39449f14df8c3ad651888221bb907?s=96&d=mm&r=g\",\"caption\":\"microfilla\"},\"sameAs\":[\"https:\/\/microfilla.com\"],\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/author\/microfilla\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Psychick\u00e9 trauma a jeho l\u00e9\u010dba - Alert Diver","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/","og_locale":"cs_CZ","og_type":"article","og_title":"Psychick\u00e9 trauma a jeho l\u00e9\u010dba - Alert Diver","og_description":"P\u0159i rekrea\u010dn\u00edm a technick\u00e9m pot\u00e1p\u011bn\u00ed mohou nastat traumatick\u00e9 situace, jak\u00fdmi jsou nap\u0159. stav dus\u00edkov\u00e9 nark\u00f3zy, dekompresn\u00ed nemoc nebo nutnost pomoci lidem, kte\u0159\u00ed v souvislosti s...","og_url":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/","og_site_name":"Alert Diver","article_published_time":"2009-07-14T22:00:00+00:00","og_image":[{"width":2000,"height":1411,"url":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg","type":"image\/jpeg"}],"author":"microfilla","twitter_card":"summary_large_image","twitter_misc":{"Napsal(a)":"microfilla","Odhadovan\u00e1 doba \u010dten\u00ed":"11 minut"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#article","isPartOf":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/"},"author":{"name":"microfilla","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b"},"headline":"Psychick\u00e9 trauma a jeho l\u00e9\u010dba","datePublished":"2009-07-14T22:00:00+00:00","dateModified":"2009-07-14T22:00:00+00:00","mainEntityOfPage":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/"},"wordCount":2127,"publisher":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/#organization"},"image":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#primaryimage"},"thumbnailUrl":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg","articleSection":["Clanky"],"inLanguage":"cs"},{"@type":"WebPage","@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/","url":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/","name":"Psychick\u00e9 trauma a jeho l\u00e9\u010dba - Alert Diver","isPartOf":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/#website"},"primaryImageOfPage":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#primaryimage"},"image":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#primaryimage"},"thumbnailUrl":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg","datePublished":"2009-07-14T22:00:00+00:00","dateModified":"2009-07-14T22:00:00+00:00","breadcrumb":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#breadcrumb"},"inLanguage":"cs","potentialAction":[{"@type":"ReadAction","target":["https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/"]}]},{"@type":"ImageObject","inLanguage":"cs","@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#primaryimage","url":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg","contentUrl":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-22-2.jpg","width":2000,"height":1411},{"@type":"BreadcrumbList","@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/psychicke-trauma-a-jeho-lecba\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/alertdiver.eu\/cs_CZ\/"},{"@type":"ListItem","position":2,"name":"Psychick\u00e9 trauma a jeho l\u00e9\u010dba"}]},{"@type":"WebSite","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#website","url":"https:\/\/alertdiver.eu\/cs_CZ\/","name":"Alert Diver Europe","description":"Access, discover and share the latest diving safety content from DAN Europe.","publisher":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/alertdiver.eu\/cs_CZ\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"cs"},{"@type":"Organization","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#organization","name":"Alert Diver Europe","url":"https:\/\/alertdiver.eu\/cs_CZ\/","logo":{"@type":"ImageObject","inLanguage":"cs","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/logo\/image\/","url":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/02\/cropped-favicon.png","contentUrl":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/02\/cropped-favicon.png","width":512,"height":512,"caption":"Alert Diver Europe"},"image":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b","name":"microfilla","image":{"@type":"ImageObject","inLanguage":"cs","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/09f39449f14df8c3ad651888221bb907?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/09f39449f14df8c3ad651888221bb907?s=96&d=mm&r=g","caption":"microfilla"},"sameAs":["https:\/\/microfilla.com"],"url":"https:\/\/alertdiver.eu\/cs_CZ\/author\/microfilla\/"}]}},"_links":{"self":[{"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/posts\/11385566","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/comments?post=11385566"}],"version-history":[{"count":0,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/posts\/11385566\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/media\/11374222"}],"wp:attachment":[{"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/media?parent=11385566"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/categories?post=11385566"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/tags?post=11385566"},{"taxonomy":"authors","embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/authors?post=11385566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}