Abstract：
BACKGROUND: On October 7, 2023, terrorist organizations led by Hamas, launched an extensive attack on Israel. Within days following the initial attack, there was a clear need to provide psychological support to individuals who were exposed to the horrors of the October 7 attacks. Hence, the Tel Aviv Sourasky Medical Center opened the \"Ichilov Otef Nefesh\" clinic to provide psychological first aid to the first-line victims of the war. As the fighting spread, the services were extended to the entire population. The guiding principle of the intervention was that it is crucial in the acute phase after exposure to significant trauma, and its main purpose is to support the natural course of one\'s recovery processes. This case series describes three representative cases from among the hundreds of people who applied to the clinic. The intervention provided was guided by an integrated approach that promotes introspection and connectedness to one\'s environment and community, enhancing cognitive functions, emotional regulation and utilizing available resources to reduce distress. The main themes that emerged shifted between feelings of helplessness and a sense of agency; a breach in basic trust and renewed trust, guilt and self-compassion; anger, abandonment and alienation versus solidarity and connecting to the present and the future, despair versus hope and loss versus acceptance and connectedness. In face of these, the therapists endorsed techniques of validation, restoring self-agency, promoting a sense of self-agency and self-compassion, creating a link between the past and present, and finding connection and hope.
摘要：
背景：2023年10月7日，哈马斯领导的恐怖组织，对以色列发动了大规模攻击。在最初攻击后的几天内，显然有必要向遭受10月7日恐怖袭击的个人提供心理支持。因此，特拉维夫Sourasky医疗中心开设了“IchilovOtefNefesh”诊所，为战争的一线受害者提供心理急救。随着战斗的蔓延，服务扩展到整个人口。干预的指导原则是，在暴露于重大创伤后的急性期至关重要，其主要目的是支持一个人的恢复过程的自然过程。这个案例系列描述了来自数百名申请诊所的人中的三个代表性案例。所提供的干预措施以一种综合方法为指导，该方法可促进与环境和社区的内省和联系，增强认知功能，情绪调节和利用可用资源来减少痛苦。出现的主要主题在无助感和代理感之间转移；破坏基本信任和重新信任，内疚和自我同情；愤怒，放弃和疏远与团结，连接现在和未来，绝望与希望，失去与接受和联系。面对这些,治疗师认可的验证技术，恢复自我代理，促进自我代理和自我同情的感觉，在过去和现在之间建立联系，寻找联系和希望。
