Piachaud Jack
Department of Psychiatry, Imperial College, London, UK.
Int Rev Psychiatry. 2007 Jun;19(3):303-11. doi: 10.1080/09540260701349514.
Mass violence carries with it an enormous impact on health; the psychological impact is well recognized but poorly understood. There is a need for health professionals around the world to learn basic issues about the psychological impact of violence and to have available more specialized training to equip them with skills necessary to work directly with victims of mass violence. Organizing mental health services in conflict and in post-conflict situations requires many skills and complex work across sectors. Understanding mass violence from a public mental health perspective provides a framework for a curriculum that covers treatment for individuals and interventions for populations as well as exploring the mental states and social relationships which promote peace. Training implications are broad and should take account of individual and population needs, but also of a deeper human need to understand and contain that violent side of our nature that threatens us with extinction.
大规模暴力对健康有着巨大影响；其心理影响虽已得到广泛认可，但人们对此了解甚少。世界各地的卫生专业人员需要了解暴力心理影响的基本问题，并获得更多专业培训，以使他们具备直接为大规模暴力受害者提供服务所需的技能。在冲突和冲突后局势中组织心理健康服务需要多种技能，且涉及跨部门的复杂工作。从公共心理健康角度理解大规模暴力，为一门课程提供了框架，该课程涵盖对个体的治疗、对人群的干预，以及探究促进和平的心理状态和社会关系。培训的影响广泛，应考虑个人和人群的需求，也应考虑到人类更深刻的需求，即理解并控制我们本性中那会使我们面临灭绝威胁的暴力一面。
