North Bristol NHS Trust, Community Child Health Partnership, Westgate House, Southmead Hospital, Southmead Road, Westbury-on-Trym, Bristol BS10 5NB, UK.
Arch Dis Child. 2012 May;97(5):440-6. doi: 10.1136/archdischild-2011-300362. Epub 2011 Nov 9.
While prevention of iatrogenic harm is a sufficient priority to determine service structures and practice, the concept of harm is largely restricted to the physical. Psychological harm has received scant attention despite its importance, particularly for children and adolescents. A professional climate increasingly reliant on measurement and evidence and coloured by fear of litigation contributes to perpetuating the anomaly. The aim of this paper is to consider how and why iatrogenic psychological harm may happen, why i-dt matters, how it may be manifest and how it may be prevented. Prevention of psychological harm should be as great a priority as that of physical harm.
尽管预防医源性伤害是确定服务结构和实践的充分优先事项，但伤害的概念在很大程度上仅限于身体伤害。尽管心理伤害很重要，但却很少受到关注，尤其是对儿童和青少年而言。日益依赖测量和证据的专业氛围以及对诉讼的恐惧促成了这种反常现象的持续存在。本文旨在探讨医源性心理伤害是如何以及为何发生的，为什么 i-dt 很重要，它可能表现为何种形式以及如何预防。预防心理伤害应该与预防身体伤害一样重要。
