Birnbaum Shira
a College of Natural, Behavioral, and Health Sciences, Simmons College , Boston , Massachusetts , USA.
Issues Ment Health Nurs. 2019 Jun;40(6):476-481. doi: 10.1080/01612840.2018.1563256. Epub 2019 Apr 8.
Many writers have been calling for the incorporation of trauma-informed care (TIC) in nursing education and practice, with some recently advocating the adoption of formal TIC competencies in psychiatric nursing. In light of this heightened interest, it is worth engaging seriously with criticisms of TIC. This paper reviews some of the published criticisms of TIC, starting with those emerging from within the TIC scholarly community. These focus mostly on matters of methodological rigor and conceptual clarity. It then presents critiques that emerge through the lenses of feminism, cultural sociology, and psychoanalysis. These focus on the shift away from political and historical consciousness in some TIC language and call attention to discursive mechanisms that split off our concern for patients from concern about ongoing social determinants of trauma in the world. The paper then addresses the implications for TIC in nursing, advocating a social justice orientation to the teaching of trauma.
许多作者一直呼吁将创伤知情护理（TIC）纳入护理教育与实践，最近还有一些人主张在精神科护理中采用正式的TIC能力标准。鉴于这种日益浓厚的兴趣，认真对待对TIC的批评是值得的。本文回顾了一些已发表的对TIC的批评，首先是来自TIC学术社区内部的批评。这些批评主要集中在方法严谨性和概念清晰度方面。然后介绍了从女权主义、文化社会学和精神分析视角出现的批评。这些批评关注的是某些TIC语言中对政治和历史意识的背离，并提请注意那些将我们对患者的关注与对世界上创伤的持续社会决定因素的关注割裂开来的话语机制。本文接着探讨了对护理中TIC的影响，主张以社会正义为导向进行创伤教学。
