Isobel Sophie, Gladstone Brenda, Goodyear Melinda, Furness Trentham, Foster Kim
Faculty of Medicine and Health, University of Sydney, Camperdown, Australia.
Sydney Local Health District, Concord, Australia.
J Ment Health. 2021 Dec;30(6):667-673. doi: 10.1080/09638237.2020.1714012. Epub 2020 Jan 30.
Trauma is a factor impacting the lives of many people experiencing psychiatric disorders. Trauma affects people's responses to illness as well as their interactions with services.
This study aimed to explore the understandings and experiences of psychiatrists of working with trauma and emerging models of Trauma-Informed Care.
An interpretive qualitative inquiry was undertaken using semi-structured in-depth interviews with psychiatrists.
Four themes were identified: Making sense of trauma; A contentious relationship between trauma and mental illness; Treatment made more challenging by trauma; Trauma-Informed Care highlights tensions. Psychiatrists are familiar with the concept of trauma but there are differences in beliefs about its relationship to mental illness that are consequential for practice. Trauma-Informed Care is seen as an effort to humanise mental health services, but with perceived limited impact on psychiatrists' roles.
Findings indicate need for further consultation and collaboration with psychiatrists around trauma-informed care implementation; as well as consideration of what is required to develop professional consensus on trauma and its relationship to illness.
创伤是影响许多患有精神疾病者生活的一个因素。创伤会影响人们对疾病的反应以及他们与医疗服务机构的互动。
本研究旨在探讨精神科医生对处理创伤及新兴的创伤知情照护模式的理解和经验。
采用半结构化深度访谈对精神科医生进行解释性定性研究。
确定了四个主题：理解创伤；创伤与精神疾病之间的矛盾关系；创伤使治疗更具挑战性；创伤知情照护凸显紧张关系。精神科医生熟悉创伤的概念，但对于其与精神疾病的关系存在不同信念，这对实践有重要影响。创伤知情照护被视为使心理健康服务更人性化的一种努力，但对精神科医生角色的影响有限。
研究结果表明，在实施创伤知情照护方面需要与精神科医生进行进一步的协商与合作；同时需要考虑如何就创伤及其与疾病的关系达成专业共识。
