Ranjbar Noshene, Erb Matt, Mohammad Othman, Moreno Francisco A
Department of Psychiatry, University of Arizona, Tucson (Ranjbar, Moreno); The Center for Mind-Body Medicine, Washington, D.C. (Erb); Department of Psychiatry, University of Massachusetts-Baystate, Springfield (Mohammad).
Focus (Am Psychiatr Publ). 2020 Jan;18(1):8-15. doi: 10.1176/appi.focus.20190027. Epub 2020 Jan 24.
The prevalence and impact of trauma constitute a public health crisis that is complicated by the cultural heterogeneity of contemporary society and a higher rate of trauma among individuals from minoritized communities. A trauma-informed care approach can facilitate improved treatment of those who have experienced trauma, and trauma-informed care is increasingly viewed as potentially beneficial for all patients. This article outlines general principles of trauma-informed care and ways to enact it. Because the situations in which trauma arises, the ways in which it is conceptualized, and how patients respond to it are influenced by both culture and individual factors, a cultural humility approach is also described and recommended. Psychiatrists can navigate the complex terrain of cultures and social backgrounds in the clinical encounter and can promote healing when treating patients who have experienced trauma by adopting a trauma-informed care approach and an attitude of cultural humility.
创伤的患病率及其影响构成了一场公共卫生危机,当代社会的文化异质性以及少数族裔社区个体中较高的创伤发生率使这一危机更加复杂。以创伤为导向的护理方法有助于改善对经历过创伤者的治疗,并且以创伤为导向的护理越来越被视为对所有患者都可能有益。本文概述了以创伤为导向的护理的一般原则及其实施方法。由于创伤发生的情境、其被概念化的方式以及患者对其的反应均受文化和个体因素的影响,因此还描述并推荐了一种文化谦逊的方法。精神科医生在临床诊疗过程中能够应对不同文化和社会背景的复杂情况,通过采用以创伤为导向的护理方法和文化谦逊的态度,在治疗经历过创伤的患者时促进其康复。