Faculty of Medicine and Health, School of Nursing, University of Sydney, Camperdown, NSW, 2050, Australia.
Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Community Ment Health J. 2021 May;57(4):631-643. doi: 10.1007/s10597-020-00698-1. Epub 2020 Aug 17.
Intergenerational trauma is a discrete form of trauma which occurs when traumatic effects are passed across generations without exposure to the original event. This qualitative study aimed to explore how psychiatrists understand intergenerational trauma in respect to their practice, for the purposes of identifying interventions for addressing intergenerational trauma in public mental health services. Findings revealed that psychiatrists observe intergenerational trauma frequently in their roles and try to opportunistically promote awareness of trauma with adults, and refer families to external services for supportive interventions. They feel powerless when faced with directly intervening with intergenerational trauma and required restructuring of their roles to adequately address it in public settings. Findings have implications for training, advocacy and research on the relationship between trauma and mental illness. Alongside this, there is an indicated need for examination of how systems can ensure access to appropriate services once organisations become trauma-informed.
代际创伤是一种特殊形式的创伤，当创伤的影响在没有接触到原始事件的情况下跨代传递时就会发生。这项定性研究旨在探讨精神科医生如何理解代际创伤与他们的实践之间的关系，以便为公共心理健康服务中解决代际创伤确定干预措施。研究结果表明，精神科医生在其角色中经常观察到代际创伤，并试图利用机会提高成年人对创伤的认识，并将家庭转介到外部服务机构接受支持性干预。当他们面对直接干预代际创伤时，他们感到无能为力，需要重新构建角色，以便在公共环境中充分解决这一问题。研究结果对创伤与精神疾病之间关系的培训、宣传和研究具有重要意义。除此之外，还需要研究系统如何确保一旦组织具备创伤意识，就能够获得适当的服务。
