Faculty of Medicine and Health, University of Sydney, Australia.
Australian Catholic University, Australia.
Australas Psychiatry. 2020 Dec;28(6):656-659. doi: 10.1177/1039856220946596. Epub 2020 Sep 3.
Tensions about the definition, diagnostics, and role of psychological trauma in psychiatry are long-standing. This study sought to explore what metaphor patterns in qualitative interviews may reveal about the beliefs of psychiatrists in relation to trauma.
A qualitative inquiry using systematic metaphor analysis of 13 in-depth interviews with Australian psychiatrists.
Three themes were identified: a power struggle between people, trauma, and psychiatry; trauma is not a medical condition; and serving the profession to protect society.
Metaphors present trauma as a powerful force that people can manage in different ways. Psychiatrists may view trauma as a social rather than medical issue. Psychiatrists experience role pressure associated with trauma including incongruence with risk management expectations of their roles.
关于精神病学中心理创伤的定义、诊断和作用，一直存在争议。本研究旨在探讨定性访谈中的隐喻模式可能揭示精神病医生对创伤相关信念的哪些方面。
使用澳大利亚精神病医生的 13 次深入访谈进行定性研究，采用系统隐喻分析。
确定了三个主题：人、创伤和精神病学之间的权力斗争；创伤不是一种医学病症；为了保护社会而服务于专业。
隐喻将创伤呈现为一种强大的力量，人们可以以不同的方式来应对。精神病医生可能将创伤视为社会问题而非医学问题。精神病医生在创伤方面面临角色压力，包括与他们的角色的风险管理期望不一致。
