替代性创伤对原住民和/或托雷斯海峡岛民健康研究人员的影响。
The impact of vicarious trauma on Aboriginal and/or Torres Strait Islander health researchers.
机构信息
The George Institute for Global Health, Sydney, NSW, Australia; The Faculty of Medicine, UNSW Sydney, Australia;
The George Institute for Global Health, Sydney, NSW, Australia; The Faculty of Medicine, UNSW Sydney, Australia.
出版信息
Public Health Res Pract. 2021 Mar 10;31(1):30012000. doi: 10.17061/phrp30012000.
AIM
To describe and reflect on an Aboriginal researcher's experience of vicarious trauma arising from a qualitative study of Aboriginal and Torres Strait Islander women with chronic disease.
METHODS
In-depth semistructured interviews with thematic analysis were undertaken to explore the psychosocial factors experienced by Aboriginal and Torres Strait Islander women as they managed their chronic disease. An 'Indigenous women's standpoint theory' approach was adopted to frame discussion. This approach gives strength and power to the voice of Aboriginal and Torres Strait Islander women and their diverse cultural lived experiences. The raw and often brutal realities this approach exposed had a triggering impact on the Aboriginal team member for whom these realities were familiar. Interviews were conducted with participants from four Aboriginal Medical Services from urban, rural and remote Australia. Analysis of the interviews, and reflection regarding the researcher's experiences, occurred within the context of a multidisciplinary team. Participant selection for the interview study was purposive. Seventy-two participants were selected for this study. The duration of the study was 2 years, and it was undertaken between March and December 2014, and finalised in December 2016.
RESULTS
In exploring how Aboriginal and Torres Strait Islander women managed their own health and wellbeing, compelling stories of trauma, domestic violence and generational incarceration were shared with the researcher. Hearing and re-living some of these overwhelming experiences left her feeling isolated and distressed. These compelling stories contributed to her experience of vicarious trauma.
CONCLUSION
When Aboriginal and Torres Strait Islander researchers conduct research in Indigenous communities, we should monitor, prepare for and provide appropriate care and support to researchers to address the potential for vicarious trauma. These considerations are paramount if we are to build the capacity of Indigenous and non-Indigenous researchers to conduct Indigenous health research.
目的
描述并反思一位土著研究人员在对患有慢性疾病的土著和托雷斯海峡岛民妇女进行定性研究时所经历的替代性创伤。
方法
采用深入的半结构化访谈和主题分析方法，探讨土著和托雷斯海峡岛民妇女在管理其慢性疾病时所经历的心理社会因素。采用“土著妇女立场理论”方法来阐述讨论。这种方法赋予了土著和托雷斯海峡岛民妇女及其多样化的文化生活经验以力量和权力。这种方法所揭示的原始而残酷的现实对土著团队成员产生了触发影响，因为这些现实对他们来说是熟悉的。访谈是在澳大利亚城市、农村和偏远地区的四个土著医疗服务机构的参与者中进行的。在多学科团队的背景下，对访谈进行了分析，并对研究人员的经验进行了反思。参与者的选择是为了访谈研究的目的。本研究共选择了 72 名参与者。研究持续了 2 年，于 2014 年 3 月至 12 月进行，并于 2016 年 12 月完成。
结果
在探讨土著和托雷斯海峡岛民妇女如何管理自己的健康和幸福时，研究人员分享了一些关于创伤、家庭暴力和代际监禁的引人注目的故事。听到并重新体验其中一些令人难以承受的经历，使她感到孤立和苦恼。这些引人注目的故事促成了她的替代性创伤经历。
结论
当土著和托雷斯海峡岛民研究人员在土著社区进行研究时，我们应该监测、准备并为研究人员提供适当的护理和支持，以解决替代性创伤的可能性。如果我们要建立土著和非土著研究人员进行土著健康研究的能力，这些考虑因素至关重要。
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