Yudkin Joshua S, Bakshi Parul, Craker Kelsey, Taha Sari
Department of Epidemiology, Human Genetics and Environmental Sciences, University of Texas Health Sciences Center At Houston School of Public Health, 6011 Harry Hines Blvd, Dallas, TX, 75235, USA.
George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, 63130, USA.
Community Ment Health J. 2022 Feb;58(2):300-310. doi: 10.1007/s10597-021-00822-9. Epub 2021 Apr 3.
This paper explores how Western medicine may not fully understand and address post-traumatic stress disorder (PTSD) and other trauma-induced illnesses in a culturally appropriate manner in marginalized communities and offers a theoretical framework to develop comprehensive, effective, and sustainable solutions that comprehensively address and treat the trauma on both a collective and individual level. Focused on Palestinians, this paper discusses the collective trauma Palestinians experienced and how it manifests in transgenerational effects on the body and mind that may be post-traumatic stress disorder (PTSD) or perhaps another distinct condition that is yet to be codified in the Western medical lexicon. It describes local alternatives to Western medical diagnostic tools like the "ease to disease" diagnostic scale and the sociopolitical context-in this case, the Palestinian fight for karamah, or dignity-from which such alternatives arise. Based on these findings, a novel theoretical framework, the comprehensive communal trauma intervention model (CCTIM), a truly transdisciplinary population-level model for treating mental health in vulnerable communities globally, is proposed. It articulates the need to address the root cause of collective trauma, make modifications to the healthcare system, and cultivate strategic equity-oriented and research-based partnerships.
本文探讨了西医如何可能无法以文化上适当的方式充分理解和应对边缘化社区中的创伤后应激障碍(PTSD)及其他创伤引发的疾病,并提供了一个理论框架,以制定全面、有效且可持续的解决方案,在集体和个体层面全面应对和治疗创伤。本文聚焦于巴勒斯坦人,讨论了巴勒斯坦人所经历的集体创伤,以及这种创伤如何在代际层面表现为对身心的影响,这些影响可能是创伤后应激障碍(PTSD),或者可能是另一种尚未被纳入西方医学词汇的独特病症。它描述了诸如“易患病”诊断量表等西方医学诊断工具的本土替代方法,以及这些替代方法所产生的社会政治背景——在这种情况下,是巴勒斯坦人为了尊严(即“卡拉马”)而进行的斗争。基于这些发现,本文提出了一个新颖的理论框架,即综合社区创伤干预模型(CCTIM),这是一个真正的跨学科的群体层面模型,用于全球范围内治疗脆弱社区的心理健康问题。它阐明了应对集体创伤根源、对医疗保健系统进行调整以及建立基于战略公平和研究的伙伴关系的必要性。