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难民、寻求庇护者以及从业者对身体创伤的看法:一项全面的范围综述。

Refugees, asylum seekers, and practitioners' perspectives of embodied trauma: A comprehensive scoping review.

作者信息

O'Brien Charlotte V, Charura Divine

机构信息

School of Education, Language and Psychology, York St John University.

出版信息

Psychol Trauma. 2023 Oct;15(7):1115-1127. doi: 10.1037/tra0001342. Epub 2022 Aug 1.

Abstract

INTRODUCTION

Individuals seeking refuge and asylum commonly present to health care practitioners with embodiment of mental distress resulting from the traumatic nature of their migration experiences. The number of displaced individuals has doubled over the past decade due to the impacts of war, religious and political conflict, climate change, and COVID-19. Studies point towards the need for a comprehensive scoping review to fully explicate the concept of embodied trauma, bridging the gap between phenomenological lived experience and the many treatments available.

OBJECTIVES

To inform psychotherapy guidelines by identifying the evidence for embodied trauma, clarifying key terms, examining how research is conducted, and identifying gaps in the knowledge.

METHOD

A five-stage scoping review protocol was operationalized to explore and analyze the existing literature and associated terminology by (a) identifying the research question, (b) identifying the relevant literature, (c) selecting the studies, (d) charting the data, and (e) collating, summarizing, and reporting the results.

RESULTS

Highlight the need for a clear definition of terms, the development of a culturally informed assessment and formulation for individuals experiencing embodied trauma, and reveal a gap in the research for the best treatment approach(es).

CONCLUSION

Proposal of a clear definition of embodied trauma and key themes for future research including culturally informed care, psychosocial support, language considerations, relational belonging, and inclusion of sexual, spiritual, and existential factors, moving away from purely Westernized diagnoses and treatments towards culturally informed care. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

引言

寻求庇护的个人通常会因移民经历的创伤性质而向医疗从业者呈现出精神痛苦的表现。由于战争、宗教和政治冲突、气候变化以及新冠疫情的影响,在过去十年中,流离失所者的数量翻了一番。研究表明,需要进行全面的范围审查,以充分阐明躯体创伤的概念,弥合现象学的生活经历与众多可用治疗方法之间的差距。

目的

通过确定躯体创伤的证据、澄清关键术语、审查研究方法以及识别知识空白,为心理治疗指南提供信息。

方法

采用五阶段范围审查方案,通过(a)确定研究问题、(b)识别相关文献、(c)选择研究、(d)梳理数据以及(e)整理、总结和报告结果,来探索和分析现有文献及相关术语。

结果

强调需要明确术语定义,为经历躯体创伤的个人制定具有文化适应性的评估和诊断方法,并揭示在最佳治疗方法研究方面存在的差距。

结论

提出躯体创伤的明确定义以及未来研究的关键主题,包括具有文化适应性的护理、心理社会支持、语言考量、关系归属以及纳入性、精神和存在因素,从纯粹的西方化诊断和治疗转向具有文化适应性的护理。(PsycInfo数据库记录(c)2023美国心理学会,保留所有权利)

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