Harvard Medical School.
Fam Syst Health. 2022 Dec;40(4):613-614. doi: 10.1037/fsh0000759.
For most patients, primary care and generalist settings are the first clinical touchpoints to accessing medical care. As such, they present the formative opportunity for stories to be communicated and trust to be developed between patients and the health care system. The skills of listening, supporting, communicating, and empathizing are essential in providing patient care and promoting strong patient-physician relationships. They are particularly crucial for people who have experienced interpersonal violence. In this piece, I reflect on my experience as a crisis counselor working with an underage survivor of sexual violence. This encounter provides an application of trauma-informed approaches to caring for survivors of violence and contextualizes the effects of intergenerational trauma. Narratives like this one shed a timely, sorely needed light on the role of physicians in understanding and intervening upon the cycle of violence. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
对于大多数患者来说,初级保健和通科医疗环境是他们获得医疗服务的最初临床接触点。因此,它们为患者与医疗保健系统之间交流故事和建立信任提供了机会。倾听、支持、沟通和同理心的技能对于提供患者护理和促进良好的医患关系至关重要。对于那些经历过人际暴力的人来说,这些技能尤为重要。在这篇文章中,我反思了作为一名危机顾问与一名未成年性暴力幸存者一起工作的经历。这次遭遇为关爱暴力幸存者提供了一个基于创伤知情的方法应用,并将代际创伤的影响置于具体情境下。像这样的叙述及时地揭示了医生在理解和干预暴力循环方面的作用,这是非常必要的。