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从童年不良经历到颂扬支持性的养育关系。

Moving From Adverse Childhood Experiences to Celebrating Supportive Nurturing Relationships.

作者信息

Chelemedos Kasey

机构信息

Department of Pediatrics, St Christopher's Hospital for Children, Philadelphia, Pennsylvania.

出版信息

Pediatrics. 2023 Oct 1;152(4). doi: 10.1542/peds.2023-062439.

Abstract

The editors of the Section on Pediatric Trainees feature in Pediatrics are deeply pleased to share the winning submission from the feature's seventh annual essay competition. This year's competition was informed by the 2022-2023 Section on Pediatric Trainees Advocacy Campaign: "Races against ACEs," which encouraged trainees to understand, witness, and act upon the role of adverse childhood experiences (ACEs) in pediatric medicine, and youth welfare more broadly. In the essay competition, we asked writers to reflect not only on the effects of ACEs on the well-being of young people, but also on how pediatricians can address these issues in venues ranging from patient encounters to training programs to public policy. We were impressed by, and grateful for, the thoughtfulness and vulnerability of trainees in sharing their experiences related to this critically important topic. This winning essay, by Dr Chelemedos, weaves the author's lived experiences with childhood trauma alongside clinical experiences caring for patients facing similar, though distinct, challenges. In doing so, Chelemedos' work sheds light on the ubiquity, and long-term impacts, of ACEs across the life span in a deeply human way; simultaneously, it exemplifies the critical role physicians play in combatting social malaise, one full set of swings at a time. The runner-up essay, by Dr Alessandra Angelino, will appear in next month's issue.

摘要

《儿科学》杂志“儿科实习生专栏”的编辑们非常高兴地分享该专栏第七届年度征文比赛的获奖作品。今年的比赛受到了2022 - 2023年“儿科实习生倡导活动:与童年不良经历赛跑”的启发,该活动鼓励实习生去理解、见证并应对童年不良经历(ACEs)在儿科医学以及更广泛的青少年福利中的作用。在征文比赛中,我们要求作者不仅要思考ACEs对年轻人幸福的影响,还要思考儿科医生如何在从患者诊疗、培训项目到公共政策等各种场合中解决这些问题。实习生们在分享与这个极其重要主题相关的经历时所展现出的深思熟虑和坦诚,给我们留下了深刻印象,也让我们心怀感激。这篇获奖文章由切莱梅多斯博士撰写,将作者童年创伤的亲身经历与照顾面临类似但又有所不同挑战的患者的临床经验交织在一起。通过这样做,切莱梅多斯的作品以一种非常人性化的方式揭示了ACEs在整个生命历程中的普遍性和长期影响;同时,它也例证了医生在一次又一次地对抗社会弊病中所发挥的关键作用。亚军文章由亚历山德拉·安杰利诺博士撰写,将在下个月的期刊上发表。

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