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医疗行业中的神经多样性。

Neurodiversity in the healthcare profession.

作者信息

Johnson Jo-Anne, Ahluwalia Sanjiv

机构信息

Anglia Ruskin University School of Medicine, Bishop Hall Lane, Chelmsford, Essex CM1 1SQ, United Kingdom.

出版信息

Postgrad Med J. 2025 Jan 23;101(1192):167-171. doi: 10.1093/postmj/qgae108.

DOI:10.1093/postmj/qgae108
PMID:39209457
Abstract

The term neurodiversity was coined in the 1990s to describe a diversity in thinking, learning, and processing the world around us, and is associated with strengths as well as challenges. Rates of diagnosis of neurodivergent conditions are rising rapidly amongst patients and healthcare professionals, largely due to a recent surge in awareness and understanding of neurodiverse conditions and more inclusive diagnostic criteria. Societal adaptation, however, has lagged, and likely explains some of the psychosocial comorbidities of neurodiversity, as individuals are forced to adapt their personality and how they display their emotions to fit societal norms. There remains a lack of awareness and understanding of neurodiversity amongst the healthcare professions. There is also very limited published literature on the challenges and strengths of this group in the clinical environment. Here, we use a case study, focusing on attention deficit hyperactivity disorder to explore the relationship between neurodiversity and work from the perspective of a neurodiverse health care professional. We challenge the notion that neurodiversity itself is a disability, but more likely a result of lack of societal awareness and adaption. We suggest accommodations and training in the clinical environment to raise awareness and support neurodiverse healthcare professionals in order that they flourish rather than struggle in the workplace.

摘要

“神经多样性”一词于20世纪90年代被创造出来,用于描述我们在思考、学习以及感知周围世界方式上的多样性,它既与优势相关,也伴随着挑战。在患者和医疗保健专业人员中,神经发育障碍的诊断率正在迅速上升,这主要归因于最近人们对神经多样性状况的认识和理解大幅提高,以及诊断标准更加包容。然而,社会适应却滞后了,这可能解释了神经多样性的一些心理社会合并症,因为个体被迫调整自己的个性以及表达情感的方式以适应社会规范。医疗行业对神经多样性仍然缺乏认识和理解。关于这一群体在临床环境中的挑战和优势,已发表的文献也非常有限。在此,我们通过一个案例研究,聚焦注意力缺陷多动障碍,从神经多样性医疗保健专业人员的角度探讨神经多样性与工作之间的关系。我们质疑神经多样性本身就是一种残疾的观念,而更可能是社会缺乏认识和适应的结果。我们建议在临床环境中提供便利和培训,以提高认识并支持神经多样性医疗保健专业人员,使他们在工作场所能够蓬勃发展而非苦苦挣扎。

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