Downs James
Royal College of Psychiatrists, UK.
BJPsych Bull. 2025 Aug;49(4):265-268. doi: 10.1192/bjb.2024.103.
Past experiences of mental healthcare which have been perceived as harmful can present significant barriers to accessing treatment again. This article draws upon research and lived experience to consider the ways in which conceptualisations of 'trauma-informed care' may better incorporate the role of iatrogenic harm, thus providing more acceptable and equitable treatment for those who have previously found treatment to be harmful. A more restorative approach is offered, founded in shared responsibility and compassionate relationships, to help minimise harms and create a more healing system for patients and clinicians alike.
过去被认为有害的精神卫生保健经历可能会成为再次寻求治疗的重大障碍。本文借鉴研究和实际生活经验,探讨“创伤知情护理”的概念如何能更好地纳入医源性伤害的作用,从而为那些此前认为治疗有害的人提供更可接受和公平的治疗。本文提出了一种更具恢复性的方法,建立在共同责任和富有同情心的关系基础上,以帮助尽量减少伤害,并为患者和临床医生创造一个更具治愈力的系统。