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Adverse childhood experiences and adult outcomes using a causal framework perspective: Challenges and opportunities.采用因果框架视角探讨儿童期不良经历与成人结局:挑战与机遇
Child Abuse Negl. 2023 Sep;143:106328. doi: 10.1016/j.chiabu.2023.106328. Epub 2023 Jun 26.
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Character Strengths as Moderators of the Relationship Between Adverse Childhood Experiences and Negative Health Outcomes.性格优势作为童年不良经历与负面健康结果之间关系的调节因素
Int J Appl Posit Psychol. 2023 Apr 19:1-24. doi: 10.1007/s41042-023-00097-3.
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Eating disorders in men: limited models of diagnosis and treatment are failing patients.
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Updated Guidance on the Reporting of Race and Ethnicity in Medical and Science Journals.医学与科学期刊中种族与民族报告的更新指南。
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Trauma-Informed Care in Child Health Systems.儿童健康系统中的创伤知情护理。
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这到底是谁的创伤?在一个造成伤害的系统中创造更公平的心理医疗保健。

Whose trauma is it anyway? Creating more equitable mental healthcare in a system that harms.

作者信息

Downs James

机构信息

Royal College of Psychiatrists, UK.

出版信息

BJPsych Bull. 2025 Aug;49(4):265-268. doi: 10.1192/bjb.2024.103.

DOI:10.1192/bjb.2024.103
PMID:39604114
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12314401/
Abstract

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.

摘要

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。