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创伤知情的社会工作:在创伤幸存者中实现赋权的新兴教学法与实践

Trauma-Informed Social Work: Emerging Pedagogy and Practices for Navigating Empowerment Among Trauma Survivors.

作者信息

Mallesham Chengol, Harish Chiluka, Srikanth Pallerla, Ramesh B

机构信息

DRDO, Selection Centre Central, Bhopal, India.

Centre for Health Psychology, School of Medical Sciences, University of Hyderabad, Hyderabad, India.

出版信息

J Evid Based Soc Work (2019). 2025 Apr 29:1-15. doi: 10.1080/26408066.2025.2498923.

Abstract

BACKGROUND

Trauma is an extreme stress associated with overwhelming experiences resulting in a lack of safety, power and freedom among the survivors. The individuals' lifetime exposure to traumatic events accounts between 70% to 80.7%. Consequently, Trauma-Informed Care (TIC) is promulgated in human service delivery to resist re-traumatisation and foster empowerment among trauma survivors. Social work professionals often experience vicarious and secondary trauma due to prolonged empathetic exposure to client's trauma narratives. Recently, the lack of self-care practice among the service providers has become public health burden. Therefore, it is essential to incorporate self-care as part of learning and practice in social work.

METHOD

The authors find TIC framework to be emphasising on service seekers' care perspective which indirectly shadows the 'self-care' of service providers. Trauma-informed approach in educational and training curriculum at educational institutions are just emerging. As a result, in this editorial, authors propose Self-Care Based guidelines and framework making trauma-informed approach more accessible for budding social work professionals.

DISCUSSION

In this article, the guidelines and framework (S-GPS) for Self-Care Based Trauma-Informed Social Work (TISW) pedagogy and practices are discussed. Firstly, the Self-Care domain addresses the essence of trauma-proofing social work practitioners by nurturing self-regulation, self-compassion, resilience and overall well-being. Secondly, the General Pedagogy domain addresses trauma and its impact through education and training with implications for self-care skill acquisition for service providers during field works. Thirdly, the Specific Practices domain targets redressal of highly challenging experiences and ethical issues encountered during social work practice by embodying self-care. Finally, the Ongoing Supervision domain emphasises on the essence of continued support and collaboration of individuals and organisations to foster learning and competency among the budding social work professionals whilst giving due consideration to Self-Care.

CONCLUSIONS

The Self-Care Based TISW framework (S-GPS) lays foundation for embodying 'Self-Care is Social-Care' in education and training of budding social work professionals, wherein self-care acts as trauma (secondary and vicarious) buffer while efficiently engaging in empowerment of trauma survivors.

摘要

背景

创伤是一种极端压力,与压倒性的经历相关,导致幸存者缺乏安全感、力量和自由。个体一生中经历创伤事件的比例在70%至80.7%之间。因此,创伤知情护理(TIC)在人类服务提供中得到推广,以防止再次创伤,并促进创伤幸存者的赋权。由于长期共情地接触客户的创伤叙述,社会工作专业人员经常经历替代性创伤和继发性创伤。最近,服务提供者缺乏自我护理实践已成为公共卫生负担。因此,将自我护理纳入社会工作的学习和实践中至关重要。

方法

作者发现TIC框架强调服务寻求者的护理视角,这间接影响了服务提供者的“自我护理”。教育机构教育和培训课程中的创伤知情方法刚刚出现。因此,在这篇社论中,作者提出了基于自我护理的指导方针和框架,使初出茅庐的社会工作专业人员更容易采用创伤知情方法。

讨论

本文讨论了基于自我护理的创伤知情社会工作(TISW)教学法和实践的指导方针和框架(S-GPS)。首先,自我护理领域通过培养自我调节、自我同情、恢复力和整体幸福感,解决了使社会工作从业者具备抗创伤能力的本质问题。其次,一般教学法领域通过教育和培训来探讨创伤及其影响,这对服务提供者在实地工作中获取自我护理技能具有启示意义。第三,具体实践领域旨在通过体现自我护理来解决社会工作实践中遇到的极具挑战性的经历和伦理问题。最后,持续监督领域强调个人和组织持续支持与合作的本质,以促进初出茅庐的社会工作专业人员的学习和能力提升,同时充分考虑自我护理。

结论

基于自我护理的TISW框架(S-GPS)为在初出茅庐的社会工作专业人员的教育和培训中体现“自我护理即社会护理”奠定了基础,其中自我护理在有效促进创伤幸存者赋权的同时,充当创伤(继发性和替代性)的缓冲器。

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