Beyond trauma-focused psychiatric epidemiology: Bridging research and practice with war-affected populations

Beyond trauma-focused psychiatric epidemiology: Bridging research and practice with war-affected populations
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DOI:
10.1037/0002-9432.76.4.409
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发表时间:
2006-10-01
影响因子:
3.3
通讯作者:
Kushner, Hallie
Kushner, Hallie
中科院分区:
医学2区
文献类型:
--
作者:
Miller, Kenneth E.;Kulkarni, Madhur;Kushner, Hallie

文献摘要

被引文献

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本文探讨了以创伤为中心的精神病学(TFPE)在研究受战争影响的人群的中心地位。作者质疑西方精神病学对创伤后应激障碍和其他疾病的主要关注的效用,他们确定了一系列与受政治暴力影响的社区的心理健康工作相关的关键研究焦点。TFPE的核心假设和它在逻辑实证主义和当代精神病学的生物医学模型的根源进行了探讨。作者认为,另一种框架-社会建构主义-可以作为研究人员和从业者之间的桥梁,通过帮助重新调整研究工作的方式,在概念上和方法上更适合受战争影响的社区和那些致力于解决他们的心理健康需求的人的需求。
This article examines the centrality of trauma-focused psychiatric epidemiology (TFPE) in research with war-affected populations. The authors question the utility of the dominant focus on posttraumatic stress disorder and other disorders of Western psychiatry, and they identify a set of critical research foci related to mental health work with communities affected by political violence. Core assumptions of TFPE and its roots in logical positivism and the biomedical model of contemporary psychiatry are explored. The authors suggest that an alternative framework-social constructivism-can serve as a bridge between researchers and practitioners by helping to refocus research efforts in ways that are conceptually and methodologically more attuned to the needs of war-affected communities and those working to address their mental health needs.