Trauma-Informed Caring for Native American Patients and Communities Prioritizes Healing, Not Management.
Trauma-Informed Caring for Native American Patients and Communities Prioritizes Healing, Not Management.
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DOI：
10.1001/amajethics.2021.446
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发表时间：
2021-06-01
影响因子：
--
通讯作者：
Prosen, Deidre
中科院分区：
文献类型：
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作者：
Oldani, Michael J;Prosen, Deidre
处理代际创伤仍然是美洲原住民社区的公共卫生优先事项。为了赢得信任，临床医生必须表现出谦卑的态度，了解当地文化，合作，并对NA的过去和现在的生活形成一个局内人的观点。本案例考虑了一名美国青少年遭受精神困扰，可能的物质使用，和多重创伤。该评论认为，目前印度卫生服务的一些精神病学和初级保健实践缺乏创伤知情治疗，而考虑相关躯体和心理因素之间相互作用的跨专业、创伤知情方法可以更好地激励以患者为中心的护理。培养安全的环境，在患者-临床治疗联盟中进行干预是NA患者产生最佳结果和治愈的关键。
Addressing intergenerational trauma remains a public health priority in Native American (NA) communities. Clinicians working with NA patients must express humility, understand local culture, collaborate, and develop an insider's perspective on NA past and present life in order to earn trust. This case considers an NA adolescent suffering from mental distress, possible substance use, and multiple traumas. The commentary argues that trauma-informed therapies are lacking in some current psychiatric and primary care practices in the Indian Health Service and that an interprofessional, trauma-informed approach that considers the interplay between relevant somatic and psychological factors can better motivate patient-centered care. Cultivating safe environments in which interventions are pursued within the patient-clinician therapeutic alliance is key to generating optimal outcomes and healing among NA patients.