医疗行业的心理健康耻辱:我们从这里走到哪里?
Isaac Ks Ng1, Bill Cornelius Tan2, Sabrina Goo3
1Internal Medicine Resident, Department of Medicine, National University of Hospital, Singapore.
医生面临的心理健康状况的高率,往往是由于压力环境和对耻辱的恐惧. 解决心理健康耻辱需要开放的对话,支持性的工作场所,以及医疗从业者的系统性变化.
科学领域:
- 医疗专业主义 医学专业主义
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 在医生中患有抑郁症和焦虑症等心理健康状况的高患病率.
- 压力大的临床环境和低于最佳的支持系统有助于医生的痛苦.
- 对耻辱和职业影响的恐惧导致人们不愿意寻求帮助.
研究的目的:
- 提高医疗界对心理健康耻辱的认识.
- 在个人,社区和组织层面审查心理健康耻辱的关键驱动因素.
- 建议在医疗行业内消除心理健康问题的耻辱化策略.
主要方法:
- 文学综述和对耻辱驱动因素的分析.
- 识别导致耻辱的个人,社区和系统因素.
- 开发多方面的策略来消除耻辱化.
主要成果:
- 医学中的心理健康污名是由自我污名化,社会刻板印象和强制性心理健康声明等系统性做法所驱动的.
- 这些驱动因素使精神疾病的感知延续为工作损害.
- 不愿意寻求帮助是一个重大问题.
结论:
- 消除心理健康的耻辱化需要通过公开对话将问题正常化.
- 创造心理支持的工作环境至关重要.
- 审查系统性做法,如医疗许可声明,是必要的,以减少耻辱.
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