基于种族的错误诊断对黑人男性创伤反应的后果:批判性检查
Ashley A Sanders1, J Dontaè Roberts2, Melvin C McDowell1
1College of Health and Human Services, Saginaw Valley State University, University Center, Michigan, USA.
Social work in public health
|July 21, 2024
概括
在黑人男性中错误诊断创伤会加剧心理健康差异. 解决系统性偏见和促进文化上合格的护理对于准确的诊断和有效的治疗至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 社会学 社会学 社会学
背景情况:
- 精神疾病影响超过20%的美国成年人,其中不到一半接受治疗.
- 非洲裔美国人,特别是黑人男性,经历较低的治疗率,突出诊断差异.
- 对黑人男性创伤反应的错误诊断导致了耻辱,歧视和未经治疗的疾病.
研究的目的:
- 为了检查错误诊断黑人男性创伤反应的影响.
- 突出系统偏见,阻碍对这一群体提供适当的心理健康护理.
- 为具有文化能力的创伤评估和治疗提出一个概念框架.
主要方法:
- 对黑人男性创伤,歧视和心理健康的研究证据的审查.
- 对系统偏见和影响观念的公共叙述的分析.
- 开发一个概念框架,整合历史创伤,歧视和压力反应.
主要成果:
- 系统性偏见显著影响黑人男性创伤反应的诊断和治疗.
- 现有的诊断实践可能无法充分考虑这一人口群体的独特经验.
- 文化上不称职的护理使负面叙述延续,并阻碍获得有效的心理健康服务.
结论:
- 准确诊断黑人男性的创伤需要了解历史创伤和歧视.
- 文化上有能力和谦卑的方法对于有效的心理健康护理至关重要.
- 倡导有能力的创伤评估和社区赋权对于改善结果至关重要.
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