我们是守门者创伤吗? 一个概念模型来扩展标准A的隐形,基于身份和系统性创伤
Tanya C Saraiya1, Alexandria G Bauer2, Devin E Banks3
1Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, USA.
Social science & medicine (1982)
|April 23, 2025
概括
在创伤后应激障碍 (PTSD) 中对创伤暴露的定义需要更新. 目前的标准忽视了不成比例地影响边缘化群体的创伤,导致诊断不足和治疗不足.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 在创伤后应激障碍 (PTSD) 中A标准创伤的定义已经发展,但仍在争论中.
- 社会运动和研究进步在历史上扩大了创伤的定义.
- 当代社会问题需要重新评估当前的A标准框架.
研究的目的:
- 批判性地审查DSM-5标准A对少数群体的定义的局限性.
- 识别和检查三个未被认可的创伤类别.
- 讨论扩大标准A对临床和研究实践的影响.
主要方法:
- 对A标准现有批评的批判性文献综述.
- 对不成比例地影响少数群体的创伤类别的分析.
- 检查证据,将未被认可的创伤与PTSD症状联系起来.
主要成果:
- 目前的DSM-5标准A定义不足以捕捉少数群体个体的经历.
- 看不见的创伤,基于身份的创伤和系统性创伤被低估了.
- 这些未被认可的创伤在少数群体中普遍存在,并与PTSD症状有关.
结论:
- 从标准A中省略这些创伤类别有助于诊断不足和治疗不足.
- 扩展A标准对于在不同人群中准确的PTSD诊断和治疗至关重要.
- 未来的研究应该专注于批判性地检查和修订标准A的定义.
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