不利的童年经历,代际创伤和历史创伤:一个孩子的故事
Carol Westby1, Leslie E Kokotek2, Karla N Washington2,3
1Bilingual Multicultural Services, Albuquerque, NM.
Language, speech, and hearing services in schools
|May 19, 2025
概括
童年不良经历 (ACE) 不成比例地影响土著儿童,通常与历史创伤有关. 本案例研究探讨了使用ICF的评估和使用附件,规定,能力模型的干预.
科学领域:
- 儿童心理学 儿童心理学
- 创伤研究 创伤研究
- 土著健康土著健康
背景情况:
- 童年不良经历 (ACE) 正在增加,在少数群体,特别是土著人口中,患病率最高.
- 历史上的压迫和歧视延续了ACE,创造了代际逆境循环.
- 多个ACE增加学习和沟通障碍的风险,需要专门的服务.
研究的目的:
- 定义ACE,代际和历史创伤,详细说明其原因,后果和相互关系.
- 描述国际功能,残疾和健康分类 (ICF) 的应用,以评估具有可能与历史创伤相关的多个ACE的土著儿童.
- 概述附件,条例,复杂创伤后应激障碍能力干预措施的实施情况,适用于土著儿童.
主要方法:
- 案例研究方法.
- 使用国际功能,残疾和健康分类 (ICF) 进行综合评估.
- 应用了附件,规则,能力干预措施,适应文化背景.
主要成果:
- 通过考虑儿童独特的个人和环境因素,ICF框架促进了整体评估.
- 确定了作为障碍物和促进儿童运作的情境因素.
- 证明了对土著儿童的附件,规定,能力干预措施的适应性.
结论:
- 历史创伤是影响土著人口的一个重要因素,需要文化敏感的方法.
- ICF是评估经历ACE和历史创伤的儿童的宝贵工具.
- 文化适应的干预措施对于解决土著儿童复杂创伤至关重要.
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