在实习教育中心理创伤的风景:探索生活经验
Amanda Roze des Ordons1, Aliya Kassam2, Rachel Ellaway3
1Department of Critical Care Medicine; Department of Anesthesiology; Division of Palliative Medicine, Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Medical education
|June 26, 2025
概括
住院医生面临复杂的心理创伤,影响他们的福祉和医疗培训. 了解这些创伤经历对于开发有效的支持系统和改善医学教育至关重要.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 定性研究是指质量研究.
背景情况:
- 住院医生容易受到专业和个人生活事件造成的心理创伤.
- 创伤伤害可能会对居民的学习,患者护理,人际关系和整体幸福感产生负面影响.
- 有限的文献描述了居民对创伤伤害的真实经历.
研究的目的:
- 在住院医生中探索心理创伤伤害的活着经验.
- 为了更深入地了解医疗住院中创伤的多面性质.
主要方法:
- 采用了释学现象学方法.
- 与加拿大一所医学院的住户和支持专业人员进行了半结构化采访.
- 匿名成绩单被复制分析,通过团队讨论解释结果.
主要成果:
- 13名居民和3名支持专业人员参加了这次活动.
- 确定了生活经验的四个核心领域:影响,适应,随时间的轨迹和创伤损伤的修饰因素.
- 三种交叉的元叙事出现了:复杂性,社会文化影响和存在的紧张关系.
结论:
- 住户对创伤和创伤伤害的经历是复杂的,个性化的,用标准的支持模型来解决具有挑战性的.
- 这些发现可以为改善对居民的支持提供信息,并解决医学教育中导致创伤的系统性问题.
- 这项研究强调了对居民福祉和创伤支持的细微方法的需要.
相关概念视频
Traumatic Memory
229
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
229
Post-traumatic Stress Disorder
124
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
124
Repressed Memory
164
Repressed memories are a psychological phenomenon where memories of traumatic events are unconsciously blocked from a person's awareness. This process occurs as a defense mechanism, protecting the mind from the emotional impact of distressing or painful experiences. For example, a person who has experienced childhood trauma may grow up with no conscious recollection of the event. In such cases, the memories are thought to be buried deep within the subconscious, inaccessible to the conscious...
164
Introduction to Stress and Lifestyle
201
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
201
Psychodynamic Therapy
151
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
151
Dissociative Disorders
187
Dissociative disorders represent complex psychological conditions characterized by disruptions in consciousness, memory, identity, or perception. These disruptions cause individuals to experience a disconnection from their thoughts, emotions, and memories. The phenomenon is not merely an occasional lapse in attention but a profound alteration in mental functioning that can severely impact daily life.
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
187


