适应不利环境中的性:青年和临床医生的观点 导航 社区暴力 暴力
Angel Boulware1, Deidra Bibbs2
1Department of Public Health, Johns Hopkins University, Baltimore, MD 21218, USA.
Children (Basel, Switzerland)
|January 28, 2026
概括
在社区暴力中,黑人青年通过适应性生存策略重新定义了性. 支持他们需要扩大创伤知情护理,以解决结构性不平等问题,并整合文化基础的弹性模型.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 社区暴力不成比例地影响黑人青年,造成严重的身体和心理健康问题.
- 传统的弹性模型忽视了慢性暴力和结构性不平等的适应.
- 了解弹性需要检查黑人青年和临床医生的经验.
研究的目的:
- 探索黑人青年和创伤临床医生如何理解,导航和重新定义弹性.
- 在持续的社区暴力暴露的背景下调查性.
- 为创伤恢复提供文化基础的方法.
主要方法:
- 现象学定性设计使用半结构面试和焦点小组.
- 参与了芝加哥社区暴力创伤恢复计划中的黑人青年和临床医生.
- 专题分析以确定弹性描述,实践和支持中的模式.
主要成果:
- 黑人年轻人通过适应性生存策略 (过度警,避免,情绪调节) 概念化性作为保护性反应.
- 临床医生认为弹性是关系和上下文依赖的,但缺乏针对慢性社区级创伤的培训.
- 两组都强调了集体和结构性支持 (家庭,同龄人,社区网络) 的重要性.
结论:
- 创伤知情护理必须超越个人治疗,以解决社区暴力的系统驱动因素.
- 整合生态和文化基础的弹性模型对于有效的支持至关重要.
- 加强临床培训和社区计划可以更好地帮助面临长期暴力暴露的黑人青年.
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