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治疗XX民众的创伤后压力心理障碍症论文治疗灾难民众的创伤后压力心理障碍症论文BringingHealingtoTrau___tizedVictimsofMassViolen___Anesti___tedonebillionpeoplearoundtheworldhaveexperien___d___ssviolen___tortureorterrori___andaresufferingfrompost-trau___ticstressdisorderdepressionandanxiety.Someareunabletoworkorcareforthemselvesortheirfamilies.Nowas___llAmericanfoundationbegunbythefamilyofavictimoftheSeptember11attacksisestablishingtrau___clinicsinpoorcountriesscarredbyviolen___.NewYorkerLizAlder___nandJamesOkelloachildpsychiatristvisitingfromUgandawouldneverhavemetifnotfortragedy.HeryoungestsonPeterwaskilledintheSeptember11thattacksontheWorldTradeCenter.Hedidnotworkinthebuildinghewasthereforameetingandhewas25yearsoldwhenhe___d.Myhu___andandIneededtocreateamemorialforhimtoleavea___rkthathehadexistedandthattheworldwouldbeabetterpla___becausePeterhadlivedAlder___nsaid.WatchingaTVshowonenightsheandPetersfatherStephenAlder___nstumbledontheideaofbringingmentalhealthcaretopeopleinpoorercountriestrau___tizedby___ssviolen___andterrori___.ThefirstPeterC.Alder___nTrau___TreatmentClinicopenedinCambodiainxx.Inthefirstyearwehad4000patientvisitsandanda14-monthwaitinglistsoweopenedasecondclinic18milesdowntheroadthenextyearshesaid.PeopleoftenaskuswhyareyouseeingpatientsinCambodiaImeanPolPotwas3035yearsagoshesaid.Trau___ticdepressiondoesntgoaway.YouseethisinchildrenofHolocaustsurvivors.Trau___ticdepressioncangofromonegenerationtothenextandunlessyoutreatititsstillthere.Wearedealingwithpeoplewhohavebeensotrau___tizedbywhattheyhaveexperien___dthattheycannolongerfunctionAlder___nsaid.Ifpeopledontcarewhethertheyliveor___theyrenotgoingtobeabletofollowtheverydifficultHIV/AIDSregimentheyrenotgoingtowalktheextramileforpotablewater.Alotofourpatientscantevengetoutoftheirbeds.InUgandawheretherearefourclinicspatientsinclude___nyformerchildsol___rsandothersabductedintowarovertwodecadesbytheLordsResistan___Army.JamesOkellodirectstheclinicinGuluintheNorthwhichhelpspatientsthroughcounselinggrouptherapyandpsychophar___cology.Iftheresnoformofinterventionwithalmosteverytrau___theresgoingtobeaproblem.Wesometimestalkaboutdelayedpost-trau___ticstressdisorder.Thatsthecon___ptthatwhenthegunsstopfiringthemindstartsfiring.Soalotofthingshappenwhentheemergencysituationislonggonehesaid.Okelloisoneofonlyfourchildandadoles___ntpsychiatristsinUgandahesaid.Mostofthecountrys32otherpsychiatristsworkinthecapitalcityregion.Fortunatelythementalhealthproblemsweseeinchildrenandadoles___ntstendtobeself-limitingifyoucanprovidethemwithachild-friendlyspa___psycho-socialprograminterventionsandre-connectthemwiththeirfamilies.AlotofthesechildrenareveryresilientandbythenatureoftheAfricansettingpeoplearemoremunalsothereissomesemblan___ofnor___lityingbackintermsoffamilystructureshesaid.Evensohesaidtheinciden___ofpost-trau___ticstressdisorderisveryhighinnorthernUgandaandaboutfiveper___ntofthoseaffectedwillnotrecoverwithouthelpwhichoftenincludesantidepressantsorantianxietymedications.Psychologicaleducationisalsoimportanthesaid.Wetrytoexplaintopeoplethattheirexperien___oftrau___istheabnor___lthingandthereactionsthesymptomsareanor___lphysiologicalreactionhesaid.IthinkthereswherewehaveabigfightwiththeWesternworldaboutpathologizingnor___tiveresponses.Oneofthekeyfactorsiswhenpatientsrealizethesymptomstheyareexperiencingareactuallynor___l.Thatisafirststeptorecoveryhesaid.Theclinicsaresetupinpartnershipwitheachcountryandstaffedsolelybyindigenoushealthcaregiverswhounderstandtrau___ticmentalillnessinmedicaltermsandaordingtolocalculture.WeuseculturalidiomstoexpressthesameWesternsymptomsOkellosaid.Youstartfromtheirperspectivetheirownunderstandingofwhatishappeningtothem.[Apatientmight]sayIambewitchedorIamexperiencingspiritpossessionorIdidntdoanyrituals.AndthenifyouseetheresabigfitwiththeWesternmodelyouexplainittothem.SoIthinkanybodywhoisnotculturallyliteratewhodoesnotunderstandthecultureyourelikelytomissalotorevenover-diagnosedependingonwhichtoolyoureusing.ThePeterC.Alder___nFoundationalsohasaclinicintheKiberasluminNairobiKenyaandhasworkedinRwandaLiberiaandHaiti.Itholdsanannualtrainingandresearchconferen___inAfricainJulyandfundsanewmedicalpublicationtheAfricanJournalofTrau___ticStress.Alder___nsaysmorethan200indigenoushealthcareprofessionalshavebeentrainedwhohavegoneontoteach___nyothersandcarehasreachedmorethan75000patients.模板内容仅供参考。