创伤恢复的SHARE模型:在集体主义文化中处理沉默、荣誉、依恋、关系创伤和具身记忆

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Anam Nawaz Malik, Shazia Hassan
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引用次数: 0

摘要

全球创伤恢复框架主要来自西方文化范式,强调个人主义、开放表达和认知重构。这些方法往往无法解释集体主义、以荣誉为基础的社会的社会文化现实,在这些社会中,沉默、关系界限和社区认同从根本上塑造了创伤经历。本文介绍了创伤恢复的SHARE模型,这是一个基于文化的概念框架,通过围绕五个核心构念:沉默、荣誉、依恋、关系创伤和具身记忆来回应这一差距。SHARE模型是通过对神经生物学理论(如多迷走神经理论)、女权主义心理学和跨文化创伤文献的批判性综合而发展起来的,它解决了文化剧本、家庭忠诚和压抑的情感如何抑制传统的恢复途径。该模型的每个元素都反映了非西方背景下的文化嵌入障碍和潜在的治疗切入点,特别是在父权集体主义社会中的妇女和暴力幸存者中。SHARE模型将创伤恢复重新定义为一个关系的、具体的、文化中介的过程,超越了西方的诊断范畴,包括沉默作为生存,荣誉作为约束,依恋作为伤害和治疗。结论:本文讨论了临床意义、治疗应用和未来实证检验的途径。这一模式为实现公平、文化响应性的创伤护理迈出了关键一步,并为转变全球创伤理论和实践奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The SHARE Model of Trauma Recovery: Addressing Silence, Honor, Attachment, Relational Trauma, and Embodied Memory in Collectivist Cultures

Background

Global trauma recovery frameworks have predominantly emerged from Western cultural paradigms, emphasizing individualism, open expression, and cognitive reframing. These approaches often fail to account for the sociocultural realities of collectivist, honor-based societies, where silence, relational boundaries, and communal identity fundamentally shape the trauma experience.

Objective

This paper introduces the SHARE Model of Trauma Recovery, a culturally grounded conceptual framework that responds to this gap by centering five core constructs: Silence, Honor, Attachment, Relational Trauma, and Embodied Memory.

Method

Developed through critical synthesis of neurobiological theories (e.g., Polyvagal Theory), feminist psychology, and cross-cultural trauma literature, the SHARE model addresses how cultural scripts, familial loyalty, and suppressed emotion inhibit traditional recovery pathways.

Results

Each element of the model reflects a culturally embedded barrier and potential access point for healing within non-Western contexts, particularly among women and survivors of violence in patriarchal, collectivist societies. The SHARE model redefines trauma recovery as a relational, embodied, and culturally mediated process, extending beyond Western diagnostic categories to include silence as survival, honor as constraint, and attachment as both wounding and healing.

Conclusions

Clinical implications, therapeutic applications, and avenues for future empirical testing are discussed. This model offers a critical step toward equitable, culturally responsive trauma care and sets a foundation for transforming global trauma theory and practice.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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