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A qualitative inquiry into psychiatrists’ perspectives on the relationship of psychological trauma to mental illness and treatment: implications for trauma-informed care

Abstract Background Trauma is a factor impacting the lives of many people experiencing psychiatric disorders. Trauma affects people’s responses to illness as well as their interactions with services. Aim This study aimed to explore the understandings and experiences of psychiatrists of working with trauma and emerging models of Trauma-Informed Care. Methods An interpretive qualitative inquiry was undertaken using semi-structured in-depth interviews with psychiatrists. Results Four themes were identified: Making sense of trauma; A contentious relationship between trauma and mental illness; Treatment made more challenging by trauma; Trauma-Informed Care highlights tensions. Psychiatrists are familiar with the concept of trauma but there are differences in beliefs about its relationship to mental illness that are consequential for practice. Trauma-Informed Care is seen as an effort to humanise mental health services, but with perceived limited impact on psychiatrists’ roles. Conclusion Findings indicate need for further consultation and collaboration with psychiatrists around trauma-informed care implementation; as well as consideration of what is required to develop professional consensus on trauma and its relationship to illness.