So tragic. I think you are absolutely correct: most physicians are simply not comfortable hearing this. There are two plausible reasons:
a) Avoidance of possible triggers that may provoke unconscious (or even conscious) and non-integrated emotions relating to their own traumas or vicarious traumas
b) From my highly limited experience as medical student, physicians are trained to always ask, "what am I going to do with this information?" and "how does it affect treatment?" - so the obvious concern is that we are not taught anything about Trauma-Informed Practice and we are not taught about ACEs...
Dr. Felitti has addressed this at Kaiser in his questionnaire (which he spoke of on this thread) in a section of his book chapter in "The Hidden Epidemic: The Impact of Early Life Trauma on Health and Disease" edited by Lanius & Vermetten.
In his chapter, titled "The relationship of Adverse Childhood Experiences to Adult Medical Disease, Psychiatric Disorders, and Sexual Behavior: Implications for Healthcare," he speaks about the integration of the ACE Study findings intoo clinical practice through expansion of the Review of Systems and Past Medical History sections of an AT HOME questionnaire. The clinician is then trained or, perhaps a better word, prompted to respond in a trauma informed manner. The implications are tremendous!
As his post indicates that over 440,000 adults completed this questionnaire, so that's a lot of data. I think that this incontrovertible evidence truly highlights the need for a new paradigm in medical and health provider education. Perhaps more insight can be garnered from this and translated on a larger scale? I think so!
It's a brilliant read!
sam