Borduin C M
Department of Psychology, University of Missouri, Columbia 65211-2500, USA.
J Am Acad Child Adolesc Psychiatry. 1999 Mar;38(3):242-9. doi: 10.1097/00004583-199903000-00009.
To discuss the emergent success of multisystemic therapy (MST), a family-based therapeutic approach that has been viewed as a promising treatment for violence and other serious antisocial behaviors in adolescents.
The empirical underpinnings, theoretical foundation, and clinical features of MST are described, followed by a brief review of studies of MST effectiveness with serious juvenile offenders.
The theoretical foundation and clinical features of MST draw upon empirical findings regarding the multidetermined nature of serious antisocial behavior as well as upon social-ecological models of behavior in which the youth and family's school, work, peers, and neighborhood are viewed as interconnected systems with dynamic and reciprocal influences on the behavior of family members. In controlled studies with serious juvenile offenders, MST has demonstrated long-term reductions in criminal activity, violent offenses, drug-related arrests, and incarceration.
The success of MST can be attributed primarily to (1) the match between MST intervention foci and empirically identified correlates/causes of criminality and violence in adolescents (e.g., parental discipline, family affective relations, peer associations, school performance) and (2) the flexible use of well-validated intervention strategies in the natural environment.
探讨多系统疗法（MST）的显著成效，这是一种基于家庭的治疗方法，被视为治疗青少年暴力及其他严重反社会行为的一种有前景的疗法。
描述了MST的实证基础、理论基础和临床特征，随后简要回顾了针对严重少年犯的MST有效性研究。
MST的理论基础和临床特征借鉴了关于严重反社会行为多重决定性质的实证研究结果，以及行为的社会生态模型，在该模型中，青少年及其家庭的学校、工作、同伴和社区被视为相互关联的系统，对家庭成员的行为具有动态和相互的影响。在针对严重少年犯的对照研究中，MST已证明能长期减少犯罪活动、暴力犯罪、与毒品相关的逮捕和监禁。
MST的成功主要可归因于：（1）MST干预重点与经实证确定的青少年犯罪和暴力相关因素/原因（如父母管教、家庭情感关系、同伴交往、学业成绩）之间的匹配；（2）在自然环境中灵活运用经过充分验证的干预策略。
