Aleksandrowicz M K, Aleksandrowicz D R
Child Psychiatry Hum Dev. 1975 Summer;5(4):231-41. doi: 10.1007/BF01433417.
This report describes a girl who was studied by means of the Brazelton Neonatal Behavioral Assessment Scale from her 1st until her 28th day of life, observed at the age of 1 year, and, at the age of 1 1/2 years, was seen in a psychiatric family interview. The examinational data and history (obtained from the parents) present a picture of deviant development with exceptionally low orientation responsiveness and high excitability from the first hours of life. Carmel showed little ability to quiet herself and little response to soothing attempts. Motor development was normal throughout, physical health and growth were satisfactory, and intellectual development (assessed on the Vineland scale) was average. Carmel's continuous, inconsolable crying and lack of responsiveness led to a family adjustment with the passive, somewhat disorganized mother moving into the background and the anxious father taking over. He developed a way of keeping activity. This physical stimulation, coupled with overprotection (the father's tendency to interpose himself between the girl and other people) as well as controlling all frustration, resulted in a precarious balance at the price of Carmel's reduced autonomy, delay in adaptive ego functions, and severe stranger anxiety. The case illustrates the interaction between innate characteristics and parental attitudes, and the need for preventive counseling based on understanding a child's idiosyncratic behavior patterns.
本报告描述了一名女孩，从其出生第1天到第28天，通过布雷泽尔顿新生儿行为评估量表对其进行研究，在她1岁时进行观察，并在1岁半时接受了一次精神科家庭访谈。检查数据和病史（从父母处获得）呈现出一幅发育异常的图景，从出生后的最初几个小时起，其定向反应异常低，兴奋性高。卡梅尔几乎没有让自己安静下来的能力，对安抚尝试反应甚微。运动发育一直正常，身体健康和成长状况令人满意，智力发育（根据文兰量表评估）处于平均水平。卡梅尔持续不断、无法安抚的哭闹以及缺乏反应能力，导致了家庭调整，消极、有点无组织的母亲退居幕后，焦虑的父亲接管了一切。他想出了一种保持活动的方式。这种身体刺激，再加上过度保护（父亲倾向于介入女孩和其他人之间）以及控制所有挫折，以卡梅尔自主性降低、适应性自我功能延迟和严重的陌生人焦虑为代价，导致了一种不稳定的平衡。该案例说明了先天特征与父母态度之间的相互作用，以及基于理解儿童特殊行为模式进行预防性咨询的必要性。
