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恶性循环:代理型人为疾病案例中的代际依恋表征

A vicious circle: transgenerational attachment representations in a case of factitious illness by proxy.

作者信息

Adshead G, Bluglass K

机构信息

Broadmoor Hospital, Crowthorne, Berkshire, UK.

出版信息

Attach Hum Dev. 2001 Apr;3(1):77-95. doi: 10.1080/14616730010024780.

DOI:10.1080/14616730010024780
PMID:11708385
Abstract

Attachment theory offers a robust way to investigate transgenerational child maltreatment; first because there is a coherent theoretical hypothesis of how this might be mediated by the development of insecure working models of relationships, and second, because there is existing evidence from prospective studies that transgenerational attachment patterns can be predicted. Specifically, attachment theory may be particularly useful in cases of Fictitious Illness by Proxy (FIP), where the maltreating behavior is characterized bv disordered illness behavior and care-eliciting. We present a case history, using the Adult Attachment Interview (AAI), which examines attachment and child maltreatment in three generations. A single case history allows for hypothesis generation about the genesis of FIP behavior.

摘要

依恋理论为研究代际间儿童虐待提供了一种有力的方法;首先,对于这种虐待如何通过不安全的关系工作模式的发展来介导,存在一个连贯的理论假设;其次,前瞻性研究已有证据表明代际依恋模式是可以预测的。具体而言,依恋理论在代理型孟乔森综合征(FIP)的案例中可能特别有用,在这类案例中,虐待行为的特征是紊乱的疾病行为和引发他人关心。我们呈现一个案例史,运用成人依恋访谈(AAI)来考察三代人中的依恋与儿童虐待情况。单个案例史有助于对代理型孟乔森综合征行为的成因进行假设生成。

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