Fitzpatrick G E
Behav Neuropsychiatry. 1975;7(1-12):62-6.
With the advent of community psychiatry it has become imperative to reconsider the role and meaning of such basic concepts as ego development, oedipal conflicts, object relations, etc. So much of life in the ghetto has been reduced merely to the struggle for survival. This is even more dramatically evident in dealing with the emotional and behavioral problems encountered among the children. Psychological intervention in any dimension must recognize and adapt or redefine these concepts within the context of the particular cultural and social environment. This varies widely when dominated by violence, disruption, and chaotic life experiences. Cases are cited to demonstrate the problems facing the practitioner who must attempt to treat a host of multi-faceted problem areas.
随着社区精神病学的出现,重新审视诸如自我发展、俄狄浦斯冲突、客体关系等基本概念的作用和意义变得势在必行。贫民区的生活很大程度上仅仅沦为了为生存而挣扎。这在处理儿童中遇到的情感和行为问题时表现得更为明显。任何层面的心理干预都必须在特定的文化和社会环境背景下认识并调整或重新定义这些概念。当受到暴力、破坏和混乱生活经历主导时,情况差异很大。文中列举了一些案例来说明从业者在试图治疗一系列多方面问题领域时所面临的问题。