Sheldrick C
Children and Adolescent's Department, Maudsley Hospital, Denmark Hill, London.
Arch Dis Child. 1992 Nov;67(11):1392-7. doi: 10.1136/adc.67.11.1392.
The medical role in the treatment of delinquency is a limited one. There is conflicting evidence as to whether treatment aims should be directed towards the individual, to the family, the institution, or the therapist. Nevertheless there seems to be a consensus of opinion that short term, focused therapies aimed at improving educational, vocational and social skills, possibly from a preschool age, are the most effective. Any treatment gains achieved while in residential care appear to be short lived. It therefore seems that this should be reserved for those individuals who commit repeated, violent crimes and for those from very damaging family backgrounds who repeatedly abscond or absent themselves from community based programmes.
医学在青少年犯罪治疗中的作用是有限的。关于治疗目标应针对个体、家庭、机构还是治疗师,存在相互矛盾的证据。然而,似乎有一种共识,即从学前年龄开始,旨在提高教育、职业和社交技能的短期、有针对性的治疗是最有效的。在寄宿照料期间取得的任何治疗成效似乎都是短暂的。因此,这似乎应保留给那些屡次实施暴力犯罪的人和那些来自极具破坏性的家庭背景、屡次潜逃或不参加社区项目的人。