Mercer Joyce Ann
San Francisco Theological Seminary, 2 Kensington Road, San Anselmo, CA 94960, USA.
Child Adolesc Psychiatr Clin N Am. 2004 Jan;13(1):161-81, ix. doi: 10.1016/s1056-4993(03)00074-9.
This article addresses Protestant Christianity as an often-overlooked but significant factor in clinical work with children and adolescents. Noting the wide range of beliefs and practices among Protestants, the article identifies key tenets of Protestant faith that shape the worldviews of children, adolescents, and their families. Clinical implications of these beliefs are explored, with particular attention to three potentially psychopathologic features: the religious legitimation of child maltreatment; paranormal, direct experiences of the divine through unusual perceptions such as trance states or visions deemed normal within their religious context but that may also evidence serious pathology; and sexuality issues of particular significance for adolescents. Research suggests that Protestant beliefs also constitute resources for clinical work because they appear to be protective factors in relation to depression, avoidance of high-risk behaviors, and other measures of resiliency among adolescents. Clinicians who do not take the Protestant Christian family's religious/spiritual worldview into consideration in case formulation risk misunderstanding or alienating them from treatment. The article concludes with suggestions for collaboration.
本文探讨新教基督教在儿童和青少年临床工作中这一常被忽视却十分重要的因素。文章指出新教徒的信仰和实践范围广泛，确定了塑造儿童、青少年及其家庭世界观的新教信仰的关键教义。探讨了这些信仰的临床意义，特别关注三个潜在的精神病理特征：虐待儿童的宗教正当化；在其宗教背景下被视为正常的通过恍惚状态或幻觉等异常感知对神的超自然直接体验，但这也可能证明存在严重病理；以及对青少年具有特殊重要性的性问题。研究表明，新教信仰也是临床工作的资源，因为它们似乎是青少年抑郁、避免高危行为及其他复原力指标的保护因素。在病例分析中不考虑新教基督教家庭的宗教/精神世界观的临床医生，有误解他们或使他们脱离治疗的风险。文章最后提出了合作建议。
