Terao S Y, Borrego J, Urquiza A J
CAARE Center, Department of Pediatrics, University of California, Davis Medical Center, 3300 Stockton Blvd., Sacramento, CA 95820, USA.
Child Maltreat. 2001 May;6(2):158-68. doi: 10.1177/1077559501006002008.
As our society becomes increasingly culturally diverse, there is a growing concern in the mental health field as to whether clinicians are able to accurately distinguish different cultural parenting discipline practices from child maltreatment. Clinicians in various fields continue to differ on what is reportable. Although there is literature describing characteristics of various ethnic minority groups, there are limited data to support why clinicians do what they do and no decision-making model to guide a clinician's reporting behavior when working with clients from different cultures. This article focuses on cultural discipline practices rather than healing practices (e.g., coining) that may be challenging to assess. The authors propose a model to guide clinicians through the decision-making process and discuss interventions and clinical responses that may be most appropriate when presented with different scenarios involving cultural parenting discipline practices and child maltreatment. Finally, limitations of the presented model along with future clinical and research directions are discussed.
随着我们的社会在文化上日益多样化，心理健康领域越来越关注临床医生是否能够准确区分不同文化背景下的育儿管教方式与虐待儿童行为。各个领域的临床医生对于哪些情况需要报告仍存在分歧。尽管有文献描述了不同少数族裔群体的特征，但支持临床医生行为原因的数据有限，且在与来自不同文化背景的客户打交道时，没有决策模型来指导临床医生的报告行为。本文关注的是文化管教方式，而非可能难以评估的治疗方式（如捏痧）。作者提出了一个模型，以指导临床医生完成决策过程，并讨论在面对涉及文化育儿管教方式和虐待儿童的不同场景时可能最合适的干预措施和临床应对方法。最后，讨论了所提出模型的局限性以及未来的临床和研究方向。
