Sloman L, Konstantareas M M
Department of Psychiatry, University of Toronto, Clarke Institute of Psychiatry, Ontario, Canada.
Fam Process. 1990 Dec;29(4):417-29. doi: 10.1111/j.1545-5300.1990.00417.x.
A number of assumptions related to the systemic therapists' view of family functioning in the case of biological deficit in the child are presented and challenged. The families' behavior, it is argued, may not be primarily responsible for the difficulties of their biologically impaired offspring. Severity of handicap need not be directly linked to stress in these families, nor is avoiding an individual diagnosis helpful to them. To further clarify the relevant issues, the family's "reactions" to a dysfunctional member, along with the professionals' previously unhelpful approaches to dealing with the impairment of these children, are presented. Finally, the therapeutic implications of the position presented in this article are drawn, and specific recommendations for working with these families are offered.
文中提出并质疑了一些与系统治疗师对于孩子存在生理缺陷情况下家庭功能的观点相关的假设。有人认为，家庭行为可能并非其生理上有缺陷后代所面临困难的主要原因。残疾的严重程度不一定与这些家庭的压力直接相关，而且对个体进行诊断对他们也没有帮助。为了进一步阐明相关问题，文中呈现了家庭对功能失调成员的“反应”，以及专业人员以前处理这些孩子缺陷时无益的方法。最后，得出了本文所阐述立场的治疗意义，并给出了与这些家庭合作的具体建议。
