Dodge Kenneth A
Center for Child and Family Policy, Duke University, Durham, NC 27708, USA.
J Child Psychol Psychiatry. 2009 Jan;50(1-2):194-200. doi: 10.1111/j.1469-7610.2008.01985.x.
As academic clinical science moves to community intervention to achieve impact on population prevalence of antisocial behavior disorders, exciting potential is tempered by realistic caution. Three kinds of efforts are noted. First, individual evidence-based therapies are being implemented at scale. Difficulties in high-fidelity implementation are noted, and the unlikelihood of population impact is highlighted. Second, communities are receiving new resources to support individuals, although connecting community resources to highest-risk individuals is difficult. Third, community factors are being targeted for change through policy reform, with mixed results. As the field moves in this direction, the importance of adhering to principles of scientific rigor and empirical evidence is emphasized, to keep scientist-practitioners from overstepping their bounds.
随着学术临床科学转向社区干预以影响反社会行为障碍的人群患病率，令人兴奋的潜力受到现实谨慎态度的影响。文中提到了三种努力。首先，基于证据的个体治疗正在大规模实施。文中指出了高保真实施的困难，并强调了对人群产生影响的可能性不大。其次，社区正在获得新的资源来支持个体，尽管将社区资源与风险最高的个体联系起来很困难。第三，通过政策改革针对社区因素进行变革，结果好坏参半。随着该领域朝着这个方向发展，强调了坚持科学严谨性和实证证据原则的重要性，以防止科学家兼从业者越界。
