Madonna P G, Van Scoyk S, Jones D P
C. Henry Kempe National Center for the Prevention and Treatment of Child Abuse and Neglect, Denver, CO.
Am J Psychiatry. 1991 Jan;148(1):46-9. doi: 10.1176/ajp.148.1.46.
The study addressed the questions, What are the interactional patterns in families in which incest occurs? and Do these patterns differ from those of families with other clinical problems?
The families for the study were chosen from two outpatient clinics; the C. Henry Kempe, National Center for the Prevention and Treatment of Child Abuse and Neglect provided access to families with incest, and the nonincest families each had a child seen in a university child psychiatry clinic. In each of these settings, 30 families were selected in the order of referral for evaluation. All families agreed to participate. Each family was given two tasks to perform during a structured interview. The interviews were videotaped, and 15-20-minute segments were rated independently by two of the authors, who used the Beavers-Timberlawn Family Evaluation Scale to assess interactional behaviors within each family.
The incest families were significantly more dysfunctional in all but one area of family interaction. The distribution of power within a family did not differentiate the two types of families.
The incest families dysfunctional patterns that seemed to support and maintain the incestuous behavior were a rigid family belief system, a dysfunctional parental coalition, parental neglect and emotional unavailability, and the inability to nurture autonomy in family members.
该研究探讨了以下问题：发生乱伦的家庭中的互动模式是怎样的？这些模式与存在其他临床问题的家庭的模式有差异吗？
该研究中的家庭选自两家门诊诊所；亨利·肯普儿童虐待与忽视防治国家中心提供了接触有乱伦行为家庭的途径，非乱伦家庭则是在一家大学儿童精神病诊所就诊的孩子的家庭。在这些场所中，每个诊所按转诊评估顺序选取了30个家庭。所有家庭均同意参与。每个家庭在结构化访谈期间要完成两项任务。访谈进行了录像，两位作者独立对15 - 20分钟的片段进行评分，他们使用比弗斯 - 廷伯勒恩家庭评估量表来评估每个家庭中的互动行为。
除了家庭互动的一个领域外，乱伦家庭在所有方面的功能失调都明显更严重。家庭内部的权力分配并未区分这两种类型的家庭。
乱伦家庭中似乎支持和维持乱伦行为的功能失调模式包括僵化的家庭信仰体系、功能失调的父母联盟、父母的忽视和情感上的不可及，以及无法培养家庭成员的自主性。
