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评范德霍斯特和范德维尔的文章“改变人们对医院儿童护理的态度:1940 至 1970 年间鲍尔比和罗伯逊在英国工作影响的新评价”,载于《依恋与人类发展》第 11 卷第 2 期(2009 年 3 月),第 119 至 142 页。

Comments on the article "Changing attitudes towards the care of children in hospital: a new assessment of the influence of the work of Bowlby and Robertson in the UK, 1940-1970" by Frank C.P. van der Horst and Rene van der Veer (Attachment and Human Development Vol 11, No 2, March 2009, 119-142).

出版信息

Attach Hum Dev. 2009 Nov;11(6):563-7. doi: 10.1080/14616730903282506.

Abstract

The authors give an impressive list of references, but these do not reflect the situation in the UK; most of those looking after children in hospital did not write about what they did or read about what others did. Children in hospital saw little or nothing of their parents, and once they had 'settled' the doctors and nurses were unaware of their distress. John Bowlby's interest in maternal deprivation led him to appoint James Robertson as his research assistant, to observe responses of young children to loss of maternal care on admission to hospital. They formulated the theoretical framework of the three stages through which the children went; protest, despair, and detachment constituting a developmental interference. Robertson was so concerned when nobody would listen that in 1952 he made the film 'A Two Year Old Goes to Hospital', which upset children's doctors and nurses. It also probably contributed to the government setting up in 1957 a Committee chaired by Sir Harry Platt to consider the Welfare of Children in Hospital. 'Going to Hospital with Mother' was made by Robertson in 1958. With Dermod MacCarthy he showed the films to the Committee, who accepted the suggestions in Robertson's Memorandum which included unrestricted visiting and mothers being admitted with their young children. The Report, known as the Platt Report, was published in 1959. Robertson could then show his films publicly, campaign in the media and encourage the pressure group NAWCH (the National Association for the Welfare of Children in Hospital) who were successful in getting many of the Committee's recommendations implemented, to the benefit of all children in hospital.

摘要

作者列出了令人印象深刻的参考文献,但这些参考文献并未反映英国的情况;大多数在医院照顾孩子的人没有记录他们所做的事情,也没有阅读过其他人所做的事情。住院的孩子很少或根本见不到他们的父母,一旦他们“安顿下来”,医生和护士就不知道他们的痛苦。约翰·鲍尔比(John Bowlby)对母婴分离的关注促使他任命詹姆斯·罗伯逊(James Robertson)为他的研究助理,观察入院的幼儿对母婴照顾丧失的反应。他们制定了儿童经历的三个阶段的理论框架;抗议、绝望和分离构成了发展干扰。当没有人愿意倾听时,罗伯逊非常担心,以至于 1952 年他制作了电影《两岁孩子住院》,这让儿童医生和护士感到不安。这也可能促使政府于 1957 年成立了一个由哈里·普拉特爵士(Sir Harry Platt)担任主席的委员会,审议医院中儿童的福利问题。1958 年,罗伯逊制作了《与母亲一起住院》。他与德莫德·麦卡锡(Dermod MacCarthy)一起向委员会展示了这些电影,委员会接受了罗伯逊备忘录中的建议,其中包括无限制探视和母亲与年幼的孩子一起入院。该报告被称为普拉特报告,于 1959 年发布。罗伯逊随后可以公开放映他的电影,在媒体上开展活动,并鼓励 NAWCH(国家医院儿童福利协会)施压团体,该团体成功地实施了委员会的许多建议,使所有住院儿童受益。

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