Rose S M, Peabody C G, Stratigeas B
School of Social Welfare, State University of New York Brook, Stony Brook 11794.
Hosp Community Psychiatry. 1991 May;42(5):499-503. doi: 10.1176/ps.42.5.499.
A study of the first 89 clients referred to an intensive case management program revealed substantial previously undetected physical and sexual abuse, yet none of the clients had ever been asked about their abuse experiences. Fifty percent of the clients were adult children of alcoholics, and 34 percent were childhood sexual abuse victims. The adult children of alcoholics experienced significantly more of every kind of abuse, including incest and childhood physical and sexual abuse, than clients whose parents were not alcoholic. Substance abuse problems were reported by more than half of the clients and by 75 percent of the adult children of alcoholics. Self-mutilation and heavy use of mental health services were also correlated with having an alcoholic parent. The authors suggest that mental health providers make routine inquiry about clients' family history of alcoholism and history of physical and sexual abuse.
一项针对被转介到强化个案管理项目的前89名客户的研究发现，存在大量此前未被发现的身体虐待和性虐待情况，但没有一个客户曾被问及他们的受虐经历。50%的客户是酗酒者的成年子女，34%是童年性虐待受害者。与父母不酗酒的客户相比，酗酒者的成年子女遭受的各类虐待（包括乱伦以及童年时期的身体虐待和性虐待）明显更多。超过一半的客户报告有药物滥用问题，75%的酗酒者成年子女也存在该问题。自我伤害行为以及大量使用心理健康服务也与有酗酒的父母有关。作者建议心理健康服务提供者对客户酗酒的家族史以及身体和性虐待史进行常规询问。
