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智障人士的护理。

Care of the mentally retarded.

出版信息

Can Fam Physician. 1979 Nov;25:1343-8.

PMID:21297810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2383394/
Abstract

Mental retardation is a clinical syndrome, not an intellectual defect or brain disease per se. As such, physicians should not participate in the downgrading labelling of moron, idiot and imbecile. Such labelled people are difficult to relate to and this results in the concept of 'nil expectations' in which the whole of society participates.Maladaptation in this syndrome is more related to poor environmental input than to basic organic defect, and is a family problem. The family doctor is in an ideal situation to help the family handle the problems of anger, shame, guilt, rejection. If aware of his own feelings, he should also be the coordinator of the physical needs of the child and the alternatives available for maximal input.

摘要

智力迟钝是一种临床综合征,而不是智力缺陷或脑疾病本身。因此,医生不应该参与将低能儿、白痴和愚笨者降级的标签。这样的标签人物很难与他人建立关系,导致整个社会都形成了“零期望”的概念。这种综合征中的适应不良更多地与环境输入不良有关,而不是与基本的有机缺陷有关,这是一个家庭问题。家庭医生处于帮助家庭处理愤怒、羞耻、内疚、拒绝等问题的理想位置。如果他意识到自己的感受,他还应该协调孩子的身体需求和最大投入的替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e7/2383394/0c704e2fa622/canfamphys00284-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e7/2383394/0c704e2fa622/canfamphys00284-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e7/2383394/0c704e2fa622/canfamphys00284-0084-a.jpg

相似文献

1
Care of the mentally retarded.智障人士的护理。
Can Fam Physician. 1979 Nov;25:1343-8.
2
Medical care of the mentally retarded.智障者的医疗护理。
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[Consensus, hedonism: the characteristics of new family and their consequences for the development of children].[共识、享乐主义:新家庭的特征及其对儿童发展的影响]
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Shame and guilt and their relationship to positive expectations and anger expressiveness.羞耻感、内疚感及其与积极期望和愤怒表达的关系。
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本文引用的文献

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Pediatricians' appraisals of patients' intelligence.
Pediatrics. 1961 Jun;27:990-1003.
2
The Vale of Siddem revisited.重访西登谷
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The home care of severely retarded children.重度智障儿童的家庭护理
Pediatrics. 1958 Oct;22(4 Part 1):744-55.
4
Psychological and cultural problems in mental subnormality: a review of research.精神发育迟滞中的心理和文化问题:研究综述
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Public evaluation of medical care.
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Enduring attributes of medicine relevant for the education of the physician.与医生教育相关的医学持久属性。
Ann Intern Med. 1973 Apr;78(4):587-93. doi: 10.7326/0003-4819-78-4-587.
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Sounding board. Deeper into abortion.共鸣板。深入探讨堕胎问题。
N Engl J Med. 1974 Nov 28;291(22):1189-90. doi: 10.1056/NEJM197411282912213.
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Long-term effect on mother-infant behaviour of extra contact during the first hour post partum. I. First observations at 36 hours.
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