Azar S T, Siegel B R
Francis L. Hiatt School of Psychology, Clark University, Worcester, MA 01610.
Behav Modif. 1990 Jul;14(3):279-300. doi: 10.1177/01454455900143004.
This article reviews cognitive and behavioral treatment strategies that have been employed with parents who physically abuse their children. Using a developmental framework, a broadened view of abuse is presented that emphasizes targets for intervention that not only reduce aversive parental behavior but also increase behaviors that lead to more optimal child outcome. Interventions with maltreaters are then described, focusing on three periods of childhood--infancy, middle childhood, and adolescence. An argument is made for there being different goal parental behaviors during each of these periods, as well as unique child-based demands that act as obstacles to parents' successfully meeting these goals. Where behavioral treatments with abusive parents do not yet exist, treatments with similar parent populations are described. The article concludes with a discussion of the treatment issues facing the field in the future.
本文回顾了针对虐待亲生子女的父母所采用的认知和行为治疗策略。运用一个发展框架，提出了对虐待行为的更广泛看法，强调干预目标不仅要减少父母的厌恶行为，还要增加能带来更理想儿童成长结果的行为。接着描述了针对虐待者的干预措施，重点关注童年的三个阶段——婴儿期、童年中期和青春期。文中指出，在每个阶段父母的目标行为有所不同，同时存在独特的基于儿童的需求，这些需求成为父母成功实现这些目标的障碍。对于尚无针对虐待父母的行为治疗方法的情况，文中描述了针对类似父母群体的治疗方法。文章最后讨论了该领域未来面临的治疗问题。
