Rinsley D B
Psychiatry Service, Colmery-O'Neil VA Medical Center, Topeka, KS 66622.
Bull Menninger Clin. 1990 Winter;54(1):3-12.
Certain groups of preadolescent and adolescent children suffer from developmental and adaptive problems serious enough that they become candidates for full-time hospital or residential treatment. The author reviews the diagnostic criteria that justify such placement and describes these groups of children and adolescents, with particular attention to borderline and narcissistic personality disorders. He concludes by emphasizing the need for a psychodynamic, rather than merely symptom-focused, approach to milieu treatment.
某些青春期前和青春期的儿童群体存在严重的发育和适应问题，以至于他们成为全日制住院或寄宿治疗的对象。作者回顾了证明这种安置合理性的诊断标准，并描述了这些儿童和青少年群体，特别关注边缘型和自恋型人格障碍。他在结论中强调，环境治疗需要一种心理动力学方法，而不仅仅是关注症状的方法。
