Albee G W
University of Vermont, USA.
J Prim Prev. 1996 Sep;17(1):3-16. doi: 10.1007/BF02262735.
A brief history is provided of interventions with people with emotional disorders since the 1950s. A shortage of therapists is inescapable and even successful treatment does not change incidence. But the individual defect model supports the conservative view that causes are to be found inside people, rather than in social injustice. People who are defective are to be treated as part of the medical model that is extended to cover social problems. This view is an obvious extension of Social Darwinism that has long attributed success and failure to bad genes and good genes rather than to advantaged and disadvantaged social-economic environments.
本文简述了自20世纪50年代以来针对情绪障碍患者的干预措施。治疗师短缺不可避免,即使成功治疗也不会改变发病率。但个体缺陷模型支持保守观点,即病因应在个体内部寻找,而非社会不公。有缺陷的人应被视为医学模式的一部分,该模式已扩展到涵盖社会问题。这种观点是社会达尔文主义的明显延伸,长期以来,社会达尔文主义将成功与失败归因于坏基因和好基因,而非有利和不利的社会经济环境。