Robinson R O, McCarthy G T, Little T M
Chailey Heritage Hospital, East Sussex.
BMJ. 1989 Nov 4;299(6708):1145-9. doi: 10.1136/bmj.299.6708.1145.
Conductive education, which was developed at the Petö Institute in Budapest, has been publicised incorrectly as a method of treatment for children with cerebral palsy. From the results of information given and our own observations during a week's visit to the institute we conclude that a minority of carefully selected children with cerebral palsy and spina bifida, who have a relatively good prognosis, are educated at the institute; the education is carried out with appropriate medical, surgical, and orthotic intervention; and the children probably function better as a result of the intensive programme than do similar children in Britain in areas where therapy is scarce. They seem to achieve, however, what we would expect similar children in Britain to do when facilities are adequate. Though our findings do not therefore justify using public funds to refer children to the institute, some (self selected) families benefit from a visit, particularly from the positive attitudes of the staff. The role of the conductor and the integration of programmes into a classroom setting have much to recommend them, and conductive education, if successfully transferred to Britain, might be beneficial to a wider range of children than in Hungary.
引导式教育是在布达佩斯的佩托研究所发展起来的，却被错误地宣传为治疗脑瘫儿童的一种方法。根据所提供的信息以及我们在该研究所为期一周访问期间的观察结果，我们得出以下结论：少数经过精心挑选、预后相对较好的脑瘫和脊柱裂儿童在该研究所接受教育；这种教育是在适当的医疗、外科和矫形干预下进行的；与英国治疗资源稀缺地区的类似儿童相比，这些儿童可能由于强化训练而功能恢复得更好。然而，他们似乎达到了我们预期英国类似儿童在设施充足时所能达到的水平。因此，尽管我们的研究结果并不证明使用公共资金将儿童送到该研究所是合理的，但一些（自行选择的）家庭从这次访问中受益，特别是从工作人员的积极态度中受益。引导者的角色以及将课程融入课堂环境有很多值得推荐之处，如果引导式教育成功引入英国，可能会使比匈牙利更多的儿童受益。
