Timimi S
Child and Family Services, Lincolnshire Partnership NHSFT, Lincoln, UK.
Int J Clin Pract. 2014 Sep;68(9):1053-5. doi: 10.1111/ijcp.12442.
The potential harms of medicalisation are well known. A good illustration comes from the medicalisation of children's behaviour problems. National Institute for health and Clinical Excellence (NICE) guidelines on conditions such as Attention Deficit Hyperactivity Disorder (ADHD), Autistic Spectrum Disorder (ASD) and Conduct Disorder (CD) reflect how attempts to regulate medical practice in this area has spawned guidelines based more on wish fulfilment (that getting kids to behave themselves can be accomplished by simple technological interventions that exist independent of context) than scientific evidence. In this perspective piece, I explain why these NICE guidelines are more a reflection of cultural confusion about how to deal with children, than the outcome of sound scientific understanding in this area.
医学化的潜在危害是众所周知的。一个很好的例子来自儿童行为问题的医学化。英国国家卫生与临床优化研究所（NICE）针对注意力缺陷多动障碍（ADHD）、自闭症谱系障碍（ASD）和品行障碍（CD）等病症发布的指南，反映出在该领域规范医疗实践的尝试如何催生了更多基于愿望实现（即认为通过独立于背景的简单技术干预就能让孩子守规矩）而非科学证据的指南。在这篇观点文章中，我解释了为何这些NICE指南更多地反映了在如何对待儿童问题上的文化困惑，而非该领域合理科学理解的结果。
