Ammerman R T, Van Hasselt V B, Hersen M, McGonigle J J, Lubetsky M J
Western Pennsylvania School for Blind Children, Pittsburgh 15213-1499.
Child Abuse Negl. 1989;13(3):335-43. doi: 10.1016/0145-2134(89)90073-2.
Medical charts of 150 consecutive admissions of multihandicapped children to a psychiatric hospital were examined to determine the extent and characteristics of abuse and neglect. Results indicated that 39% of the sample experienced or had a history that warranted suspicion of past and/or current maltreatment. Physical abuse was the most frequent type of maltreatment, followed by neglect and sexual abuse. Maltreated multihandicapped patients admitted to the psychiatric unit were less likely to receive diagnoses of organic brain syndrome or profound mental retardation than nonmaltreated multihandicapped counterparts on the same unit. Moreover, data indicated that less severely impaired patients were more likely to be maltreated than were the more severely impaired. Particularly striking was the severity of maltreatment in this multihandicapped sample and the relatively high percentage (40%) of sexually abused patients who were assaulted by multiple perpetrators.
对一家精神病院连续收治的150名多重残疾儿童的病历进行了检查，以确定虐待和忽视的程度及特征。结果表明，39%的样本经历过或有病史表明过去和/或当前有受虐待的嫌疑。身体虐待是最常见的虐待类型，其次是忽视和性虐待。与同一病房未受虐待的多重残疾患者相比，入住精神科病房的受虐待多重残疾患者被诊断为器质性脑综合征或重度智力迟钝的可能性较小。此外，数据表明，与重度受损患者相比，受损较轻的患者更有可能受到虐待。在这个多重残疾样本中，虐待的严重程度以及被多名施虐者性侵的患者所占的相对较高比例（40%）尤其令人震惊。
