Swartz L, Levett A
Department of Psychology, University of Cape Town, South Africa.
Soc Sci Med. 1989;28(7):741-50. doi: 10.1016/0277-9536(89)90222-0.
This article discusses some dilemmas facing mental health and social service workers studying and providing services for children affected by political repression in South Africa. We argue that it is almost inevitable that progressive care providers are affected by an image of childhood as one of passive innocence and vulnerability, an image which is both outmoded in terms of modern developmental psychology and potentially destructive if the aim of intervention is empowerment. Practical experience with children affected by repression has led us to question commonly held views on the nature of psychological damage, and to recognise that our views on stress tend to be class-bound. Questions of partiality and credibility affect both practical work and the way that social service workers conceive of their role. Without an approach to the understanding of repression which takes account of underlying ideological factors, the social construction of illness and symptoms, and the historical antecedents of current abuses of children in South Africa, we are unable adequately to situate and evaluate critically the work we are doing. Even the focus on children as particular victims of apartheid needs to be thoroughly examined.
本文讨论了心理健康和社会服务工作者在为受南非政治镇压影响的儿童开展研究和提供服务时所面临的一些困境。我们认为,进步的护理人员几乎不可避免地会受到一种儿童形象的影响,即儿童是被动的无辜者和弱势群体,这种形象从现代发展心理学的角度来看已经过时,而且如果干预的目的是增强权能,那么它可能具有破坏性。与受镇压影响的儿童的实际经验促使我们质疑关于心理伤害本质的普遍观点,并认识到我们对压力的看法往往受阶级限制。偏袒和可信度问题影响着实际工作以及社会服务工作者对自身角色的认知方式。如果没有一种考虑到潜在意识形态因素、疾病和症状的社会建构以及南非当前虐待儿童行为的历史先例的对镇压的理解方法,我们就无法充分地定位和批判性地评估我们正在做的工作。甚至将儿童视为种族隔离的特定受害者这一关注点也需要进行彻底审视。