Asen K, George E, Piper R, Stevens A
Marlborough Family Service, London, UK.
Child Abuse Negl. 1989;13(1):45-57. doi: 10.1016/0145-2134(89)90028-8.
In the systems approach certain patterns of family interaction are seen as fitting with physical abuse towards children in the family. If these interactions are blocked or changed using specific family therapy interventions, the risk of further abuse will be significantly reduced. Identifying typical patterns of interaction that fit with abuse is a useful first step in planning the management of physically abusing families. A full systemic formulation of the presenting problem will address numerous systems and sub-systems simultaneously, notably the family-professional system, the family within the extended family/friendship system, and the nuclear family. Interventions may have to be directed on a variety of these levels. The Marlborough Family Service has assessed and treated over 100 child-abusing families. A family day unit is used as the setting, and a multifamily group as the principle medium of treatment. Within the day unit real life stress situations are recreated around everyday issues, enabling families to find new and nonviolent solutions to the problems of daily life. In the cases seen, approximately one-third have resulted in a recommendation of permanent alternative family care for the children. In those families reunited, the re-injury rate has been found to be extremely low.
在系统方法中，家庭互动的某些模式被视为与家庭中对儿童的身体虐待相契合。如果利用特定的家庭治疗干预措施来阻断或改变这些互动，进一步虐待的风险将显著降低。识别与虐待相契合的典型互动模式是规划对实施身体虐待的家庭进行管理的有益第一步。对呈现问题进行全面的系统阐述将同时涉及众多系统和子系统，特别是家庭 - 专业人员系统、大家庭/友谊系统中的家庭以及核心家庭。干预措施可能必须针对这些不同层面。马尔伯勒家庭服务机构已经评估并治疗了100多个虐待儿童的家庭。一个家庭日间单元被用作场所，多家庭小组被用作主要治疗媒介。在日间单元里，围绕日常问题重现现实生活中的压力情境，使家庭能够找到解决日常生活问题的新的非暴力方法。在所处理的案例中，大约三分之一的案例建议为儿童提供永久性的替代性家庭照料。在那些重新团聚的家庭中，再次受伤害的比率极低。
