Guedeney Antoine, Guedeney Nicole
Hopital Bichat-Claude Bernard APHP.
Institut Mutualiste Monsouris, Univ Paris René Descartes.
Infant Ment Health J. 2008 Jan;29(1):5-20. doi: 10.1002/imhj.20162. Epub 2008 Jan 25.
The French system for protection of infants and toddlers relies on the collaboration of several different partners for preventing, screening, assessing, intervening in, and treating cases of infant abuse and neglect. This article first provides a brief historic overview and some data about the protection of infants in France, with data focused on the Parisian area. We then describe the tasks and interconnections of these different agencies and administrations, and offer some reflections on the actual functioning of the system. Finally, some suggestions for changes are provided. Discussion should begin on a theoretical level regarding whether we should continue with institutionalization of infants for long periods of time, as is still the case in Paris. Discussion also should take place regarding which is the higher priority when infants and children are in situations of danger, abuse, and/or neglect of infants: (a) the hope of reestablishing parental rights or (b) the need of the infant for a secure and stable attachment relationship. The process of evaluating parental caregiving skills would benefit from more clinical observation as well as structured methods of assessment.
法国针对婴幼儿的保护体系依赖于多个不同合作伙伴之间的协作，以预防、筛查、评估、干预和处理虐待及忽视婴幼儿的情况。本文首先简要介绍法国保护婴幼儿的历史概况及一些数据，数据聚焦于巴黎地区。接着，我们描述这些不同机构和行政部门的任务及相互联系，并对该体系的实际运作进行一些思考。最后，提出一些变革建议。关于是否应像巴黎目前仍存在的情况那样，继续让婴幼儿长期处于机构照料状态，应在理论层面展开讨论。还应讨论在婴幼儿面临危险、遭受虐待和/或被忽视时，哪一个更为优先：(a) 恢复父母权利的希望，还是 (b) 婴幼儿对安全稳定依恋关系的需求。评估父母养育技能的过程将受益于更多的临床观察以及结构化的评估方法。
