Cirillo S, Sorrentino A M
Fam Process. 1986 Jun;25(2):283-92. doi: 10.1111/j.1545-5300.1986.00283.x.
This article aims to show that the birth of a physically handicapped child should be regarded as powerful information, compelling the family to reorganize. The three subsystems most frequently challenged by the onset of a handicap are examined: the extended family, the couple, and the siblings. Further potent information involving the whole family arises in the rehabilitation program by placing demands on parents that may radically upset the existing equilibrium, and inevitably entailing a highly significant relationship with the child's therapists. Rehabilitation staff should be adequately trained to monitor the various phases during which family members adjust to both these types of information (handicap and rehabilitation) in order to ward off the development of dysfunctional games. A family therapy approach is appropriate in the all too many cases in which a rigid dysfunctional game has already set in such that the handicapped member is playing the role of identified patient.
本文旨在表明，身体有残疾的孩子的出生应被视为一种有力信息，促使家庭进行重组。文章考察了因残疾的出现而最常受到挑战的三个子系统：大家庭、夫妻以及兄弟姐妹。通过向父母提出可能从根本上打破现有平衡的要求，并不可避免地使他们与孩子的治疗师建立高度重要的关系，康复计划中会出现涉及整个家庭的更多有力信息。康复工作人员应接受充分培训，以监测家庭成员适应这两类信息（残疾和康复）的各个阶段，从而避免功能失调游戏的发展。在太多已经形成僵化的功能失调游戏，以至于残疾成员扮演着被认定患者角色的情况下，家庭治疗方法是合适的。
