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儿童反社会行为治疗的发展:对照试验和非对照磨难。

Developing Treatments for Antisocial Behavior Among Children: Controlled Trials and Uncontrolled Tribulations.

机构信息

Department of Psychology, Yale University.

出版信息

Perspect Psychol Sci. 2018 Sep;13(5):634-650. doi: 10.1177/1745691618767880. Epub 2018 Jun 29.

DOI:10.1177/1745691618767880
PMID:29958060
Abstract

The article describes my research on the development and evaluation of psychosocial treatments for children who engage in extremes of antisocial behavior (e.g., aggression, property destruction, theft). I begin with my "story" of how the focus on interventions started as I worked in various settings (rehabilitation facilities, schools, hospitals, and outpatient clinical services) and with children, adolescents, and adults. The main stream of treatment research and findings with antisocial child behavior is highlighted along with tributaries that led naturally from the outcome research. Our trials are complemented by tribulations that apply to evidence-based psychosocial interventions more broadly. Most individuals in need of psychological services in the United States and worldwide receive no treatment. Much can be done right now with novel models of treatment delivery that draw on multiple disciplines (e.g., public health, business, entertainment, economics, robotics and artificial intelligence, and law and social policy). More research on interventions that do not or cannot reach most people in need is quite limited in value to me. Finally (and belatedly) my attention has turned to ways of exerting impact, and for that, evidence-based interventions are necessary but hardly sufficient.

摘要

本文描述了我在发展和评估针对从事极端反社会行为(如攻击、破坏财产、盗窃)的儿童的心理社会治疗方面的研究。我首先讲述了自己的“故事”,即当我在各种环境(康复设施、学校、医院和门诊临床服务)中与儿童、青少年和成年人一起工作时,如何开始关注干预措施。反社会儿童行为的主要治疗研究和发现以及自然产生的支流从结果研究中脱颖而出。我们的试验得到了更广泛的循证心理社会干预应用的磨难的补充。在美国和世界各地,大多数需要心理服务的人都没有得到治疗。现在可以利用多种学科(例如公共卫生、商业、娱乐、经济学、机器人和人工智能以及法律和社会政策)来实施新型治疗模式,从而解决许多问题。对那些无法或无法接触到大多数有需要的人的干预措施的研究,对我来说价值非常有限。最后(也是后来),我开始关注产生影响的方法,为此,循证干预措施是必要的,但几乎是不够的。

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