Molin R
Clinical Services Program, Judge Baker Children's Center, Waltham, MA.
Child Abuse Negl. 1988;12(2):241-50. doi: 10.1016/0145-2134(88)90032-4.
Therapists assessing and treating children in foster care face unique issues, due to the complicated relational system generated by a foster placement. At a minimum, the mental health clinician must negotiate a role relative to the foster family, especially the foster parents, biological parents, and the Child Protective Service Agency (CPS) represented by the caseworker. The system of relationships and the ambiguous status of the child in foster care affects both the range of issues that need to be assessed to identify factors contributing to a child's problems and the context of possible interventions. The therapeutic relationship with the child is also affected by the child's understanding of and feelings about the connections, or lack of them, between the therapist and other meaningful adults in the child's life. This paper considers issues affecting the role of the therapist relative to each relationship and then considers the broader role of the therapist as an intervener in the foster care and protective service system.
由于寄养安置所产生的复杂关系系统，评估和治疗寄养儿童的治疗师面临着独特的问题。至少，心理健康临床医生必须在与寄养家庭，特别是寄养父母、亲生父母以及由个案工作者代表的儿童保护服务机构（CPS）之间协商角色。寄养关系系统以及儿童在寄养中的模糊身份，既影响为确定导致儿童问题的因素而需要评估的问题范围，也影响可能干预措施的背景。与儿童的治疗关系也会受到儿童对治疗师与儿童生活中其他重要成年人之间联系（或缺乏联系）的理解和感受的影响。本文首先考虑影响治疗师在每种关系中角色的问题，然后探讨治疗师在寄养和保护服务系统中作为干预者的更广泛角色。
