Beardslee W R, Podorefsky D
Department of Psychiatry, Children's Hospital, Boston, MA 02115.
Am J Psychiatry. 1988 Jan;145(1):63-9. doi: 10.1176/ajp.145.1.63.
Eighteen young men and women whose parents had major affective disorders, often in combination with other serious psychiatric disorders, were selected from a larger sample on the basis of their good behavioral functioning as adolescents at initial assessment. When they were reassessed an average of 2 1/2 years later, 15 of the 18 were still functioning well. Considerable self-understanding, a deep commitment to relationships, and the ability to think and act separately from their parents characterized these young people. Many of them were taking care of their ill parents. The implications of these findings for preventive and clinical intervention are discussed.
从一个更大的样本中挑选出18名年轻男女，他们的父母患有重度情感障碍，且常常伴有其他严重精神疾病，入选依据是他们在初次评估时作为青少年具有良好的行为功能。在平均2年半后对他们进行重新评估时，18人中有15人仍功能良好。这些年轻人的特点是具有相当的自我认知、对人际关系的高度投入，以及独立于父母进行思考和行动的能力。他们中的许多人在照顾生病的父母。本文讨论了这些发现对预防和临床干预的意义。
