Cousins Lesley, Holmes Joanne
Croft Child and Family Unit, Fulbourn, UK.
BJPsych Bull. 2021 Oct;45(5):272-274. doi: 10.1192/bjb.2021.8.
Within paediatrics, young children experiencing physical and emotional distress are admitted to hospital with their parents as a matter of course, recognising the trauma associated with parting children from their carers. Much of this practice is underpinned by our understanding of attachment theory, which also sits as a fundamental tenet of child psychiatry. Yet the culture in psychiatric in-patient hospitals remains to admit young children without their parents, often to units that are geographically distant from the family home. We argue that the practice of admitting lone children to psychiatric in-patient units is likely to be traumatising as well as less effective. We believe this culture requires challenge and change.
在儿科领域，幼儿在经历身体和情感困扰时，通常会与父母一起住院，这是因为认识到与孩子和照顾者分离相关的创伤。这种做法很大程度上基于我们对依恋理论的理解，而依恋理论也是儿童精神病学的一项基本原则。然而，精神病住院医院的文化仍然是让幼儿在没有父母陪伴的情况下入院，而且这些幼儿常常被安置在距离家庭住所较远的病房。我们认为，让儿童独自入住精神病住院病房的做法可能会造成创伤，而且效果不佳。我们认为这种文化需要受到质疑并加以改变。
