Green D
J Adolesc. 1987 Mar;10(1):45-56. doi: 10.1016/s0140-1971(87)80032-5.
In the absence of an agreed etiology or preferred treatment for exhibitionism the author reviews his clinical experience in working with adolescent boys who have indecently exposed themselves. A retrospective analysis indicates that the implicit theories that informed clinical practice construed exhibitionism as social behaviour rather than psychological symptom and placed it in a clear development context. It is argued that adolescent exhibitionism can be viewed as a "strategic interaction" that is characteristically adolescent. Using the individual adolescent's account of his misconduct it may be possible to determine the particular "game" in which he is engaged. This formulation can lead to clinical interventions which will best foster a future change of strategy and reduce the prospects of re-offending. Three clinical vignettes illustrate this model in action. Finally the theoretical limitations and practical difficulties associated with this way of understanding adolescent exhibitionists are discussed.
由于目前尚无关于露阴癖公认的病因或首选治疗方法，作者回顾了自己与有露阴行为的青春期男孩打交道的临床经验。一项回顾性分析表明，指导临床实践的隐含理论将露阴癖视为社会行为而非心理症状，并将其置于明确的发展背景中。有人认为，青少年露阴癖可被视为一种典型的青少年“策略性互动”。通过青少年个人对其不当行为的描述，有可能确定他所参与的特定“游戏”。这种表述方式可引导临床干预，从而最有效地促进未来的策略改变，并降低再次犯罪的可能性。三个临床案例展示了该模型的实际应用。最后，讨论了与这种理解青少年露阴癖方式相关的理论局限性和实际困难。
