Dickman D, Prieto P
Department of Psychiatry, Hospital for Sick Children, Toronto, Ontario.
Can J Psychiatry. 1987 Oct;32(7):595-8. doi: 10.1177/070674378703200717.
A case is presented that shows the usefulness of integrating systems theory and attachment theory in the formulation and treatment of a clinical problem. The 5 year old son of East Indian immigrants presented with persistent psychogenic vomiting associated with pathological family attachments. It was evident that the precarious family equilibrium was stabilized by the child's psychogenic vomiting. The therapeutic team suggested to the family that their problems might be more satisfactorily resolved if the mother and child maintained their link by two-way radio. Three weeks later the vomiting had ceased, the child no longer felt that he needed the radio and both parents had established new patterns of relating to their child, whose attendance and peer socialization at school showed marked improvement. To some extent the rapid resolution of the problems was facilitated by the cultural strengths of the family.
本文介绍了一个案例，该案例展示了系统理论和依恋理论在临床问题的形成与治疗中的整合作用。一对东印度移民夫妇5岁的儿子出现持续性心因性呕吐，伴有病态的家庭依恋关系。很明显，孩子的心因性呕吐稳定了岌岌可危的家庭平衡。治疗团队向这家人建议，如果母亲和孩子通过对讲机保持联系，他们的问题可能会得到更令人满意的解决。三周后，呕吐停止，孩子不再觉得自己需要对讲机，父母双方也都建立了与孩子相处的新模式，孩子在学校的出勤率和与同伴的社交情况都有了显著改善。在某种程度上，家庭的文化优势促进了问题的迅速解决。
