Kemler B
Soc Work Health Care. 1985 Summer;10(4):45-53. doi: 10.1300/J010v10n04_05.
While the important role families play vis-à-vis illness is generally recognized, there are relatively few clinical encounters with entire families reported by social workers in health settings. Some of the possible explanations for this are examined, with a recommendation for the design of interventions based on a family systems perspective. Two areas requiring further investigation are highlighted: the element of uncertainty which confronts families coping with chronic life-threatening illness and the impact of serious illness on children. By conceptualizing new ways to help families adapt, social workers can make a significant contribution clinically and reaffirm their position in this domain.
虽然家庭在应对疾病方面所起的重要作用已得到普遍认可，但在健康环境中，社会工作者报告的与整个家庭的临床接触相对较少。本文探讨了对此现象的一些可能解释，并建议从家庭系统视角设计干预措施。文中强调了两个需要进一步研究的领域：家庭应对慢性危及生命疾病时面临的不确定性因素，以及重病对儿童的影响。通过构思帮助家庭适应的新方法，社会工作者能够在临床实践中做出重大贡献，并再次确认他们在这一领域的地位。
