Money J, Annecillo C, Hutchison J W
J Sex Marital Ther. 1985 Spring;11(1):30-40. doi: 10.1080/00926238508405956.
The syndrome of abuse dwarfism is characterized by gross impairment of statural and intellectual growth and social maturation while the abused child remains in the domicile of abuse. The parents collude as child abusers, and are medical impostors regarding the symptoms of abuse. The syndrome as a whole is appropriately named Munchausen's syndrome by proxy. Though the mother typically initiates abuse, she cannot give a rational explanation for doing so. In her own history there is a sin that is expiated or atoned for symbolically by the sacrifice of the child--explainable in terms of the theory of opponent-process learning. In the two cases presented, the sin was the mother's own birth out of wedlock, in one case as a sequel to incest. The child's addiction to abuse is a challenge to the program of rehabilitation. With respect to parents at risk, the data of this paper are relevant to the prevention of a predisposition toward, or the actual implementation of child abuse, though a program of prevention needs still to be formulated. The sexological relevance of this paper is that the data demonstrate that the effects of sexual abuse may be transmitted to the next generation and manifested as child abuse which is not necessarily sexual in content.
虐待性侏儒综合征的特征是，在受虐儿童仍处于虐待家庭时，其身高、智力发育以及社交成熟度均受到严重损害。父母作为虐待者相互勾结，且在虐待症状方面伪装成医生。整个综合征被恰当地命名为代理孟乔森综合征。虽然通常是母亲发起虐待行为，但她无法对自己的行为给出合理的解释。在她自己的经历中存在一种罪过，她通过牺牲孩子来象征性地赎罪或抵罪——这可以根据对抗过程学习理论来解释。在本文所呈现的两个案例中，罪过是母亲自己非婚生育，其中一个案例还是乱伦的后果。孩子对虐待行为的成瘾对康复计划构成了挑战。对于有风险的父母而言，本文的数据与预防虐待儿童的倾向或实际发生的虐待行为相关，尽管仍需制定预防计划。本文在性学方面的意义在于，数据表明性虐待的影响可能会传递给下一代，并表现为不一定涉及性内容的儿童虐待。
