Piussan C, Pautard J C, Gineston B, Lenaerts C, Boudailliez B, Goldfarb A
Child Abuse Negl. 1985;9(1):71-80. doi: 10.1016/0145-2134(85)90094-8.
The authors work in an area located north of Paris, which contains roughly a population of .75 million, of which 82,000 are children less than 3 years of age. The center and main city of the area is the town of Amiens. The recruitment of their cases under study was essentially hospital based, which explains the relative severity of the trauma observed. The children were followed by various observation systems. Seventy-four children, of which more than two-thirds were less than 3 years of age were followed for a period varying from two to ten years. Forty-three percent of these children have been maintained in their biological families; the others have been placed. With this system only nine recurrences of abuse have been observed (12%), and only two instances of death have been observed. Other studies have demonstrated higher proportions. However, in two-thirds of the children observed, there were minor or major psychological or even psychiatric sequelae. Protection services have tried to stay away from institutional placement as much as possible; when necessary, the foster home system or adoption has been used. Striking is the lack of means available to help abusing families. Efforts should be made to assist the abusing families stay together.
作者们工作的区域位于巴黎以北，该地区约有75万人口，其中8.2万是3岁以下的儿童。该地区的中心和主要城市是亚眠镇。他们所研究病例的招募基本上以医院为基础，这就解释了所观察到的创伤的相对严重性。这些儿童由各种观察系统跟踪。74名儿童被跟踪了两到十年，其中三分之二以上不到3岁。这些儿童中有43%一直生活在原生家庭；其他儿童则已被安置。在这个系统中，只观察到9起虐待复发事件（12%），只观察到2起死亡事件。其他研究显示的比例更高。然而，在三分之二被观察的儿童中，存在轻微或严重的心理甚至精神后遗症。保护服务部门尽量避免机构安置；必要时，会采用寄养家庭系统或收养方式。令人惊讶的是，帮助虐待家庭的可用资源匮乏。应该努力协助虐待家庭维持完整。
