Marcelli D
Sem Hop. 1983 Mar 24;59(12):845-9.
The consequences of the presence of a child with an encephalopathy on the siblings was studied through interviews and questionnaires. The preliminary findings are reported on. The siblings' outlook depends primarily on the parents' conscious, but also subconscious, attitude towards the handicapped child. The relationships between the siblings are always profoundly affected; they no longer serve, as they usually do, in the course of the oedipian process or in providing reciprocal support (a relationship based on competition but also on identification and mutual exchange between siblings). Aggressiveness is always strongly repressed; the author believes that the minor symptoms, such as inhibition and enuresis, which are common occurrences in the siblings, originate in this repression. In order to exemplify these points, a few clinical instances are given, with, in particular, the partial report of a psychotherapy.
通过访谈和问卷调查研究了患有脑病的儿童对其兄弟姐妹的影响。报告了初步研究结果。兄弟姐妹的前景主要取决于父母对残疾儿童有意识但也潜意识的态度。兄弟姐妹之间的关系总是受到深刻影响;它们不再像通常那样,在俄狄浦斯过程中或提供相互支持(一种基于竞争但也基于兄弟姐妹之间认同和相互交流的关系)中发挥作用。攻击性总是被强烈抑制;作者认为,兄弟姐妹中常见的诸如抑制和遗尿等轻微症状就源于这种抑制。为了举例说明这些观点,给出了一些临床实例,特别是一份心理治疗的部分报告。