Sloan M P, Meier J H
Child Abuse Negl. 1983;7(4):443-50. doi: 10.1016/0145-2134(83)90051-0.
This paper reports an effort to classify the parents of abused children with some existing and some new empirically/clinically consistent typologies, which are derived from the parents' psychopathological personality profiles. Such a classification scheme is informative and helpful for both treatment planning and permanency planning for abusive parents and abused children, whether or not the children have been separated from their parents. Several previously reported typologies for abusive parents are reviewed and then elaborated in light of the additional data and insights gained from an ongoing study of 50 abusive parents who were separated from their children due to severe child abuse. Such typological analyses based upon principal personality characteristics and dynamics promise to help in formulating both secondary and even primary child abuse prevention procedures and programs. The parent typologies which represent the more favorable prognoses, as determined by their therapist's estimate of their response to ongoing treatment, are those classified as rigid-compulsive, or experiencing identity/role crisis, or displaced abuse/violence. Parents whose child abusive behavior is a function of extremely maladaptive resolutions of major life issues fall into the hostile-aggressive, passive-dependent, and severe mental illness typologies, where the prognoses are considerably more guarded. The relatively high incidence of hostile-aggressive fathers coupled with passive-dependent mothers as abusive parents to children in a residential program for severely abused children also helps explain some of the children's psychopathology.
本文报告了一项利用一些现有的以及一些新的、在实证/临床方面保持一致的类型学方法,对受虐儿童的父母进行分类的工作。这些类型学方法源自父母的心理病理人格特征。这样一种分类方案对于受虐父母和受虐儿童的治疗规划及永久性安置规划都具有参考价值且有所帮助,无论儿童是否已与父母分离。文中回顾了此前报道的几种针对施虐父母的类型学方法,然后根据从一项对50名因严重虐待儿童而与子女分离的施虐父母的持续研究中获得的额外数据和见解,对这些方法进行了详细阐述。基于主要人格特征和动态变化的此类类型学分析有望有助于制定二级甚至一级儿童虐待预防程序和方案。根据治疗师对他们对持续治疗的反应的评估,那些被归类为刻板强迫型、经历身份/角色危机型或转移虐待/暴力型的父母,其预后相对较好。而那些儿童虐待行为是主要生活问题极端适应不良解决方式的父母,则属于敌对攻击型、被动依赖型和严重精神疾病型,这些类型的预后则要谨慎得多。在一个针对严重受虐儿童的住院项目中,敌对攻击型父亲与被动依赖型母亲作为虐待儿童父母的相对高发生率,也有助于解释一些儿童的心理病理学问题。