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针对青少年反社会者的环境疗法。

Milieu therapy with the adolescent sociopath.

作者信息

Walker B A

出版信息

Adolescence. 1978 Winter;13(52):531-6.

PMID:742457
Abstract

This paper defines sociopathy, presents current research experimentation being conducted and findings as to its causes and treatment. Also presented is a description of a milieu therapy program for the adolescent sociopath. Both preventive and active treatment methods in this program are discussed. The value of the milieu therapy approach is shown in its attempt to keep the adolescent sociopath engaged in constructive activities and relationships in order to overcome antisocial behavior patterns. With the failure of individual therapy alone to reinforce normal living patterns and overcome lack of socialization functions in the adolescent sociopath, a more comprehensive and effective approach is required. Such an approach is described in which the following are stressed: 1) prevention of incarceration, 2) prevention of rejection by parents, peers and teachers, 3) active treatment of hyperkinesis and specific learning disabilities, 4) utilization of "sponsors," and 5) multiple therapist (family, group, individual) programs.

摘要

本文对反社会型人格障碍进行了定义,介绍了目前正在进行的相关研究实验以及关于其成因和治疗的研究结果。文中还描述了针对青少年反社会型人格障碍患者的一种环境疗法项目。该项目中的预防和积极治疗方法都进行了讨论。环境疗法的价值体现在其试图让青少年反社会型人格障碍患者参与建设性活动和建立人际关系,以克服反社会行为模式。由于单纯的个体治疗未能强化青少年反社会型人格障碍患者的正常生活模式并克服其社交功能缺失问题,因此需要一种更全面、有效的方法。文中描述了这样一种方法,其中强调了以下几点:1)预防监禁,2)预防被父母、同龄人及教师排斥,3)积极治疗多动症和特定学习障碍,4)利用“担保人”,5)多治疗师(家庭、团体、个体)项目。

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