Cicchetti D, Toth S L
Mt. Hope Family Center, University of Rochester, NY 14608, USA.
J Am Acad Child Adolesc Psychiatry. 1995 May;34(5):541-65. doi: 10.1097/00004583-199505000-00008.
The purpose of this review is to conceptualize child abuse and neglect within a developmental psychopathology perspective. Toward this end, issues of definition and epidemiology, etiology, and sequelae are addressed.
Research and theory on child abuse and neglect with relevance to a developmental perspective is reviewed.
Considerable progress has been made in our understanding of the etiology and consequences of child abuse and neglect. Less progress has been made in utilizing this knowledge to inform treatment efforts.
Incorporation of a developmental psychopathology perspective into efforts to understand and ameliorate the adverse effects of child abuse and neglect holds considerable promise for advancing research and intervention in the area of child maltreatment. The importance of providing comprehensive and coordinated services that incorporate knowledge of how maltreated youngsters negotiate stage-salient issues of development is stressed. The provision of child-focused treatment, parent-based models of intervention, and ecologically driven approaches to prevention all can benefit from an understanding of the adverse effects that maltreatment exerts on the process of development.
本综述旨在从发展性心理病理学视角对虐待和忽视儿童现象进行概念化。为此,探讨了定义与流行病学、病因及后果等问题。
回顾与发展视角相关的虐待和忽视儿童的研究及理论。
我们在理解虐待和忽视儿童的病因及后果方面取得了显著进展。在利用这些知识指导治疗工作方面进展较小。
将发展性心理病理学视角纳入理解和改善虐待和忽视儿童不良影响的工作中,有望推动儿童虐待领域的研究与干预。强调提供综合协调服务的重要性,这些服务应包含对受虐待青少年如何应对发展阶段突出问题的了解。以儿童为中心的治疗、基于家长的干预模式以及生态驱动的预防方法,都能从了解虐待对发展过程产生的不良影响中受益。