Barber C C, Colson D B, McParland M Q, O'Malley F, Pope K K, Coyne L
Menninger Clinic, Topeka, Kansas 66601.
Child Psychiatry Hum Dev. 1994 Fall;25(1):53-64. doi: 10.1007/BF02251100.
This study examined the associations between abuse and staff perceived treatment difficulty in sixty-nine hospitalized children and adolescents. Subjects were rated on a treatment difficulty scale, and clinical charts were reviewed for evidence of physical abuse, sexual abuse, abuse between parents, and parental history of abuse. Subjects with histories of abuse were not rated as more difficult or less responsive to treatment than other patients. Physically abused youngsters were rated as more self-destructive and more accessible to treatment than non-abused children, while sexually abused youngsters were self-destructive and demanding, and their families were seen as more distant and unavailable.
本研究调查了69名住院儿童和青少年遭受虐待与工作人员所感知的治疗难度之间的关联。根据治疗难度量表对受试者进行评分，并查阅临床病历以寻找身体虐待、性虐待、父母间虐待以及父母虐待史的证据。有虐待史的受试者在治疗难度或对治疗的反应性方面，与其他患者相比并无差异。遭受身体虐待的青少年被评为比未受虐待的儿童更具自我毁灭倾向且更易于治疗，而遭受性虐待的青少年具有自我毁灭倾向且需求较多，并且他们的家庭被认为关系更为疏远且难以接触。
