Lips U
Universitäts-Kinderklinik Zürich.
Ther Umsch. 1994 Sep;51(9):637-42.
Many cases of child abuse mark the culmination of a complex psychosocial process and proceed in a chronic way. An acute intervention in these chronic cases is not only inefficient, but also counterproductive; only a careful evaluation by a multidisciplinary team that pays attention to all circumstances and a stepwise action following a generally agreed plan will meet with success. This type of proceeding applies especially for cases of chronic sexual abuse that originates from close family range. A model of the procedure is presented. Real emergencies in the contest of child abuse have therapeutic and diagnostic character. From a therapeutic point of view a child must be immediately protected from further violence and other deeds threatening his health. This strategy is especially indicated for infants and young children. An immediate intervention is also obligatory, if there is a suspicion of sexual abuse not longer than 72 h ago or if signs of physical abuse have to be documented.
许多虐待儿童的案例是一个复杂社会心理过程的 culmination，并且以慢性方式发展。对这些慢性案例进行急性干预不仅效率低下，而且适得其反；只有由多学科团队进行仔细评估，关注所有情况，并按照普遍认可的计划采取逐步行动，才会取得成功。这种程序类型尤其适用于源自亲密家庭范围的慢性性虐待案例。文中呈现了该程序的一个模型。在虐待儿童背景下的真正紧急情况具有治疗和诊断性质。从治疗角度来看，必须立即保护儿童免受进一步的暴力和其他威胁其健康的行为侵害。这种策略尤其适用于婴幼儿。如果怀疑在不超过72小时前发生了性虐待，或者必须记录身体虐待的迹象，立即进行干预也是必要的。 （注：“culmination”此处结合语境推测可能是“顶点、极致表现等意思，暂未找到完全对应的准确中文词汇，保留英文以便理解）
