Moretti M M, Holland R, Peterson S
Department of Psychology, Simon Fraser University, Burnaby, British Columbia.
Can J Psychiatry. 1994 Aug;39(6):360-70. doi: 10.1177/070674379403900609.
There is increasing concern among professionals and the public about the level of violence and antisocial behaviour among our youth. This has been coupled with confusion and a sense of helplessness about which types of interventions are most effective in responding to these difficulties. Some professionals and advocacy groups are calling for tougher disciplinary responses to violence and antisocial behaviour, including changes in the Young Offenders Act. Yet, such interventions are rarely effective in producing the desired reductions in these behaviours. Other professionals have called for better forms of treatment. However, few treatments have been shown to be effective in bringing about long term reductions either in aggressive behaviour or in the concomitant psychological difficulties experienced by these youths. In this paper, a description is presented of an approach to understanding conduct disorder that focuses on attachment as an organizing principle of behaviour and affect. Also, a description is presented of a community-oriented program that is based on attachment theory, as well as the results of the program evaluation at six, 12 and 18 months following discharge. The findings replicate and extend earlier findings reported by Holland et al (1) on the effectiveness of this approach.
专业人士和公众越来越关注我们青少年中的暴力和反社会行为程度。这同时伴随着对于哪种干预措施在应对这些难题时最为有效存在困惑和无助感。一些专业人士和倡导团体呼吁对暴力和反社会行为采取更严厉的惩戒措施，包括修改《青少年犯罪法》。然而，此类干预措施在减少这些行为方面很少能产生预期效果。其他专业人士呼吁采用更好的治疗形式。然而，很少有治疗方法被证明能有效长期减少这些青少年的攻击性行为或伴随的心理问题。本文介绍了一种理解品行障碍的方法，该方法将依恋作为行为和情感的组织原则。此外，还介绍了一个基于依恋理论的社区导向项目，以及出院后6个月、12个月和18个月的项目评估结果。这些发现重复并扩展了霍兰德等人（1）此前报告的关于该方法有效性的研究结果。
