Pardess E, Finzi R, Sever J
Department of Clinical Child Psychology, Tel Aviv University, Israel.
Med Law. 1993;12(3-5):205-11.
This article describes the rationale, goals and procedure of a working model of multidisciplinary teamwork in conducting clinical evaluations of children and families and preparing expert testimony. Over the past five years, the team has evaluated over 60 cases involving child abuse and neglect, and questions of parental ability. Teamwork can reduce the distorting effects of personal biases, beliefs and countertransference issues. The contribution of integrating different theoretical viewpoints (theories of development, object relations, family systems, etc) is discussed. Recommendations include: (a) separation of roles of expert witness and therapist: (b) utilization of different diagnostic tools (psychodiagnostic tests, observations of interaction, joint clinical interviews, etc); (c) value of examining the feasibility of the recommendations with parents, care givers and community workers; and (d) strategies of dispute resolution and attainment of parental consent, utilizing the effects of potential judicial power and focusing on the best interests of the child.
本文介绍了一个多学科团队合作工作模式的基本原理、目标和程序，该模式用于对儿童及其家庭进行临床评估并准备专家证词。在过去五年中，该团队评估了60多起涉及虐待和忽视儿童以及父母能力问题的案件。团队合作可以减少个人偏见、信念和反移情问题的扭曲影响。文中讨论了整合不同理论观点（发展理论、客体关系理论、家庭系统理论等）的作用。建议包括：（a）专家证人和治疗师角色分离；（b）使用不同的诊断工具（心理诊断测试、互动观察、联合临床访谈等）；（c）与父母、照顾者和社区工作者探讨建议可行性的价值；以及（d）利用潜在司法权力的影响并以儿童的最大利益为重点，解决争议和获得父母同意的策略。
