Wang A R, Goldschmidt V V
Department of Child and Adolescent Psychiatry, Hilleroed Hospital, Denmark.
Acta Psychiatr Scand. 1996 Jan;93(1):57-61. doi: 10.1111/j.1600-0447.1996.tb10619.x.
A description of mentally ill parents' experience and points of view concerning professional intervention in relation to their young children is presented in this paper. The results are from an interview survey designed with the purpose of improving the basis for cooperation between mentally ill patients and professionals, when intervention in relation to these patients' children is needed. Fifty consecutively admitted psychiatric inpatients with children 0-10 years old were interviewed by child psychiatrists and their information constitutes the study material. Data concerning the family situations and children have been published previously. One quarter of the patients had experienced having children placed in institutions or with foster families. Forty per cent had never received professional help related to their children. One third of the patients expressed a need for support, which was not presently received. A large group of patients did not know where to go for help related to children or would not be comfortable doing so. When making a global assessment of the childrens' situation based on the study material the child psychiatrists found reason for concern in regard to approximately 80% of the children. In most cases their views were in accordance with those of the mentally ill parents. Clinical implications concerning planning of intervention in regard to children of mentally ill parents are discussed.
本文介绍了患有精神疾病的父母在涉及年幼子女的专业干预方面的经历和观点。研究结果来自一项访谈调查，旨在为在需要对患有精神疾病患者的子女进行干预时，改善精神疾病患者与专业人员之间的合作基础。儿童精神科医生对50名连续入院且子女年龄在0至10岁之间的精神病患者进行了访谈，他们提供的信息构成了研究材料。有关家庭情况和子女的数据此前已发表。四分之一的患者曾有过子女被安置在机构或寄养家庭的经历。40%的患者从未接受过与子女相关的专业帮助。三分之一的患者表示需要支持，但目前并未得到。一大群患者不知道去哪里寻求与子女相关的帮助，或者这样做会让他们感到不舒服。根据研究材料对儿童的整体情况进行评估时，儿童精神科医生发现约80%的儿童存在令人担忧的问题。在大多数情况下，他们的观点与患有精神疾病的父母一致。文中讨论了对患有精神疾病父母的子女进行干预规划的临床意义。
