Szajnberg N M, Weiner A
Langley Porter Psychiatric Institute, UCSF 94143, USA.
Child Psychiatry Hum Dev. 1996 Summer;26(4):247-54. doi: 10.1007/BF02353241.
Twenty-two sequentially hospitalized children on a preadolescent psychiatric unit were videotaped with a semi-structured Piagetian-type interview that focused on assessing their understanding of why they were in the hospital, how they conceptualized their problems and how they thought they would get better or cured. We found six categories of "cure": 1) there was no cure for their problems; 2) cure meant reversal of some behaviors; 3) cure involved some internal change; 4) cure was equivalent to being discharged; 5) cure meant changing other people; and 6) idiosyncratic answers. Our findings suggest that it is useful to clarify a child's understanding of treatment and cure in order to target more understandable and effective treatment.
对22名在青春期前精神科病房先后住院的儿童进行了录像，采用半结构化的皮亚杰式访谈，重点评估他们对自己住院原因的理解、对自身问题的概念化方式以及他们认为自己如何会好转或治愈。我们发现了六类“治愈”情况：1）他们的问题无法治愈；2）治愈意味着某些行为的逆转；3）治愈涉及一些内在变化；4）治愈等同于出院；5）治愈意味着改变他人；6）特殊回答。我们的研究结果表明，澄清儿童对治疗和治愈的理解有助于制定更易懂且有效的治疗方案。
