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[儿童性心理发展问卷——制定性虐待诊断指南]

[Questionnaire on psychosexual development of children--development of a guideline for diagnosis of sexual abuse].

作者信息

Kopecky-Wenzel M, Hipfner A, Frank R

机构信息

Institut für Kinder- und Jugendpsychiatrie, Ludwig-Maximilians-Universität München.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 1996 Sep;45(7):230-8.

PMID:8984468
Abstract

The purpose of this paper is to present a questionnaire which can collate data on the psychosexual development of children. There are as yet few contributions from the field of empirical research dealing with the question of "normal" psychosexual development patterns. There is also a lack of standardised procedures by which this aspect of child development can be assessed. For this reason we have developed a questionnaire relating to the theme of child sexuality which can be used in the framework of history and which was examined as part of a clinical study supported by a grant from the Deutsche Forschungsgemeinschaft. The questionnaire contents questions put to parents relating to the sexual development of children, on how sexuality is talked about and dealt with in the family, and on precisely-defined and described experiences of the child and other members of the family. At the time we present a method of judging normative sexual development of the child and of disturbances such a sexual abuse. In order to deal with this question the collation of information from four different areas is required: physical development and symptoms, behaviour of the child, family context including psychosocial adversities and parent-child interaction. Case studies will illustrate how data from the four areas are related and can accordingly be assessed in order to be able to make judgments on the psychosexual development of children. We see this method as helpful in order to determine whether or not a child was sexual abused. Thus, consideration of each individual case in context is necessary if a balanced judgment is to be arrived at.

摘要

本文旨在介绍一份问卷,该问卷能够收集有关儿童性心理发展的数据。在实证研究领域,针对“正常”性心理发展模式问题的贡献仍然很少。此外,目前还缺乏用于评估儿童发展这一方面的标准化程序。出于这个原因,我们开发了一份与儿童性主题相关的问卷,该问卷可用于病史询问框架,并作为由德国研究基金会资助的一项临床研究的一部分进行了检验。该问卷包含向父母提出的有关儿童性发育、家庭中如何谈论和处理性问题以及儿童和家庭其他成员确切定义和描述的经历等问题。我们还提出了一种判断儿童规范性发育以及诸如性虐待等干扰情况的方法。为了处理这个问题,需要从四个不同领域收集信息:身体发育和症状、儿童行为、包括心理社会逆境和亲子互动在内的家庭环境。案例研究将说明来自这四个领域的数据是如何关联的,以及如何据此进行评估,以便能够对儿童的性心理发展做出判断。我们认为这种方法有助于确定儿童是否遭受了性虐待。因此,如果要做出平衡的判断,就有必要结合具体情况考虑每个案例。

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