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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Child Abuse and Neglect
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Child Abuse and Neglect

机译：儿童虐待和忽视

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摘要

Physical, sexual, and emotional abuse and various forms of neglect of children are associated with substantially increased risk for concurrent and subsequent psychopathology and are among the common problems encountered by clinicians in many clinical settings. Such cases pose additional challenges for clinicians because of the many complex family and system forces that engulf these children and their families. Assessing maltreated children generally requires more time than evaluations of children who have not experienced maltreatment. Young children, who experience the highest rates of maltreatment, present especially complex assessments because they are so dependent upon their caregiving environments. Treatment of psychopathology associated with maltreatment, which is often multimodal, requires addressing a variety of external factors that may perpetuate or exacerbate symptoms and impaired functioning. We suggest that the more clinicians understand the different cultures of the legal and child protective services systems will help them advocate more effectively for maltreated children's bests interests so that the complexity of their problems is matched by the comprehensiveness of our efforts to minimize their suffering, enhance their development, and promote their competence.
机译：身体、性和情感虐待以及对儿童的各种形式的忽视与并发和后续精神病理学的风险显著增加有关，是临床医生在许多临床环境中遇到的常见问题之一。这些病例给临床医生带来了额外的挑战，因为许多复杂的家庭和系统力量吞噬了这些儿童及其家庭。评估受虐待儿童通常比评估未经历虐待的儿童需要更多的时间。幼儿遭受虐待的比率最高，他们的评估尤其复杂，因为他们非常依赖自己的护理环境。与虐待相关的精神病理学的治疗通常是多模式的，需要解决各种外部因素，这些因素可能会使症状和功能受损永久化或恶化。我们建议，临床医生越了解法律和儿童保护服务体系的不同文化，将有助于他们更有效地倡导受虐待儿童的最佳利益，从而使他们问题的复杂性与我们减少他们痛苦、促进他们发展和提升他们能力的全面努力相匹配。

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