Adoption Predicts Psychiatric Treatment Resistances in Hospitalized Adolescents

CAROL S. FULLERTON M.A., WELLS GOODRICH M.D., LINDA BETH BERMAN
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引用次数: 25

Abstract

This study predicted treatment resistance in 104 adolescents undergoing long-term residential treatment from adoptive status. Resistance was defined by rejection of adults and runaway behavior. Results indicated that these hospitalized adoptees: (1) formed significantly closer bonds with peers while rejecting close ties with adults; and (2) had significantly more runaway episodes and hospitalization terminations by runaway than nonadoptees. Termination runaways occurred after 1 year of hospitalization for adoptees. Significantly more adoptees ran away in groups of two or more patients. Psychodynamic and theoretical considerations for psychiatric treatment of adoptees are discussed and illustrated by case material, emphasizing the value of differentiating treatment approaches for patient subgroups.

收养预测住院青少年精神科治疗抵抗
本研究预测了104名从收养身份开始接受长期住院治疗的青少年的治疗抵抗。反抗的定义是拒绝成年人和逃跑行为。结果表明:(1)住院被收养儿童与同伴的关系显著增强,与成人的关系明显减弱;(2)离家出走的次数和因离家出走而住院的次数明显多于非被收养者。终止出走发生在被收养人住院1年后。明显地,更多的被收养者在两个或更多病人的群体中逃跑。对被收养者的精神病学治疗的心理动力学和理论考虑进行了讨论,并通过案例材料进行了说明,强调了对患者亚群区分治疗方法的价值。
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