Abstract

Children with conduct disorders are at risk of being positioned in the family therapy as ‘the problem’. This study describes how the difficulties were talked about and how the child coped in this situation. The results showed: the parents produced symptom-oriented problem talk about the child’s behavior, rendering systemic reformulation of the problem challenging. The negative interaction made the climate unsafe and impaired consideration of the child’s behavior as a meaningful way for the child to become seen and heard. This study enriches understanding of the therapeutic challenge therapists face with high-risk families from the very beginning of the treatment.

摘要

有品行障碍的儿童有被家庭治疗定位为“问题”的风险。这项研究描述了人们是如何谈论这些困难的，以及孩子在这种情况下是如何应对的。结果表明：父母产生了以症状为导向的问题谈论孩子的行为，使问题的系统性重新形成具有挑战性。负面的互动使气氛变得不安全，并损害了对儿童行为的考虑，这是让儿童被看到和听到的一种有意义的方式。这项研究丰富了对治疗师从治疗一开始就面对高危家庭所面临的治疗挑战的理解。