Characteristics and outcomes of school refusal in Hiroshima, Japan: proposals for network therapy.
Characteristics and outcomes of school refusal in Hiroshima, Japan: proposals for network therapy.
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日本广岛拒绝上学的特征和结果：网络治疗的建议。
作者：
A. Nishida;Shinsaku Sugiyama;S. Aoki;S. Kuroda
作者对在广岛县的主要学校拒绝治疗中心接受治疗的儿童进行了一项研究。总的来说，该县拒绝上学的人数在13至14岁之间达到高峰。分年龄组来看，国小学童拒绝上学的主要原因是亲子关系与分离焦虑。考虑到其他问题，如忽视在家里和复杂的社会情况下，在他们的学校，初中学生被发现呈现出各种各样的症状，从内向和自我分析，外向，忽视学习，和犯罪。在高中生中，有更多的病例患有戒断和精神分裂症谱系障碍。关于治疗的主要任务似乎在于如何处理结合不同问题的复杂病例。我们在此总结了我们已经开展的研究，并提出了一个基于治疗中心之间的功能联系的网络治疗系统的模型。在这个系统中，儿童精神病医疗机构扮演着整个网络系统的联络中心的角色。
The authors conducted a study on children undergoing treatment at major school refusal treatment centers in Hiroshima Prefecture. On the whole, school refusal in the prefecture was found to peak between 13 and 14 years of age. By age group, the main reason for school refusal in elementary school group was parent-child relationship with separation anxiety. Given additional problems such as neglect at home and complicated social situations in their schools, junior high school students were found to present diverse symptoms from introversion and self-analysis to extroversion, neglect of studies, and delinquency. Among high school students, there were more cases suffering withdrawal and schizophrenia spectrum disorders. The major task regarding treatment seems to lie in how to treat complex cases combining different problems. We summarized herein the studies we have carried out and propose a model for a network therapy system based on functional liaisons between treatment centers. With this system, a child psychiatric medical facility plays the part of a liaison center for the overall network system.