摘要
贵刊在今年第一期发表了《关于脑功能轻微失调的调查报告》一文。其主要内容是,研究者通过对上海市南市区某小学的调查,发现脑功能轻微失调(即MBD)的儿童占13.43%,严重者为3.43%;研究者认为“MBD儿童主要的心理功能障碍是自我控制能力的缺陷”,具体表现为“思想难以集中,容易随境转移”,“显得活动过多或者小动作不断”,“情绪不稳,易于激动”,“冲动任性,心血来潮”等等;对于MBD儿童来说,“
Methodological, theoretical and ethical issues are discussed on the report, 'A survey of minimal brain dysfunction' (MBD). It is argued that: (a)To interpret children's behavioral problems (regarded as clinical manifestations of MBD by the authors) solely in terms of self-control deficit leaves out of consideration the importance of environmental conditions; it is also necessary to point out clearly that not all children having this deficit are suffering from M BD; (b) the diagnosis of MBD depends largely on the relative tolerance level of adults (parents, teachers and doctors) who make the judgement of children's behavior; (c) the use of labels, such as MBD, entails professional-ethical implications that cannot be ignored; and (d)an overreliance on drugs in the treatment amounts to an evasion of educational responsibilities.
