家庭内施暴青年患者临床特点分析

Clinical features if youug patients who was diagnosed domestic violencester

本文对13例在家庭内施暴青年住院患者的临床特点做了观察和分析。发现患者的主要临床相是对父母的辱骂、殴打等暴力行为，但是暴力行为仅局限于家庭之内。多数患者（53.8％）有较长的幼年寄养史（3、6±2．4年，×±SD，下同）。少年期无品行不良史。12例在校时学习成绩优秀。父母文化层次较高，多数父亲性格软弱或相对软弱。发病诱因多为需要自立的生活事件。发病年龄平均17.8±2．6岁，平均病程3．3±2．4年。男女比例约2:1。患者具有任性、自我中心的性格特征，但是未达到人格障碍的程度。家庭心理治疗合并镇静药物对半数患者有效。文章讨论了该类患者的发病原因。

13 cases of the young patients who was diagnosed domestic violencester were clinically observed and analysed in this paper. The main features in these patients showed that the tyPes of violence emerged prominently curse and strike their parents, while violence-related behaviour limited in the home ; most of patients have longer history of fosterage in childhood (3. 6± 2. 4 years, Mean ± SD), however, not only absence of delinqency records in these cases, but also 12 cases have studied well in school ;the average age of onset was 17. 8±2. 6 year old ; morbidity of male patients was 2 times as that of female patients; the patients have the charater of self-will and selfcentre, but, it is not up to the diagnosic standard of personality disorder. Independance-related life events became often inductive cause of violence. The family data revealed tbat parents have generally higher level of education,most of fathers appeared weak or weaker personality. Mental therapy in home with sedative were effective to most of patients. The pathogency of family violence was also discussed in this paper.