Family

Interactions

Philip

Objective:

The

study

clinical clinics;

problems? Method: the C. Henry Kempe

and

Neglect

a child

seen

were

selected

f amily

was

f erentiate

two

to

types

a dysfunctional

inability

(AmJ

to nurture

Psychiatry

some degree, all studies to explain a family system the sexual abuse of a child.

sexual

abuse

(1-5)

is replete

anecdotal descriptions which incest occurs.

families.

Williams

and

and

Timberlawn

scale

coalition,

Finkelhor

was

of affect. constructed,

agreed

interview.

independently Scale to assess

The

parental

psychodynamic

and

in families in there have

(6),

however,

re-

studies

that

interactions (7-10) have provided the characteristics of family functhe Beavers-Timberlawn Family rates a family’s functioning along continuum by looking at variables power structure, mythology (perskill in negotiating, promotion of

handling

All families

a structured

incestuous

in family

several unpublished in incest families.

Studies of family means for assessing tioning. In particular, Evaluation Scale (7) a health-pathology related to a family’s ception of reality),

autonomy,

the

reports of systematic or direct obof patterns of interaction in incest

viewed and analyzed examined interactions

the nonincest of these

families

settings,

each

30 families

to participate. The

Each

interviews

were

by two of the authors, interactional behaviors

incest

families’

dysfunctional

behavior were neglect and emotional

patterns

a rigid family unavailability,

belief and

members.

148:46-49)

of relationships To our knowledge,

been no published servational studies

and

In each

were rated Evaluation

of incest must attempt that allows and tolerThe literature on child

with

incest,

clinic.

Conclusions:

maintain

autonomy

1991;

Scoyk, M.D., D.C.H.

incest families were significantly more dysfunctional in all The distribution of power within a family did not dif-

of families. parental

with

during

segments Family

Families

What are the interactional patterns in differ from those offamilies with other the study were chosen from two outpatient for the Prevention and Treatment of Child

for evaluation.

to perform

and

and Nonincest

patterns

psychiatry

of referral

tasks

support

these

to families

child

Results: The of family interaction.

the

seemed

the

access

family.

area

system,

two

questions,

Do

The families for National Center

and 15-20-minute the Beavers-Timberlawn

one

that

the and

provided

in the order

each

but

occurs?

in a university

given

videotaped, who used within

incest

Incest

M.S.W., Susan Van Jones, M.R.C.Psych.,

addressed

in which

had

ates

G. Madonna, and David P.H.

families

Abuse

T

Within

When

ity was established first, and then each of the 13 interaction scales was correlated with an independent rating of overall family health/pathology. The scale correlations ranged from 0.30 to 0.79 across a spectrum

of

103

competence lations

families,

who

to severe was

significant

ranged

from

dysfunction.

Each

in predicting

overall

high

levels

of the

of

corre-

functioning

at a probability level of

Family interactions within incest and nonincest families.

The study addressed the questions, What are the interactional patterns in families in which incest occurs? and Do these patterns differ from those of ...
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