F. Mattejat et H. Remschmidt, THE IMPACT OF FAMILY-RELATIONS ON COPING PROCESSES OF CHILDREN AND ADOLESCENTS WITH PSYCHIATRIC-DISORDERS, Praxis der Kinderpsychologie und Kinderpsychiatrie, 46(5), 1997, pp. 371-392
The importance of family relations for the therapy of psychiatric diso
rders in children and adolescents is discussed reporting results from
an empirical study carried out in an inpatient sample of a child and a
dolescent psychiatric unit with regard to the quality of mother-child
resp. father-child relation and its influence on coping processes. Whe
ther adolescents suffering from a psychiatric disorder are able to cop
e with their problems during the course of a therapy, depends on their
individual and social ressources. Therapy outcome is to a great exten
t influenced by the emotional quality of their family relations. Hosti
lity and rejection as well as unstructured and disorganized parental b
ehavior contribute to a negative outcome. A differentiated analysis sh
ows further that the relation between the adolescents and their father
s is particularly important for therapy prognosis. Nevertheless, one h
as to consider the respective relations with both parents for therapy
prognosis, as problems with one parent may be partly compensated by a
good relationship with the other parent. Finally, the cooperation betw
een parents and clinical staff is discussed. Data and experiences show
that interest and readiness of parents (mothers as well as fathers) f
or a close cooperation are higher than generally expected.