This paper describes a therapeutic model for working with children in the care system who have severe behavioural problems. The model is an extension of consultation work and was developed from clinical material. It links some of the theories about the internal conflicts of children to their family history and ways of consulting with the professional network, to give a coherent framework for action. The advantages and shortcomings of this model are discussed and some preliminary results are reported.
exclusive to a particular culture (and therefore bound to it) and has nothing to do with a gap between a ‘¿ scientifically aware medical population' and the ‘¿ myth orientated' natives (as Singh mentions). Unfor tunately, the term continues to be used predominantly for psychiatric phenomena in non-Western cultures, which have been established and measured by using one cultural scale (mainly Western so far), to judge another. In fact, proponents ofthe ‘¿ new cross-cultural psychiatry' (Klienman, 1981; Littlewood, 1990), have argued that culture influences (Western) psychiatric theories no less than the myth-ridden ideas of natives that Singh refers to. This view may be ‘¿ new' to psy chiatry but is certainly well established in the social sciences (Foucault, 1961; Gould, 1981). If we wish to pursue a meaningful inquiry that clarifies therelationshipbetween ‘¿ culture' and ‘¿ psycho pathology', we need to get away from our own self professed pre-Copernican views.It iscertainly noble to convey the benefits of scientific knowledge to society, but that is no excuse for assumptions that breed methodological arrogance, valuejudgements (of ‘¿ true' and ‘¿ false' beliefs), and colonise society with views that are no lessdisorted than those of the ‘¿ natives'.
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