Boys Will Be Boys: Fathers' Perspectives on ADHD Symptoms, Diagnosis, and Drug Treatment

Boys Will Be Boys: Fathers' Perspectives on ADHD Symptoms, Diagnosis, and Drug Treatment
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男孩就是男孩:父亲对多动症症状、诊断和药物治疗的看法

DOI:
10.1080/10673220390264221
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发表时间:
2003
影响因子:
3.8
通讯作者:
I. Singh
I. Singh
中科院分区:
医学3区
文献类型:
--
作者:
I. Singh

文献摘要

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父亲们往往很少参与与注意力缺陷/多动障碍 (ADHD) 相关的研究和临床环境,以及与 ADHD 相关的公共论坛,例如教育会议和家长支持小组。由于这些缺席,人们对父亲们对多动症症状、诊断和药物治疗的看法知之甚少。本文介绍了一项定性研究的结果,该研究涉及 39 名患有 ADHD 的男孩的母亲和 22 名父亲。使用基于图片的方法对参与者进行深入访谈,引出详细的叙述。这项研究的结果表明,父亲对多动症行为、诊断和药物治疗的看法可以分为两个维度:“不情愿的信徒”和“宽容的非信徒”。在这两个维度上,有几个相关因素与父亲的观点相关:对理解儿子行为的医学框架的抵制;认同儿子们的症状行为;以及对兴奋剂药物治疗的抵抗力。这些因素可能有助于解释为什么父亲没有对儿子的行为进行临床评估。该研究肯定了父亲的观点对于男孩症状行为的临床评估和治疗的重要性。
Fathers tend to be largely absent from research and clinical settings related to attentiondeficit/hyperactivity disorder (ADHD), as well as from public forums related to ADHD, such as educational conferences and parent support groups. Because of these absences, little is known about fathers' perspectives on ADHD symptoms, diagnosis, and drug treatment. This article presents findings from a qualitative study involving 39 mothers and 22 fathers of boys with ADHD. In‐depth interviews were conducted with participants using a picture‐based method that elicited detailed narratives. Results of this study suggest that fathers' perspectives on ADHD behaviors, diagnosis, and drug treatment can be categorized along two dimensions: “reluctant believers” and “tolerant nonbelievers.” Across these two dimensions, several related factors are relevant to fathers' perspectives: resistance to a medical framework for understanding their sons' behaviors; identification with the sons' symptomatic behaviors; and resistance to drug treatment with stimulants. These factors may help to explain, in turn, fathers' absences from clinical evaluations of their sons' behaviors. The study affirms the importance of fathers' perspectives to the clinical evaluation and treatment of boys' symptomatic behaviors.