Understanding conduct disorder: The ways in which mothers attempt to make sense of their children's behaviour
Understanding conduct disorder: The ways in which mothers attempt to make sense of their children's behaviour
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DOI：
10.1177/1359104514538040
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发表时间：
2015-10-01
影响因子：
1.8
通讯作者：
Craig, Catrina E.
中科院分区：
文献类型：
--
作者：
Lewis, Rhiannon M.;Petch, Victoria;Craig, Catrina E.
“破坏性行为障碍”是转诊至儿童和青少年心理健康服务 (CAMHS) 的最常见原因。目前的治疗指南侧重于家长培训计划。在与家庭接触时经常会遇到困难，其中父母的归因和对寻求帮助的态度被认为是影响因素。以前的研究倾向于优先考虑现有的框架；这项研究利用定性方法来加深目前对父母理解孩子行为的方式的理解。对通过 CAMHS 招募的六名母亲进行了半结构化访谈。解释性现象学分析（IPA）揭示了四个主要主题：“理解情绪化的孩子”、“情绪化的父母”、“获得帮助”和“旅程”。参与者使用了各种解释来理解孩子的行为，包括失去和创伤的影响。寻求帮助与羞耻感相关，而且服务常常被认为是不一致的和带有侮辱性的。相比之下，积极的经历被认为是非评判性的、正常化的，并考虑到更广泛的家庭背景，包括母亲自己的情感需求。这些发现与现有研究及其对临床实践的影响进行了讨论。
'Disruptive behaviour disorders' are the most common reason for referral to Child and Adolescent Mental Health Services (CAMHS). Current treatment guidelines focus on parent-training programmes. Difficulties are often reported when engaging families, with parental attributions and attitudes towards help-seeking proposed as influential factors. Previous research has tended to privilege pre-existing frameworks; this study utilised qualitative methods to add to the current understanding of the ways in which parents make sense of their children's behaviour. Semi-structured interviews were carried out with six mothers, recruited through CAMHS. Interpretative Phenomenological Analysis (IPA) revealed four master themes: 'Understanding the Emotional Child', 'The Emotional Parent', 'Getting Help' and 'The Journey'. Participants used a variety of explanations in order to make sense of their children's behaviour, including the impact of loss and trauma. Help-seeking was associated with feelings of shame, and services were often viewed as inconsistent and stigmatising. In contrast, positive experiences were those which were characterised as being non-judgemental, normalising and took into account the wider family context, including mothers' own emotional needs. These findings were discussed in relation to existing research and implications for clinical practice.