The shame-blame complex of parents with cognitively disabled children in Italy.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2024-01-02 DOI:10.1111/1467-9566.13742
Alice Scavarda
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Abstract

This article aims to advance knowledge related to the concept of the 'shame-blame complex' by analysing the accounts and experiences of parents with cognitively disabled children. It draws on 29 interviews with parents of children with Down syndrome and shadowing sessions with one family, carried out in Italy. Results show how the feeling of shame as a consequence of being associated with a disabled child is turned into blame for bad parenting. The sources of this blaming process are twofold: firstly, neoliberalism has disseminated an intensive parenting model based on the imperative of individual responsibility and risk avoidance. Secondly, ableism acts as a network of processes and beliefs that produce a particular kind of self and body as the perfect and complete human being. Participants have been held responsible for their children's condition because they avoided prenatal screening or continued a pregnancy after receiving a positive result. Consequently, parents' moral culpability for their children's diversity and their social marginalisation were enhanced. Although the interviewees resist the shame of being associated with a cognitively disabled child and the blame for bad parenting, they seem unable to escape from the grips of the shame-blame complex. The latter has structural and cultural underpinnings. In an age of 'neoliberal-ableism', this complex is indeed a powerful weapon to erode the rights of families with cognitively disabled members.

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意大利有认知障碍儿童的父母的羞愧自责情结。
本文旨在通过分析有认知障碍儿童的父母的叙述和经历,增进与 "羞耻-自责情结 "概念相关的知识。文章参考了在意大利对唐氏综合症患儿家长进行的 29 次访谈和对一个家庭进行的跟踪调查。结果表明,与残疾儿童联系在一起所产生的羞耻感是如何转化为对养育不当的责备的。这种指责的来源有两个方面:首先,新自由主义传播了一种基于个人责任和规避风险的强化养育模式。其次,"能力主义 "作为一个过程和信念网络,产生了一种特定的自我和身体,将其视为完美和完整的人。参与者因避免产前筛查或在得到阳性结果后继续妊娠而被认为要对其子女的状况负责。因此,父母对其子女的多样性及其社会边缘化的道德罪责加重了。尽管受访者抵制与认知障碍儿童联系在一起的羞耻感和养育不善的指责,但他们似乎无法摆脱羞耻-自责情结的控制。后者有其结构和文化基础。在 "新自由主义-残疾主义 "时代,这种情结的确是侵蚀有认知障碍家庭成员的家庭权利的有力武器。
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来源期刊
CiteScore
6.10
自引率
6.90%
发文量
156
期刊介绍: Sociology of Health & Illness is an international journal which publishes sociological articles on all aspects of health, illness, medicine and health care. We welcome empirical and theoretical contributions in this field.
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