Experiences of Parenting an Autistic Individual During Adolescence and Emerging Adulthood in the Indian Context: An Interpretative Phenomenological Analysis

IF 1.9 Q3 PSYCHIATRY Indian Journal of Psychological Medicine Pub Date : 2024-04-04 DOI:10.1177/02537176241238417
Harshini Manohar, John Vijay Sagar Kommu, Thomas Kishore, Preeti Jacob, Deepak Jayarajan
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Abstract

Background and aims:The needs of autistic individuals and their families are unique in each developmental phase, but this diversity is more palpable during adolescence. Literature generally presents a view that caregivers experience challenges in caring for autistic children, especially in low- and middle-income countries, where formal support services are uneven or unavailable. The present study explored the lived experiences of parents of autistic adolescents in the Indian context.Methods:In-depth interviews with 12 parents were analyzed using an interpretative phenomenological approach.Results:Three superordinate themes were derived: (a) Acceptance alongside recurring experiences of grief and loss, (b) post-traumatic growth and vicarious transformation, and (c) What after me? Planning for future care services with limited systemic support. Beginning with the initial recognition and diagnosis of autism spectrum disorder, parents progressed through a series of experiences that strengthened and challenged their understanding and aided in their acceptance. Parents recognize their adolescents’ key attributes, growth, development, and persisting differences that could contribute to future challenges. Grief experiences, however, sporadic, persisted alongside acceptance.Conclusion:Despite challenges, families were adapting to the changing needs of the developmental phases in unique ways, with or without formal support available to them. Nonetheless, there is a considerable need to address the existing gaps and felt needs of parents, focusing on empowering parents and capacity building toward providing comprehensive services to autistic individuals with a lifespan approach.
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印度青少年和成年期养育自闭症患者的经历:解释性现象学分析
背景和目的:自闭症患者及其家庭的需求在每个发育阶段都是独特的,但这种多样性在青春期更为明显。文献普遍认为,照顾者在照顾自闭症儿童的过程中会遇到各种挑战,尤其是在中低收入国家,这些国家的正规支持服务不均衡或缺乏。本研究探讨了印度自闭症青少年父母的生活经历。研究方法:采用解释现象学的方法,对 12 位父母的深入访谈进行了分析。结果:得出了三个上位主题:(a)接受与反复出现的悲伤和失落经历,(b)创伤后成长和替代性转变,以及(c)我之后会怎样?在系统支持有限的情况下规划未来的护理服务。从最初认识和诊断自闭症谱系障碍开始,家长们经历了一系列的经历,这些经历加强和挑战了他们对自闭症谱系障碍的理解,并帮助他们接受了自闭症谱系障碍。家长们认识到青少年的主要特征、成长、发展以及可能导致未来挑战的持续差异。结论:尽管存在挑战,家庭仍在以独特的方式适应成长阶段不断变化的需求,无论他们是否能获得正式的支持。尽管如此,我们仍有很大的必要弥补现有的差距,满足家长的需求,重点是增强家长的能力和能力建设,以终身方法为自闭症患者提供全面的服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
7.10%
发文量
116
审稿时长
12 weeks
期刊介绍: The Indian Journal of Psychological Medicine (ISSN 0253-7176) was started in 1978 as the official publication of the Indian Psychiatric Society South Zonal Branch. The journal allows free access (Open Access) and is published Bimonthly. The Journal includes but is not limited to review articles, original research, opinions, and letters. The Editor and publisher accept no legal responsibility for any opinions, omissions or errors by the authors, nor do they approve of any product advertised within the journal.
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