Parenting children with Down syndrome: A systemic look at the disability experience

IF 0.7 4区 心理学 Q4 FAMILY STUDIES Australian and New Zealand Journal of Family Therapy Pub Date : 2024-06-21 DOI:10.1002/anzf.1582
Kaitlin Jeter, Michael P. Hardin
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Abstract

The birth of a child with a disability is often experienced as traumatic and life altering to the members of the family. Current marriage and family therapy programs and curricula require very little, if any, clinical training or supervision related to disabilities, and this prompts many therapists in the field to consider therapy with families experiencing disability to be outside their scope of practice. As a part of its nature, Down syndrome (DS) is a spectrum disorder with varying levels of health and general functioning from individual to individual, which change over the course of the lifespan. Parents of children with disabilities often experience greater levels of stress and are at higher risk for developing relational/psychological distress than parents of neurotypical children. Unique parental stressors include ambiguous loss, balancing multiple parental roles, increased demand for resources, and discrimination stress. This study interviewed married couples to observe the unique experience of parenting a child with DS and the diagnosis' effects on the individual parent, as well as marriage and family dynamics. From the gained narrative observations, clinical implications are presented to assist therapists in appropriate treatment of couples and families navigating life with DS.

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养育唐氏综合症患儿:系统审视残疾经历
残疾儿童的出生通常会给家庭成员带来创伤和生活上的改变。目前的婚姻与家庭治疗计划和课程很少(如果有的话)要求与残疾有关的临床培训或监督,这促使该领域的许多治疗师认为对残疾家庭的治疗不属于他们的执业范围。唐氏综合症(DS)的性质决定了它是一种谱系障碍,不同个体的健康水平和一般功能各不相同,而且会随着生命周期的变化而变化。与神经畸形儿童的父母相比,残疾儿童的父母往往承受着更大的压力,产生关系/心理困扰的风险也更高。父母特有的压力包括模糊的失落感、平衡父母的多重角色、对资源需求的增加以及歧视压力。本研究对已婚夫妇进行了访谈,以观察他们养育 DS 患儿的独特经历、诊断对父母个人以及婚姻和家庭动态的影响。根据所获得的叙事性观察结果,本研究提出了一些临床启示,以帮助治疗师为夫妇和家庭提供适当的治疗,帮助他们度过与 DS 相关的生活。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
40
期刊介绍: The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.
期刊最新文献
Issue Information Adult relationship ruptures, positive psychology, cultural sensitivity, disability culture, child–parent relationship therapy and interviewing Monica McGoldrick Genograms, culture, love and sisterhood: A conversation with Monica McGoldrick Envisaging a thriving future: The integration of positive psychology into brief psychotherapy and family therapy practice Working with adult families of origin: On the nature of rupture and repair
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