日常护理:成人如何帮助寄宿儿童?

Youth Pub Date : 2023-11-25 DOI:10.3390/youth3040082
Andrew Burns, Ruth Emond
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摘要

在过去十年中,英国和其他国家的儿童寄宿照料机构越来越倾向于使用 "治疗模式"。一些人认为,这些发展至少部分是受自由市场的资金环境和机构生存需求的驱动,而另一些人则认为,尽管这些模式在理论和概念上存在一些差异,但它们中的许多都提供了一种有用的方法。根据在苏格兰一个寄宿环境中开展的人种学研究项目的结果,我们认为,实施和嵌入治疗模式的基本过程可以创造条件,有利于提供高质量、有效、以关系为基础的实践,从而为儿童的日常生活带来真正的益处。此外,我们认为,模式本身并不重要。如果寄宿机构能够为工作人员提供安全、持续的机会,让他们(a)深入思考自己和他人(儿童和工作人员),(b)实践做人和做事的方式,以及(c)被看见和被重视,那么这将有助于形成一种实践文化和环境,让他们感到能够与儿童建立真正的关爱关系。我们认为,正是在这些日常的、真正的、关爱的关系中,儿童才能从被忽视和被虐待等困难经历中恢复过来。因此,"治疗 "的重点应主要针对成人,使儿童能够继续做他们的孩子。
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Everyday Care: What Helps Adults Help Children in Residential Childcare?
Over the last decade, there has been an increasing trend towards the use of ‘therapeutic models’ in residential childcare settings in the U.K. and elsewhere. While some have argued that these developments have been driven, at least in part, by free market funding environments and organisational survival needs, others have suggested that many of these models, despite some of their theoretical and conceptual differences, offer a useful approach. Drawing on findings from an ethnographic research project in a residential setting in Scotland, we argue that the underlying processes of implementing and embedding a therapeutic model can create conditions that are conducive to the provision of high-quality, effective, relationship-based practice, which has real benefits for children in their everyday worlds. Moreover, we argue that the model itself is somewhat beside the point. If residential organisations can facilitate safe, ongoing opportunities for staff to (a) think deeply about themselves and others (children and staff), (b) practice ways of being and doing, and (c) be seen and valued, then this can contribute to a practice culture and context in which they feel able to create genuine, caring relationships with children. We argue that it is within these everyday, genuine, caring relationships that children can recover from difficult experiences such as neglect and abuse. In this way, the ‘therapeutic’ focus should be primarily directed at the adults to enable children to get on with being children.
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