默许的影响:一种由患有精神疾病父母的孩子发展而来的应对模式

IF 1.4 Q3 PSYCHIATRY Advances in Mental Health Pub Date : 2023-05-03 DOI:10.1080/18387357.2023.2206037
Kate Blake-Holmes, E. Maynard, M. Brandon
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引用次数: 1

摘要

摘要本文探讨了父母患有精神疾病对儿童成长的心理影响。一个默认的生命历程模型被开发出来,以显示儿童发展的应对策略如何继续影响到成年。对20位在父母患有精神疾病的情况下长大的成年人进行了传记式的采访,得出了从童年到现在的故事。主题叙事分析用于深入了解参与者如何理解他们父母的精神疾病以及他们自己在其中的角色。参与者回忆了创伤、不安全和难以承受的经历和家庭环境。他们处理这些问题的方法是将逆境归咎于精神疾病,只关注父母的弱点,从而扮演照顾的角色,而忽略了自己的需求。大多数人在就业和人际关系方面表现得坚韧不拔、适应力强、足智多谋。然而,尽管取得了表面上的成功,他们都表达了一种失去机会的深刻感觉和自卑。在“默认模型”中,我们说明了儿童如何以及为什么适应具有挑战性和复杂的家庭经历,并解释了亲子关系的个人和人际过程是如何发展的。一个人把自己定位为无足轻重、无能为力、沉默寡言的人,只有通过预测、识别和满足他人的需求才能影响改变或维持关系。这一模式强调了支持这些儿童心理健康的必要性,使用整个家庭的方法来了解父母精神疾病的影响,并以儿童的需求为中心。
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The impact of acquiescence: a model of coping developed from children of parents with mental illness
ABSTRACT This article explores the psychological impact of growing up with a parent with a mental illness. A life course Model of Acquiescence is developed to show how coping strategies developed by children go on to have impact into adulthood. Undertaking biographical narrative interviews with 20 adults who had grown up with a parent with a mental illness produced accounts from childhood to the current day. Thematic narrative analysis was used to gain insight into how the participants made sense of their parent’s mental illness and their own role within it. Participants recalled experiences and family circumstances that were traumatic, unsafe and overwhelming. They dealt with these by attributing adversities to the mental illness and focusing solely on the vulnerabilities of their parents, thus adopting a caring role and ignoring their own needs. Most presented themselves as resilient, adaptable and resourceful, in employment and with intact relationships. However, despite this apparent success, all expressed a profound sense of lost opportunity and low self-esteem. In the Model of Acquiescence, we illustrate how and why children adapt to challenging and complex family experiences and explain how the personal and interpersonal process of parentification develops. An individual positions themselves as insignificant, powerless and silenced, only able to affect change or maintain relationships by anticipating, identifying and meeting other people’s needs. This model underlines the need to support such children’s psychological wellbeing using a whole family approach to understand the impact of parental mental illness and centre the child’s needs.
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来源期刊
CiteScore
3.20
自引率
7.10%
发文量
19
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