Singh Ilina
Centre for Family Research, Faculty of Social and Political Sciences, University of Cambridge, CB2 3RF, England.
Harv Rev Psychiatry. 2003 Nov-Dec;11(6):308-16.
Fathers tend to be largely absent from research and clinical settings related to attention-deficit/hyperactivity disorder (ADHD), as well as from public forums related to ADHD, such as educational conferences and parent support groups. Because of these absences, little is known about fathers' perspectives on ADHD symptoms, diagnosis, and drug treatment. This article presents findings from a qualitative study involving 39 mothers and 22 fathers of boys with ADHD. In-depth interviews were conducted with participants using a picture-based method that elicited detailed narratives. Results of this study suggest that fathers' perspectives on ADHD behaviors, diagnosis, and drug treatment can be categorized along two dimensions: "reluctant believers" and "tolerant nonbelievers." Across these two dimensions, several related factors are relevant to fathers' perspectives: resistance to a medical framework for understanding their sons' behaviors; identification with the sons' symptomatic behaviors; and resistance to drug treatment with stimulants. These factors may help to explain, in turn, fathers' absences from clinical evaluations of their sons' behaviors. The study affirms the importance of fathers' perspectives to the clinical evaluation and treatment of boys' symptomatic behaviors.
在与注意力缺陷多动障碍（ADHD）相关的研究和临床环境中，以及在与ADHD相关的公共论坛上，如教育会议和家长支持小组，父亲们往往大多缺席。由于这些缺席情况，人们对父亲们对ADHD症状、诊断和药物治疗的看法知之甚少。本文介绍了一项定性研究的结果，该研究涉及39名患有ADHD男孩的母亲和22名父亲。采用基于图片的方法对参与者进行了深入访谈，该方法引出了详细的叙述。这项研究的结果表明，父亲们对ADHD行为、诊断和药物治疗的看法可以分为两个维度：“勉强相信者”和“宽容的不信者”。在这两个维度中，几个相关因素与父亲们的看法有关：对理解儿子行为的医学框架的抵触；认同儿子的症状行为；以及对使用兴奋剂进行药物治疗的抵触。反过来，这些因素可能有助于解释父亲们缺席对儿子行为的临床评估的原因。该研究肯定了父亲们的看法对男孩症状行为的临床评估和治疗的重要性。
