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通过家庭叙事共建增强家庭适应力。

Enhancing family resilience through family narrative co-construction.

机构信息

Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, CA, USA.

出版信息

Clin Child Fam Psychol Rev. 2013 Sep;16(3):294-310. doi: 10.1007/s10567-013-0142-2.

Abstract

We draw upon family resilience and narrative theory to describe an evidence-based method for intervening with military families who are impacted by multiple wartime deployments and psychological, stress-related, or physical parental injuries. Conceptual models of familial resilience provide a guide for understanding the mechanics of how families respond and recover from exposure to extreme events, and underscore the role of specific family processes and interaction patterns in promoting resilient capabilities. Leading family theorists propose that the family's ability to make meaning of stressful and traumatic events and nurture protective beliefs are critical aspects of resilient adaptation. We first review general theoretical and empirical research contributions to understanding family resilience, giving special attention to the circumstances, challenges, needs, and strengths of American military families. Therapeutic narrative studies illustrate the processes through which family members acquire meaning-making capacities, and point to the essential role of parents' in facilitating discussions of stressful experiences and co-constructing coherent and meaningful narratives. This helps children to make sense of these experiences and develop capacities for emotion regulation and coping. Family-based narrative approaches provide a structured opportunity to elicit parents' and children's individual narratives, assemble divergent storylines into a shared family narrative, and thereby enhance members' capacity to make meaning of stressful experiences and adopt beliefs that support adaptation and growth. We discuss how family narratives can help to bridge intra-familial estrangements and re-engage communication and support processes that have been undermined by stress, trauma, or loss. We conclude by describing a family-based narrative intervention currently in use with thousands of military children and families across the USA.

摘要

我们借鉴家庭韧性和叙事理论,描述了一种基于证据的方法,用于干预受多次战时部署以及心理、压力相关或身体父母受伤影响的军人家庭。家庭韧性的概念模型为理解家庭如何应对和从极端事件中恢复的机制提供了指导,并强调了特定家庭过程和互动模式在促进适应能力方面的作用。领先的家庭理论家提出,家庭理解压力和创伤事件并培养保护信念的能力是适应能力的关键方面。我们首先回顾了理解家庭韧性的一般理论和实证研究贡献,特别关注美国军人家庭的情况、挑战、需求和优势。治疗性叙事研究说明了家庭成员获得意义构建能力的过程,并指出父母在促进对压力体验的讨论和共同构建连贯而有意义的叙述方面的重要作用。这有助于孩子理解这些经历,并发展情绪调节和应对的能力。基于家庭的叙事方法提供了一个结构化的机会,可以引出父母和孩子的个人叙述,将不同的故事情节整合成一个共同的家庭叙述,从而增强成员理解压力体验和采用支持适应和成长的信念的能力。我们讨论了家庭叙述如何帮助弥合家庭内部的疏远,重新建立因压力、创伤或丧失而受到破坏的沟通和支持过程。最后,我们描述了一种目前在美国数千名军人儿童和家庭中使用的基于家庭的叙事干预措施。

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