Kalland Mirjam, Fagerlund Åse, von Koskull Malin, Pajulo Marjaterttu
1Title of Docent,Folkhälsan Research Center and Swedish School of Social Science,University of Helsinki,Helsinki,Finland.
2Folkhälsan Research Center,Helsinki,Finland.
Prim Health Care Res Dev. 2016 Jan;17(1):3-17. doi: 10.1017/S146342361500016X. Epub 2015 Apr 1.
The aim of the present study was to describe the development of Families First, a new mentalization-based group intervention model for supporting early parenthood. The general aim of the intervention was to support well-functioning models of parenting and prevent transmission of negative parenting models over generations, and thus promote child development and overall family health.
In the Finnish society, great concern has aroused during the last decade regarding the well-being and mental health of children and adolescents. Increased number of divorces, poverty, substance abuse, and mental health problems among parents enhance the risk for child neglect and abuse. New effective, preventive, and health-promoting intervention tools are greatly needed to support families with young children. At present, the Families First intervention is being implemented in primary social and healthcare units all over Finland.
This article will provide a theoretical understanding of the importance of parental mentalization for the development of the parent-child relationship and the development of the child as well as proposed mechanisms of actions in order to enhance mentalizing capacity. The cultural context will be described. The article will also provide a description of the scientific evaluation protocol of the intervention model. Finally, possible limitations and challenges of the intervention model are discussed.
本研究旨在描述“家庭第一”项目的开展情况,这是一种基于心理化的新型团体干预模式,用于支持初为人父母者。该干预的总体目标是支持良好的育儿模式,防止不良育儿模式代代相传,从而促进儿童发展和家庭整体健康。
在芬兰社会,过去十年间,儿童和青少年的幸福与心理健康引发了极大关注。父母离婚率上升、贫困、药物滥用以及心理健康问题增加了儿童被忽视和虐待的风险。迫切需要新的有效、预防性和促进健康的干预工具来支持有幼儿的家庭。目前,“家庭第一”干预正在芬兰各地的初级社会和医疗保健单位实施。
本文将从理论上阐述父母心理化对亲子关系发展和儿童成长的重要性,以及为提高心理化能力而提出的作用机制。还将描述文化背景。本文还将介绍该干预模式的科学评估方案。最后讨论了该干预模式可能存在的局限性和挑战。