Murphy Gillian, Peters Kathleen, Wilkes Lesley, Jackson Debra
University of Western Sydney, School of Nursing and Midwifery, Penrith, New South Wales, Australia.
Issues Ment Health Nurs. 2015 Apr;36(4):294-9. doi: 10.3109/01612840.2014.971385.
This paper presents one major theme of findings from a doctorate study. The study used a narrative enquiry approach, to gather parenting narratives of adult children of parents with mental illness. A Partnership Model for a Reflexive Narrative for Participant and Researcher (Partnership Model) was used to invite participants into the study, while encouraging a space for reflection for both the adult children and researcher. In total, 13 adult children participants constructed their narratives of living with childhood parental mental illness, alongside their current parenting role. Their stories reflected childhood experiences of fear and emergence of mistrust of others, particularly their parent with mental illness. For some participants, fear and mistrust continued into adulthood. Many adult children reported their childhood experiences of feeling lonely and isolated. They felt unable to disclose their experiences of parental mental illness to others. In addition, participants were unable to access information about their parent's condition, leaving them feeling unprepared and unskilled, despite their childhood desire to help their parent. This furthermore, compounded their sense of fear and isolation. Early identification of children and families experiencing mental illness is important to facilitate dialogue, psychoeducation and support. Social and health professionals have an important opportunity to enhance the social integration and support for families experiencing parental mental illness, to reduce long-standing fear, isolation and mistrust.
本文呈现了一项博士研究的一个主要研究结果主题。该研究采用叙事探究方法，收集父母患有精神疾病的成年子女的育儿叙事。一种参与者与研究者的反思性叙事伙伴关系模型（伙伴关系模型）被用于邀请参与者参与研究，同时为成年子女和研究者营造一个反思空间。共有13名成年子女参与者构建了他们在童年时期父母患有精神疾病的情况下生活的叙事，以及他们当前的育儿角色。他们的故事反映了童年时期的恐惧经历以及对他人，尤其是对患有精神疾病的父母的不信任感的出现。对一些参与者来说，恐惧和不信任一直持续到成年。许多成年子女讲述了他们童年时感到孤独和孤立的经历。他们觉得无法向他人透露父母患有精神疾病的经历。此外，参与者无法获取有关其父母病情的信息，尽管他们童年时渴望帮助父母，但这让他们感到毫无准备且缺乏技能。这进一步加剧了他们的恐惧和孤立感。尽早识别经历精神疾病的儿童和家庭对于促进对话、心理教育和支持很重要。社会和健康专业人员有一个重要机会来加强对父母患有精神疾病的家庭的社会融合和支持，以减少长期存在的恐惧、孤立和不信任。
