Roy Tania, Thirumoorthy A, Parthasarathy R
Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences, Institute of National Importance, Bengaluru, Karnataka, India.
Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian J Psychol Med. 2017 Mar-Apr;39(2):137-142. doi: 10.4103/0253-7176.203122.
India is diverse in culture, with multiple aspects that may not match with the Western societal picture. Hence, it has often been seen that therapists encounter unique aspects of therapy that is faced during actual practice, which is never written in any textbook or research papers. Substantial information is present through both outcome (efficacy and effectiveness) studies and process research, but it has very little impact of actual Marital and Family Therapy (MFT) practice. This paper throws light into "how" and "what" of family therapy with parents of children/adolescents having psychiatric disorders.
Focused group discussion was conducted with practicing family therapists and mental health professionals working in Psychiatric Tertiary Hospital (National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India). Qualitative analysis was done to disseminate process issues in therapy.
Aspects that are vital for families having children and adolescent with psychiatric disorders include: Academic decline and loss of parental control as main reasons for seeking help, integration of models is noted to be beneficial, therapeutic alliance, intake sessions, conjoint sessions and individual sessions are important, cultural issues like gender of therapist, their cultural belief model, therapist's cultural competence need to be taken into consideration.
Challenges and way-outs to overcome these has been mentioned and implications discussed.
印度文化多元,诸多方面可能与西方社会情况不同。因此,经常可以看到治疗师在实际治疗过程中会遇到一些独特的治疗问题,而这些问题在任何教科书或研究论文中都未曾提及。通过结果(疗效和有效性)研究及过程研究可获取大量信息,但对实际的婚姻与家庭治疗(MFT)实践影响甚微。本文探讨了针对患有精神疾病的儿童/青少年的父母进行家庭治疗的“方式”及“内容”。
与在印度卡纳塔克邦班加罗尔国立精神卫生和神经科学研究所这一三级精神病医院工作的执业家庭治疗师及心理健康专业人员进行了焦点小组讨论。对治疗过程中的问题进行了定性分析。
对于有患有精神疾病的儿童和青少年的家庭而言,至关重要的方面包括:学业成绩下降和父母失去控制权是寻求帮助的主要原因,整合多种模式被认为是有益的,治疗联盟、接诊环节、联合治疗环节和个体治疗环节都很重要,治疗师的性别、其文化信仰模式、治疗师的文化能力等文化问题也需要考虑在内。
文中提到了应对这些问题的挑战及解决方法,并对相关影响进行了讨论。