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对临床心理学对成年智障者父母丧亲之痛反应的探索。

An exploration of clinical psychology's response to parental bereavement in adults with intellectual disability.

作者信息

Irwin Lynn, O'Malley Grace, Neelofur Shazia, Guerin Suzanne

机构信息

UCD School of Psychology, University College Dublin, Dublin, Ireland.

Brothers of Charity Disability Services, Tipperary, Ireland.

出版信息

J Appl Res Intellect Disabil. 2017 Nov;30(6):1065-1075. doi: 10.1111/jar.12380. Epub 2017 Jul 3.

DOI:10.1111/jar.12380
PMID:28670757
Abstract

BACKGROUND

The dearth of literature regarding how or when to intervene when an adult with intellectual disability is bereaved may impede clinical practice; this study therefore aimed to explore the current clinical psychology response, so as to enhance understanding of the role of the profession in supporting grief within this population.

METHOD

A collective case study design was used. Data for six persons with intellectual disability, including interviews with parentally bereaved persons and involved staff members, were integrated into individual case stories for cross-case synthesis.

RESULTS

Data were analysed using thematic analysis. Five overarching themes illustrated that the clinical psychology role is broadly distributed and identified potentially complicating factors such as "gatekeeping" and "staff uncertainty."

CONCLUSIONS

A model of bereavement supports reflecting that by Read (Learning Disability Practice, 8, 2005, 31) is being approximated in clinical practice; further research is required to determine how best to implement this, and whether this meets the true needs of the population.

摘要

背景

关于成年智障人士丧亲时如何干预或何时干预的文献匮乏,这可能会阻碍临床实践;因此,本研究旨在探索当前临床心理学的应对措施,以增进对该专业在支持这一人群悲伤情绪方面作用的理解。

方法

采用集体案例研究设计。将六名智障人士的数据,包括对丧亲者及其相关工作人员的访谈,整合到个体案例故事中进行跨案例综合分析。

结果

采用主题分析法对数据进行分析。五个总体主题表明临床心理学的作用分布广泛,并识别出了潜在的复杂因素,如“把关”和“工作人员的不确定性”。

结论

丧亲支持模型正逐渐接近里德(《学习障碍实践》,第8卷,2005年,第31页)提出的模型;需要进一步研究以确定如何最佳实施该模型,以及它是否满足该人群的真正需求。

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