Montaque Indiana, Dallos Rudi, McKenzie Becky
1 School of Psychology, Plymouth University, UK.
2 Department of Clinical Psychology, School of Psychology, Plymouth University, UK.
Clin Child Psychol Psychiatry. 2018 Jan;23(1):125-139. doi: 10.1177/1359104517730114. Epub 2017 Sep 20.
The research explored the experience and understandings expressed by parents of children with autism concerning 'meltdowns', which are commonly described as distressing, escalating episodes of conflicts. Semi-structured interviews were conducted with six parents of children with a diagnosis of autism regarding their experience of 'meltdowns'. Parents were asked to track the process of the meltdowns as well as to describe their experiences. Three over-arching themes emerged which encapsulated their experience: Living in Dread: Anxiety and fear of escalating patterns, Attempting to Correct for Negative Childhood Experiences and Condemnation from the Self and Others. The findings suggested that the meltdowns were perceived as having an escalating and predictable process, that parents anticipated meltdowns with anxiety, experienced feelings of helplessness and felt condemned by others. Importantly, it also appeared that parents' responses were influenced by their own childhood experiences of parenting and that they attempted to 'correct' these to be better parents. A model of the meltdowns is suggested along with a discussion of clinical implications for early intervention with families.
该研究探讨了自闭症儿童家长对“情绪崩溃”的体验和理解,“情绪崩溃”通常被描述为令人痛苦的、不断升级的冲突事件。对六名被诊断为自闭症儿童的家长进行了半结构化访谈,了解他们对“情绪崩溃”的体验。家长们被要求追踪情绪崩溃的过程并描述他们的经历。出现了三个总体主题,概括了他们的体验:生活在恐惧中:对不断升级模式的焦虑和恐惧、试图纠正负面童年经历以及来自自我和他人的谴责。研究结果表明,情绪崩溃被认为具有不断升级且可预测的过程,家长们焦虑地预期情绪崩溃,感到无助,并觉得受到他人的谴责。重要的是,家长的反应似乎也受到他们自己童年养育经历的影响,并且他们试图“纠正”这些经历以成为更好的父母。文中提出了一个情绪崩溃的模型,并讨论了对家庭进行早期干预的临床意义。