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“抱紧我,这样我就可以独自前行”:自闭症谱系障碍的青年的发展主题。

"Hold Me Tight So I Can Go It Alone": Developmental Themes for Young Adults With Autism Spectrum Disorder.

机构信息

1 LauRes, KU Leuven, Leuven, Belgium.

出版信息

Qual Health Res. 2018 Jan;28(2):321-333. doi: 10.1177/1049732317730329. Epub 2017 Oct 28.

Abstract

Although research shows that young adults with autism spectrum disorder (ASD) struggle with higher rates of depression, anxiety, and other co-occurring psychiatric disorders, their psychological development through emerging adulthood remains understudied. To explore relevant developmental themes for young adults with ASD while subscribing to a social-constructionist epistemology, we interviewed young adults with ASD and their mental health care professionals individually, and organized focus groups with their parents in a multiperspective design. Developmental themes were identified using interpretative phenomenological analysis. Despite a substantial body of research considering lack of social motivation, a central ASD characteristic, narratives were remarkably socially oriented. This article discusses the overarching themes of (a) searching for balance and negotiating ASD and (b) searching for suitable surroundings in different areas of life, as well as their implications for clinical practice.

摘要

尽管研究表明,自闭症谱系障碍(ASD)的年轻人抑郁、焦虑和其他共病精神障碍的比率更高,但他们在成年早期的心理发展仍未得到充分研究。为了探索与自闭症谱系障碍相关的发展主题,同时遵循社会建构主义认识论,我们采用多视角设计,分别对自闭症谱系障碍的年轻人及其心理健康护理专业人员进行了访谈,并与他们的父母组织了焦点小组。采用解释现象学分析来确定发展主题。尽管有大量研究考虑到缺乏社会动机,这是自闭症的一个主要特征,但叙述却非常具有社交导向。本文讨论了(a)寻找平衡和协商自闭症谱系障碍,以及(b)在生活的不同领域寻找合适环境的首要主题,并探讨了其对临床实践的影响。

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