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历史儿童创伤背景下的养育方式:解释性元综合。

Parenting in the context of historical childhood trauma: An interpretive meta-synthesis.

机构信息

Clinical Psychology, University of Leicester, George Davies Building, Lancaster Road, Leicester, LE1 7HA, United Kingdom.

Derbyshire Healthcare Foundation NHS Trust, Kingsway Site, Kingsway, Derby, DE22 3LZ, United Kingdom.

出版信息

Child Abuse Negl. 2019 Dec;98:104186. doi: 10.1016/j.chiabu.2019.104186. Epub 2019 Sep 27.

DOI:10.1016/j.chiabu.2019.104186
PMID:31569030
Abstract

BACKGROUND

Parents with childhood trauma histories are more likely to experience difficulties with child-rearing. The literature often pathologizes the parenting behaviours of parents with abuse histories, meaning strengths sometimes are neglected OBJECTIVE: This article presents a meta-synthesis of qualitative studies into the parenting experiences of survivors of childhood abuse. This analysis was undertaken to develop awareness of the experiences of this population, with the hope findings would be of use to policy-makers and professionals supporting parents and their children.

METHOD

Following a systematic search and process of quality appraisal, 11 papers were subjected to an interpretive meta-synthesis, utilising a meta-ethnographic method.

RESULTS

Three themes were generated. Forming a Parental Identity Through the Lens of Trauma related to how parents and authors of the primary studies tended to interpret all parenting experiences, especially challenges, in terms of the effects of childhood abuse. Protecting Against Cycles of Abuse related to many parents fearing they would be unable to protect children from harm. The Need for Safe Support was concerned with how parents often felt they needed support but experienced this as unsafe.

CONCLUSIONS

Results pointed to how ambivalence towards professional input should typically be regarded as understandable in the context of lived-experience of abused parents. Professionals should seek to avoid pathologizing parental difficulties and support parents by normalising and making sense of difficult emotional reactions in order to support engagement and promote containing parent-child interactions. Trauma-informed approaches to therapy could usefully be employed by services and agencies working with parents to support children.

摘要

背景

有童年创伤史的父母更有可能在育儿方面遇到困难。文献通常将有虐待史的父母的育儿行为病态化,这意味着他们的优点有时被忽视。

目的

本文对童年受虐幸存者的育儿经历进行了定性研究的元综合分析。这一分析旨在提高人们对这一人群的认识,希望研究结果能为政策制定者和专业人士支持父母及其子女提供帮助。

方法

在进行了系统的搜索和质量评估过程后,对 11 篇论文进行了解释性元综合分析,采用了元民族志方法。

结果

生成了三个主题。通过创伤视角形成父母身份认同,涉及父母和主要研究作者如何倾向于根据童年虐待的影响来解释所有的育儿经历,尤其是挑战。防止虐待循环,涉及许多父母担心他们无法保护孩子免受伤害。需要安全支持,关注父母通常感到需要支持,但又觉得不安全。

结论

结果表明,在被虐待父母的生活经历背景下,对专业投入的矛盾心理通常应该被视为可以理解的。专业人员应避免将父母的困难病态化,通过正常化和理解困难的情绪反应来支持父母的参与,并促进父母-子女互动的控制。治疗中采用创伤知情方法对与父母合作支持儿童的服务和机构可能会很有用。

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