School of Social Sciences, University of Iceland, 105 Reykjavík, Iceland.
HelgaBaldvins slf, 103 Reykjavík, Iceland.
Int J Environ Res Public Health. 2020 Dec 28;18(1):158. doi: 10.3390/ijerph18010158.
This contribution is a collective re-analysis of three research projects in Iceland focused on parenting with a disability which draws upon data spanning a twenty-year period. The core purpose of these projects is to understand why parents with primarily intellectual disabilities encounter such difficulties with the child protection system. Our aim with this contribution is to identify, through a longitudinal and comparative framework, why these difficulties persist despite a changing disability rights environment. A case study methodology has been employed highlighting three cases, one from each research project, which focus narrowly on disabled parents' struggles with the child protection system in the context of the maternity ward. The findings, framed in the concept of structural violence, indicate poor working practices on the part of healthcare and child protection, a lack of trust, and that context is still ignored in favour of disability as the explanatory framework for the perceived inadequacies of the parents. We contend that child protection authorities continue to remain out of step with developments in disability and human rights. The contribution concludes to make a case as to why the concept of obstetric violence is a useful framework for criticism and advocacy work in this area.
这篇文章是对冰岛三个专注于残疾父母养育问题的研究项目的集体重新分析，这些项目的数据跨度长达二十年。这些项目的核心目的是了解为什么主要患有智力残疾的父母会在儿童保护系统中遇到如此多的困难。我们的目的是通过纵向和比较的框架，找出尽管残疾权利环境发生了变化，但这些困难为何仍然存在的原因。本研究采用案例研究方法，突出了三个案例，每个案例都来自一个研究项目，这些案例主要关注残疾父母在妇产科病房中与儿童保护系统的斗争。研究结果以结构性暴力的概念为框架，表明医疗保健和儿童保护部门的工作实践不佳，缺乏信任，而且仍然忽视了背景因素，而是将残疾作为解释父母不足之处的框架。我们认为，儿童保护机构在残疾和人权方面的发展仍然脱节。本文最后提出了一个观点，即为什么产科暴力的概念是该领域批评和倡导工作的一个有用框架。
