Simhan Indra, Vik Kari, Veseth Marius, Hjeltnes Aslak
Department of Child and Adolescent Mental Health, Sorlandet Hospital, Kristiansand, Norway.
Faculty of Psychology, University of Bergen, Bergen, Norway.
Front Psychol. 2021 Sep 13;12:542716. doi: 10.3389/fpsyg.2021.542716. eCollection 2021.
Parents are a central focus in clinical infant mental health interventions because of the key importance of the caregiver-infant relationship, especially when dyads are burdened by psychosocial and parental mental health problems. However, knowledge is scarce about the lived experience of vulnerable parents who undergo video-based guidance. The study explores how parents in an infant-psychiatric outpatient clinic who struggled to mentalize and remain emotionally connected to their infant experienced helpful and challenging elements in video guidance. We analyzed the interviews of a strategic sample of 12 parents after undergoing Marte Meo video guidance, using a team-based, reflexive thematic analysis (TA). We identified four main themes: (a) Handling initial feelings of fear and loss of control; (b) Filming as a disturbing or agentic experience; (c) Feeling validated or devalued in the therapeutic relationship; and (d) Bringing insights from video guidance into everyday life. Therapeutic and existential factors became apparent in the main themes of adjustment to the guidance, experiences with filming, the therapeutic relationship and integration of new experiences. The parents' sense of agency, dignity, and shame may be important for their ability to integrate new ideas about themselves. Video guidance for vulnerable parents in specialized clinical treatment should address relational challenges, parental mental health, and issues of recognition.
由于照顾者与婴儿关系的关键重要性，尤其是当二元组受到心理社会和父母心理健康问题的困扰时，父母是临床婴儿心理健康干预的核心关注点。然而，对于接受基于视频指导的弱势父母的生活经历，我们知之甚少。本研究探讨了在婴儿精神科门诊中，那些难以对自己和婴儿进行心理化并保持情感联结的父母，在视频指导中所体验到的有益和具有挑战性的方面。我们采用基于团队的反思性主题分析法（TA），对12位父母在接受玛尔特·梅奥视频指导后进行的访谈进行了分析。我们确定了四个主要主题：（a）应对最初的恐惧和失控感；（b）拍摄是一种干扰性或能动性的体验；（c）在治疗关系中感到被认可或被贬低；（d）将视频指导中的见解融入日常生活。治疗和存在主义因素在适应指导、拍摄体验、治疗关系以及新体验整合等主要主题中变得明显。父母的能动性、尊严和羞耻感可能对他们整合关于自己的新观念的能力很重要。针对专业临床治疗中的弱势父母的视频指导应解决关系挑战、父母心理健康和认可问题。
