Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Faculty of Social Studies, Family Therapy and Systemic Practice, VID Specialized University, Oslo, Norway.
Clin Child Psychol Psychiatry. 2023 Jul;28(3):1135-1149. doi: 10.1177/13591045231169147. Epub 2023 Apr 12.
Exposure to adverse childhood experiences is a risk factor for the development of serious psychiatric and somatic illness. Although trauma-focused therapy is effective in reducing symptoms, not all children benefit from it. To improve treatment efficacy, the children's perspective on what they perceive as helpful versus hindering is necessary. This study aimed, retrospectively, to explore how children exposed to family violence experienced treatment at the Child and Adolescent Mental Health Service. Seventeen children and youths were interviewed 4-5 years after treatment. The thematic analysis resulted in five themes: confusion, the need to feel heard, fear of consequences, feelings of pain, and identifying oneself as an agent. The results emphasize the importance of the therapeutic relationship, and that trust, genuine interest, and reciprocity are necessary for the child to engage in treatment. However, neither the child's own agency nor external obstacles such as continuous exposure to abuse should be underestimated in terms of the child's engagement.
遭受不良的童年经历是发展严重精神和躯体疾病的一个风险因素。虽然以创伤为重点的疗法可有效减轻症状，但并非所有儿童都从中受益。为了提高治疗效果，有必要了解儿童对他们认为有益和有阻碍的治疗的看法。本研究旨在回顾性探讨遭受家庭暴力的儿童在儿童和青少年心理健康服务处接受治疗的情况。在治疗后 4-5 年，对 17 名儿童和青少年进行了访谈。主题分析产生了五个主题：困惑、被倾听的需求、对后果的恐惧、痛苦的感觉和识别自己为代理人。研究结果强调了治疗关系的重要性，信任、真正的兴趣和相互作用对于儿童参与治疗是必要的。然而，儿童自身的能动性以及持续遭受虐待等外部障碍都不应低估对儿童参与治疗的影响。
