Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai 200124, PR China.
Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai 200124, PR China.
Acta Psychol (Amst). 2024 Mar;243:104161. doi: 10.1016/j.actpsy.2024.104161. Epub 2024 Jan 26.
This study aimed to explore Chinese clients' experiences with family dynamic change throughout family therapy for school refusal and the interventions adolescents and their parents identified as useful during family therapy.
A multiperspective interpretative phenomenology analysis (IPA) was adopted. Thirty-two participants from 11 Chinese families with school-refusing adolescents were recruited after completing family therapy at the hospitals. Semistructured interviews were conducted with the families, and the transcripts were analyzed.
Four main superordinate themes emerged: reshaping healthy family boundaries, building a harmonious family atmosphere, learning to cooperate and fight against stress, and achieving individual growth.
Our analysis suggested that changes in school-refusing adolescents through family therapy consisted of multilevel factors. These factors influence the reversal of adolescents' school refusal. Some targeted interventions for Chinese adolescents who refuse school are discussed and suggested.
本研究旨在探讨中国客户在家庭治疗中经历的家庭动态变化，以及青少年及其父母在家庭治疗中认为有用的干预措施。
采用多视角解释现象学分析（IPA）方法。在医院完成家庭治疗后，从 11 个有拒绝上学的青少年的中国家庭中招募了 32 名参与者。对这些家庭进行了半结构化访谈，并对访谈记录进行了分析。
出现了四个主要的上位主题：重塑健康的家庭界限、营造和谐的家庭氛围、学会合作和应对压力、实现个体成长。
我们的分析表明，通过家庭治疗改变拒绝上学的青少年包括多层次的因素。这些因素影响着青少年拒绝上学的逆转。讨论并提出了针对中国拒绝上学的青少年的一些有针对性的干预措施。
