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障碍与关爱:照顾者养育言语障碍儿童的经历。

Barriers to care: Caregivers' accounts of raising a child with a communication disorder.

机构信息

Department of Psychology, Faculty of Humanities, University of the Witwatersrand, Johannesburg.

出版信息

S Afr J Commun Disord. 2024 Aug 12;71(1):e1-e10. doi: 10.4102/sajcd.v71i1.1036.

Abstract

BACKGROUND

There exists a dearth of research on the psychological experiences of childhood communication disorders. Caregivers of these children are one source who can provide us with this information since the child exists within a system. Literature on the experiences of caregivers of children with communication disorders, specifically in the South African city context, is lacking.

OBJECTIVES

The article presents the reported experiences of six parental caregivers raising a child with a communication disorder within Johannesburg.

METHOD

Data were collected via semi-structured interviews and underwent an interpretative phenomenological analysis.

RESULTS

Five themes are presented: feeling out of control; barriers to accessing services; caregivers left speechless; a misunderstood disability; and relinquishing control: 'I needed to be a mommy'.

CONCLUSION

The caregivers relayed an initially negative experience in raising a child with a communication disorder, marred with worry and fear for the future. In accessing services, they narrated their experiences of multiple barriers to access, including an overreliance on the private sector, financial barriers, time constraints, limited resources and poor information on available resources. Eventually, the caregivers were able to identify strengths, skills and capabilities within their children and themselves that allowed for adjustment and coping.Contribution: The findings highlight the importance of considering how barriers to care may marginalise and seclude parental caregivers. Over time, the caregivers were able to empower themselves through building their own knowledge and reformulating their narratives by challenging assumptions and retitling the source of disability as a product of the failure of society.

摘要

背景

目前针对儿童沟通障碍的心理体验的研究还很匮乏。这些孩子的照顾者是我们可以获取此类信息的一个来源,因为孩子存在于一个系统之中。在南非城市背景下,针对沟通障碍儿童照顾者体验的文献还很缺乏。

目的

本文呈现了在约翰内斯堡抚养一个有沟通障碍的孩子的六名父母照顾者所报告的经历。

方法

数据通过半结构化访谈收集,并进行了阐释现象学分析。

结果

呈现了五个主题:失去控制的感觉;获取服务的障碍;无法表达的照顾者;被误解的残疾;以及放弃控制:“我需要做一个妈妈”。

结论

照顾者在抚养有沟通障碍的孩子时,最初的经历是负面的,充满了对未来的担忧和恐惧。在获取服务时,他们讲述了自己在获取服务时遇到的多重障碍,包括过度依赖私营部门、经济障碍、时间限制、有限的资源以及关于可用资源的信息不足。最终,照顾者能够在自己和孩子身上发现优势、技能和能力,从而进行调整和应对。

贡献

研究结果强调了考虑照顾障碍如何使父母照顾者边缘化和孤立的重要性。随着时间的推移,照顾者通过建立自己的知识和挑战假设并将残疾的根源重新定义为社会失败的产物来重新叙述自己的故事,从而使自己获得了赋权。

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A Qualitative Study of Caregivers' Experiences, Motivation and Challenges Using a Web-Based Mindfulness Intervention.
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Working with the parents and families of children with developmental language disorders: An international perspective.
J Commun Disord. 2019 Nov-Dec;82:105922. doi: 10.1016/j.jcomdis.2019.105922. Epub 2019 Jul 31.
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Slipping and holding minds: A psychosocial analysis of maternal subjectivity in relation to childhood disability.
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