Curtis Sam, Izett Elizabeth
School of Arts and Humanities, Edith Cowan University, Perth, WA, Australia.
Discov Ment Health. 2025 Jan 20;5(1):5. doi: 10.1007/s44192-025-00127-3.
Emergent research literature has identified emotional and behavioural challenges for autistic children with a pathological demand avoidance profile. However, understanding of their parents' experience is limited. This study aimed to explore the experience of parents of autistic children with a pathological demand avoidance profile.
Semi-structured interviews were completed with ten parents of autistic children with a pathological demand avoidance profile, aged between 5 and 11 years (M = 8.5, SD = 1.90). All participants were mothers, aged 33-50 years (M = 42, SD = 5.35). To explore what meaning participants gave to their lived experience, an interpretative phenomenological analysis was conducted on interview data.
Four main themes were developed from the interpretative phenomenological analysis; the benefit of a shared understanding about pathological demand avoidance to the parents and their children, the power of pathological demand avoidance and the impact on families, the emotional experience of mothers, and the various ways in which they coped.
The need for further recognition and understanding about pathological demand avoidance is emphasised through recommendations for future research. As is the need for flexible, informed, and appropriate support for demand avoidant children and their families.
新兴研究文献已确定,具有病态需求回避特征的自闭症儿童存在情绪和行为方面的挑战。然而,对其父母经历的了解有限。本研究旨在探索具有病态需求回避特征的自闭症儿童父母的经历。
对10名具有病态需求回避特征的自闭症儿童的父母进行了半结构化访谈,这些儿童年龄在5至11岁之间(平均年龄M = 8.5,标准差SD = 1.90)。所有参与者均为母亲,年龄在33至50岁之间(平均年龄M = 42,标准差SD = 5.35)。为了探究参与者对其生活经历赋予了何种意义,对访谈数据进行了解释现象学分析。
通过解释现象学分析得出了四个主要主题;对病态需求回避的共同理解对父母及其子女的益处、病态需求回避的影响力及其对家庭的影响、母亲的情感体验以及她们应对的各种方式。
通过对未来研究的建议,强调了进一步认识和理解病态需求回避的必要性。对于有需求回避问题的儿童及其家庭,提供灵活、明智和适当支持的必要性也同样凸显。