David Burnes, Andie MacNeil, Jessica Hsieh, Isabel Rollandi, Clara Scher, Paula Zanotti, Olivia Fiallo, Clémentine Rotsaert, Jo Anne Sirey, Mark S Lachs
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引用次数: 0
Abstract
Objectives: Our understanding of elder abuse (EA) phenomena has largely been shaped from the perspective of researchers and professionals whose conceptualizations often differ from the perceptions of older adults who experience mistreatment. This study sought to understand the most distressing aspects of EA victimization from the perspective of survivors.
Methods: Using a descriptive phenomenological approach, individual interviews were conducted with a diverse sample (n = 32) of EA survivors, recruited from EA support and Adult Protective Services programs in New York City and Los Angeles. Analysis followed a constant comparison process involving two independent coders to understand distressing aspects of EA victimization.
Results: The following themes emerged as the most distressing aspects of EA victimization: fear, disbelief, disrespect, concern for perpetrator and other family members, feelings of loss, and incongruity between survivor wishes and systemic responses. Distressing aspects of EA victimization spanned personal, relational, and systemic levels of ecological influence.
Conclusions: Findings from this study advance basic knowledge on EA phenomena and carry direct implications for programs designed to support and meet the needs of survivors.
Clinical implications: Findings identify particularly distressing psycho-emotional aspects of EA victimization for clinicians interacting with survivors that can serve as targets of intervention.
目的：我们对虐待老人（EA）现象的理解主要来自于研究人员和专业人士的视角，他们的概念往往不同于遭受虐待的老年人的看法。本研究试图从幸存者的角度来了解虐待老人现象中最令人痛苦的一面：采用描述性现象学方法，对从纽约市和洛杉矶市的 EA 支持和成人保护服务项目中招募的不同 EA 幸存者样本（n = 32）进行了个人访谈。分析采用两个独立编码员参与的持续比较过程，以了解 EA 受害的痛苦方面：以下主题是 EA 受害中最令人痛苦的方面：恐惧、不信、不尊重、对犯罪者和其他家庭成员的关注、失落感以及幸存者愿望与系统反应之间的不协调。EA受害的痛苦方面跨越了生态影响的个人、关系和系统层面：本研究的结果增进了对 EA 现象的基本认识，并对旨在支持和满足幸存者需求的计划产生了直接影响：研究结果为与幸存者互动的临床医生确定了EA受害中特别令人痛苦的心理情感方面，这些方面可以作为干预的目标。
期刊介绍：
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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