Moving beyond moral condemnation of parents: Vulnerable children and families in the context of trauma, neglect and abuse

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Jackie Amos, Jonathon Louth, Anna Clancy, Ruth Jacobs, Liz Coventry
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It is easy for people to respond empathically and with compassion to the children who are harmed, but much more difficult for people to respond to their parents with the same care and consideration. However, these parents were often child victims themselves. When families are embedded in systems of intergenerational disadvantage and trauma, the trauma that flows between generations can powerfully affect the quality of parental care. The emotional judgements that people make in response to severely compromised parenting, combined with narratives that warn against condoning harmful behaviour, can entrench conscious or unconscious moral condemnation, hindering therapists' capacity to provide effective whole-family care.</p><p>Within this special issue, we explore the imperative to identify and address moral condemnation, the role of shame in motivating difficult-to-understand behaviours and innovative ways that practitioners have found to respond, without condemnation, to traumatised parents and their children. Effective and meaningful support for vulnerable families requires approaches that address entrenched (mis)understanding and advocate for family-inclusive practices that reflect the lived realities of those involved. Moral condemnation offers little beyond a sense of privileged and positioned ‘knowing’, it should be pushed aside in favour of practices that seek to unpick the intergenerational threads of trauma. Practitioners and therapists—broadly conceived—are in a unique position to pioneer such approaches, challenging atomised views of family dynamics, and how multiple and interconnected factors impact family interactions and parental capacities. Insights from diverse fields and settings beyond traditional therapy offer valuable perspectives for advancing holistic, family-centred care. Several of our contributors within this special issue would not see themselves as family therapists, or even therapists, some are new to academic writing, and this is deliberate. Working with traumatised, vulnerable families and children requires us to stretch beyond our traditional boundaries to find ways to meet the challenges of providing compassionate and effective care.</p><p>As an editorial team, we are based at Centacare Catholic Community Services, a leading non-government organisation (NGO) in South Australia that offers an extensive array of programs, including intensive family services, reunification, foster care, disability support, family and domestic violence, homelessness, counselling and mental health services. In our collective roles, we are charged with the responsibility of implementing an innovative therapeutic framework across the organisation. This framework—stabilising trauma in everyday practice (STEP)—is a foundational inspiration for this special issue, as it reflects our commitment to rethinking and challenging traditional therapeutic models. Our aim is to democratise therapeutic practices to develop genuinely trauma-informed and trauma-responsive approaches, which address the deep-rooted social reproduction of trauma. This requires interventions that do not simply manage symptoms but actively disrupt the cycles of harm perpetuated across generations.</p><p>Many of the contributions to this special issue have a connection to or reflect the ethos of the STEP therapeutic framework. Together, these works underscore our shared dedication to challenging entrenched norms and advancing innovative approaches that address the complex, intergenerational impacts of trauma within vulnerable families and communities.</p><p>The issue opens with an opinion piece by Leonie Segal. Professor Segal has dedicated many years to researching the economic costs and policy implications of intergenerational trauma. She issues a call to action reminding us that out-of-home care is not a panacea, and that the inequitable distribution of funding between services for traumatised parents whose children have entered the child protection system and the provision of out-of-home care for their children adversely impacts birth families. Segal advocates for a systems-based approach that moves beyond the general principle of ‘child protection as everyone's business’. Instead, she envisions a coordinated framework in which roles, responsibilities, target clients and budgets are aligned, enabling timely support to families before harm escalates. Investing in high-quality, trauma-informed training across the human services workforce is essential to equip professionals with the skills to engage sensitively, effectively and safely with families facing complex challenges.</p><p>Twigger et al. compare clinician and lived experience perspectives to ask questions about the concept of non-judgement, enshrined as an ideal in the therapeutic literature and important in the quest to move beyond moral judgement. They identify that we often fall short of this ideal and draw our attention to the fact that we may not even recognise or be conscious of our unhelpful judgements.</p><p>The third article in this collection (Amos et al.) explores the under-recognised contribution of shame to the enduring emotional wound that lies at the heart of relational trauma in infancy, and attachment–caregiving disorganisation. The authors discuss how avoidance of this wound explains the use of aggressive, controlling and submissive behaviours, shedding light on the crucial importance of shame in driving unhelpful and harmful parenting behaviours. The hypotheses presented by these authors are then used to discuss how this knowledge of shame can help clinicians nuance their use of empathy when first getting to know traumatised families to reduce the chances of families feeling judged.</p><p>It is not just practitioners that need to have a clear model of why people behave in ways they would prefer not to. Families need this too, to counter the judgements that they make about themselves as people and parents. Walker and Coventry offer ‘a map of relational possibilities’ that provides an accessible way to share with families the theoretical information outlined in the article on shame (Amos et al.) whilst also allowing for relational possibilities to be broadened. When practitioners and families have a mutual understanding and language for what drives difficult behaviours, families can genuinely be invited to become equal partners in the change process. Walker and Coventry present a convincing justification for how the map offers a creative way to bridge the research practice gap without manualisation, which is often cited by practitioners as a barrier to adopting evidence-based treatment protocols. This map has been identified as a crucial thread for the development of Centacare's STEP therapeutic framework because of the way in which it offers a shared practice pathway across a large NGO.</p><p>The theme of sharing knowledge and creating shared understanding continues in the interview with Heather Chambers, an early childhood educator and child psychotherapist in New Zealand. Her focus has been on how to skilfully explore relationship stories with parents and children together. Vitally and transformatively this includes difficult stories of hurts and harms. Chambers draws our attention to the importance of finding and proving that both parent and child have always been acting from the best of intentions, a powerful and practical way to provide non-judgemental care.</p><p>In many ways, Mary-Jo McVeigh's article builds on the insights from the Chambers interview, offering a critical exploration of how society's condemnation of mothers and children who have survived family violence not only minimises their resilience but inflicts epistemic harm by disregarding their lived knowledge. McVeigh introduces the concept of survivance, urging us to recognise the active resistance inherent in the stories these individuals share. Her work echoes Chambers' by bringing forth untold narratives that have often remained suppressed, opening space for the acknowledgment of ‘swallowed grief’—those unspoken losses that have strained parent–child bonds. Importantly, McVeigh hints at the postcolonial standpoint of the seanchaí, the Irish tradition of storytelling as a form of spiritual resistance. This serves as an understated thread for understanding survivance, positioning storytelling as an act of resilience that can counteract the silencing effects of systems and structures of trauma. Both McVeigh and Chambers advocate for a shift away from a focus on family disputes towards a family-centred, problem-solving approach and both place emphasis on peacebuilding, rediscovering a shared ‘voice of love’ and fostering relational harmony.</p><p>A multi-co-authored contribution from the Queensland Program of Assistance to Survivors of Torture and Trauma (QPASST) (Caveny et al.) continues the theme raised by Twigger and Lee that families from culturally and linguistically diverse backgrounds may feel more judgement when accessing care. Given their lived experience of resettlement in Australia alongside professional expertise, these authors are particularly well suited to explore this issue. Through an innovative cooperative research methodology, they have mapped services across their organisation, capturing the complex layers of need and the dynamics of service provision. Their article embodies the inclusive values they advocate, carefully integrating diverse voices and perspectives. Their work exposes the compounding difficulties faced by asylum seekers in Australia and examines how misunderstandings within service settings can deepen feelings of marginalisation and reinforce cycles of judgement and exclusion. Importantly they also discuss how condemnation can be used to enforce assimilation into the dominant culture, against the humanistic alternative of accepting and celebrating difference.</p><p>Sometimes, parents encounter the child protection system, and their children are removed from their care before they can heal. Child removal is a powerfully traumatic experience. Histories of intergenerational childhood trauma complicate the picture. Unprocessed trauma often drives the difficulties that led to the child's removal and then disrupts the parent's ability to engage constructively with child protection workers. The child protection worker's statutory role and the requirement for them to exercise power compound the difficulties, trapping parents and workers in power-based and coercive relationships. These structurally defined relationships skew the system toward long-term orders, not reunification. In their paper, Carpenter and Sakar discuss the ramifications of these embedded power structures and present practitioners' experiences of shifting focus to the trauma experiences of the parent by introducing narrative exposure therapy into an existing NGO reunification service. This approach effectively extends the role of the NGO from one focusing on practical and trauma-informed intervention into a combined social casework and trauma-responsive treatment service, fostering more productive engagement with the child production system. They present anecdotal evidence suggesting that using an evidence-based intervention designed to treat trauma across the lifespan can also improve parenting in a child protection context. This article raises questions about who can deliver trauma-responsive care, the best settings for trauma treatment to take place, and suggests that NGOs have a role to play in delivering trauma-responsive interventions. These questions lead us into the closing section of the special issue, where we consider the creative potential of stretching the traditional boundaries of therapy even further.</p><p>The next article in this collection explores how innovations in the organisation of foster care services can increase the chances of successful restoration of children into the care of the birth family. Again, building on Twigger et al.'s work, Boyle et al. outline how, faced with the histories of harm sustained by children in their family of origin, foster carers sometimes struggle to suspend moral judgements of birth families. This can complicate reunification as foster carers may consciously or unconsciously fail to lend their full support to the process for fear that the children will sustain more harm. This paper describes a unique model of specialist reunification foster care where foster families are supported to become part of the team around the birth family providing them with ongoing support and care. This is a novel way of enhancing the provision of therapeutic support to birth families working to have their children restored to their care, as also articulated by Segal in her call to action.</p><p>The final offering is an interview with Corin Morgan-Armstrong, architect of the Invisible Walls ‘whole-family’ model, which aims to support people serving custodial sentences to continue their roles as parents and valued family members. Morgan-Armstrong describes how the Invisible Walls remit has evolved since it began back in 2006 at HMP Parc, a Category B male prison in South Wales to become a model that has been successfully replicated in prisons across the UK, Europe and globally. This inspiring approach takes what some might recognise as therapeutic work into an environment where men are being formally sanctioned for their actions and where the idea of therapy has little traction. Moral condemnation of fathers serving custodial sentences is rife within the prison system and in the wider community. However, the Invisible Walls model has demonstrated that supporting families and children to maintain positive relationships not only improves resettlement and reintegration outcomes but improves the wellbeing of the children of these fathers. What stronger evidence could there be that what other authors have said about mothers in this special issue must also apply to fathers—including those who we especially condemn, such as men who have transgressed to the point of incarceration.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"45 4","pages":"371-374"},"PeriodicalIF":0.7000,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1616","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian and New Zealand Journal of Family Therapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/anzf.1616","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0

Abstract

This special issue makes a vital contribution to how we may better understand the contexts of vulnerable children and families and the way intergenerational trauma impacts, influences and manifests within and across family systems. The articles within this special issue carefully challenge a sometimes commonplace attribution of harm solely to individual behaviours. Instead, we seek to shine a light on the role that moral condemnation plays in perpetuating cycles of disadvantage and family hardships.

Parents who struggle to provide good enough care for their children, who may abuse, neglect or inadvertently expose them to harm, are difficult for many people to understand. It is easy for people to respond empathically and with compassion to the children who are harmed, but much more difficult for people to respond to their parents with the same care and consideration. However, these parents were often child victims themselves. When families are embedded in systems of intergenerational disadvantage and trauma, the trauma that flows between generations can powerfully affect the quality of parental care. The emotional judgements that people make in response to severely compromised parenting, combined with narratives that warn against condoning harmful behaviour, can entrench conscious or unconscious moral condemnation, hindering therapists' capacity to provide effective whole-family care.

Within this special issue, we explore the imperative to identify and address moral condemnation, the role of shame in motivating difficult-to-understand behaviours and innovative ways that practitioners have found to respond, without condemnation, to traumatised parents and their children. Effective and meaningful support for vulnerable families requires approaches that address entrenched (mis)understanding and advocate for family-inclusive practices that reflect the lived realities of those involved. Moral condemnation offers little beyond a sense of privileged and positioned ‘knowing’, it should be pushed aside in favour of practices that seek to unpick the intergenerational threads of trauma. Practitioners and therapists—broadly conceived—are in a unique position to pioneer such approaches, challenging atomised views of family dynamics, and how multiple and interconnected factors impact family interactions and parental capacities. Insights from diverse fields and settings beyond traditional therapy offer valuable perspectives for advancing holistic, family-centred care. Several of our contributors within this special issue would not see themselves as family therapists, or even therapists, some are new to academic writing, and this is deliberate. Working with traumatised, vulnerable families and children requires us to stretch beyond our traditional boundaries to find ways to meet the challenges of providing compassionate and effective care.

As an editorial team, we are based at Centacare Catholic Community Services, a leading non-government organisation (NGO) in South Australia that offers an extensive array of programs, including intensive family services, reunification, foster care, disability support, family and domestic violence, homelessness, counselling and mental health services. In our collective roles, we are charged with the responsibility of implementing an innovative therapeutic framework across the organisation. This framework—stabilising trauma in everyday practice (STEP)—is a foundational inspiration for this special issue, as it reflects our commitment to rethinking and challenging traditional therapeutic models. Our aim is to democratise therapeutic practices to develop genuinely trauma-informed and trauma-responsive approaches, which address the deep-rooted social reproduction of trauma. This requires interventions that do not simply manage symptoms but actively disrupt the cycles of harm perpetuated across generations.

Many of the contributions to this special issue have a connection to or reflect the ethos of the STEP therapeutic framework. Together, these works underscore our shared dedication to challenging entrenched norms and advancing innovative approaches that address the complex, intergenerational impacts of trauma within vulnerable families and communities.

The issue opens with an opinion piece by Leonie Segal. Professor Segal has dedicated many years to researching the economic costs and policy implications of intergenerational trauma. She issues a call to action reminding us that out-of-home care is not a panacea, and that the inequitable distribution of funding between services for traumatised parents whose children have entered the child protection system and the provision of out-of-home care for their children adversely impacts birth families. Segal advocates for a systems-based approach that moves beyond the general principle of ‘child protection as everyone's business’. Instead, she envisions a coordinated framework in which roles, responsibilities, target clients and budgets are aligned, enabling timely support to families before harm escalates. Investing in high-quality, trauma-informed training across the human services workforce is essential to equip professionals with the skills to engage sensitively, effectively and safely with families facing complex challenges.

Twigger et al. compare clinician and lived experience perspectives to ask questions about the concept of non-judgement, enshrined as an ideal in the therapeutic literature and important in the quest to move beyond moral judgement. They identify that we often fall short of this ideal and draw our attention to the fact that we may not even recognise or be conscious of our unhelpful judgements.

The third article in this collection (Amos et al.) explores the under-recognised contribution of shame to the enduring emotional wound that lies at the heart of relational trauma in infancy, and attachment–caregiving disorganisation. The authors discuss how avoidance of this wound explains the use of aggressive, controlling and submissive behaviours, shedding light on the crucial importance of shame in driving unhelpful and harmful parenting behaviours. The hypotheses presented by these authors are then used to discuss how this knowledge of shame can help clinicians nuance their use of empathy when first getting to know traumatised families to reduce the chances of families feeling judged.

It is not just practitioners that need to have a clear model of why people behave in ways they would prefer not to. Families need this too, to counter the judgements that they make about themselves as people and parents. Walker and Coventry offer ‘a map of relational possibilities’ that provides an accessible way to share with families the theoretical information outlined in the article on shame (Amos et al.) whilst also allowing for relational possibilities to be broadened. When practitioners and families have a mutual understanding and language for what drives difficult behaviours, families can genuinely be invited to become equal partners in the change process. Walker and Coventry present a convincing justification for how the map offers a creative way to bridge the research practice gap without manualisation, which is often cited by practitioners as a barrier to adopting evidence-based treatment protocols. This map has been identified as a crucial thread for the development of Centacare's STEP therapeutic framework because of the way in which it offers a shared practice pathway across a large NGO.

The theme of sharing knowledge and creating shared understanding continues in the interview with Heather Chambers, an early childhood educator and child psychotherapist in New Zealand. Her focus has been on how to skilfully explore relationship stories with parents and children together. Vitally and transformatively this includes difficult stories of hurts and harms. Chambers draws our attention to the importance of finding and proving that both parent and child have always been acting from the best of intentions, a powerful and practical way to provide non-judgemental care.

In many ways, Mary-Jo McVeigh's article builds on the insights from the Chambers interview, offering a critical exploration of how society's condemnation of mothers and children who have survived family violence not only minimises their resilience but inflicts epistemic harm by disregarding their lived knowledge. McVeigh introduces the concept of survivance, urging us to recognise the active resistance inherent in the stories these individuals share. Her work echoes Chambers' by bringing forth untold narratives that have often remained suppressed, opening space for the acknowledgment of ‘swallowed grief’—those unspoken losses that have strained parent–child bonds. Importantly, McVeigh hints at the postcolonial standpoint of the seanchaí, the Irish tradition of storytelling as a form of spiritual resistance. This serves as an understated thread for understanding survivance, positioning storytelling as an act of resilience that can counteract the silencing effects of systems and structures of trauma. Both McVeigh and Chambers advocate for a shift away from a focus on family disputes towards a family-centred, problem-solving approach and both place emphasis on peacebuilding, rediscovering a shared ‘voice of love’ and fostering relational harmony.

A multi-co-authored contribution from the Queensland Program of Assistance to Survivors of Torture and Trauma (QPASST) (Caveny et al.) continues the theme raised by Twigger and Lee that families from culturally and linguistically diverse backgrounds may feel more judgement when accessing care. Given their lived experience of resettlement in Australia alongside professional expertise, these authors are particularly well suited to explore this issue. Through an innovative cooperative research methodology, they have mapped services across their organisation, capturing the complex layers of need and the dynamics of service provision. Their article embodies the inclusive values they advocate, carefully integrating diverse voices and perspectives. Their work exposes the compounding difficulties faced by asylum seekers in Australia and examines how misunderstandings within service settings can deepen feelings of marginalisation and reinforce cycles of judgement and exclusion. Importantly they also discuss how condemnation can be used to enforce assimilation into the dominant culture, against the humanistic alternative of accepting and celebrating difference.

Sometimes, parents encounter the child protection system, and their children are removed from their care before they can heal. Child removal is a powerfully traumatic experience. Histories of intergenerational childhood trauma complicate the picture. Unprocessed trauma often drives the difficulties that led to the child's removal and then disrupts the parent's ability to engage constructively with child protection workers. The child protection worker's statutory role and the requirement for them to exercise power compound the difficulties, trapping parents and workers in power-based and coercive relationships. These structurally defined relationships skew the system toward long-term orders, not reunification. In their paper, Carpenter and Sakar discuss the ramifications of these embedded power structures and present practitioners' experiences of shifting focus to the trauma experiences of the parent by introducing narrative exposure therapy into an existing NGO reunification service. This approach effectively extends the role of the NGO from one focusing on practical and trauma-informed intervention into a combined social casework and trauma-responsive treatment service, fostering more productive engagement with the child production system. They present anecdotal evidence suggesting that using an evidence-based intervention designed to treat trauma across the lifespan can also improve parenting in a child protection context. This article raises questions about who can deliver trauma-responsive care, the best settings for trauma treatment to take place, and suggests that NGOs have a role to play in delivering trauma-responsive interventions. These questions lead us into the closing section of the special issue, where we consider the creative potential of stretching the traditional boundaries of therapy even further.

The next article in this collection explores how innovations in the organisation of foster care services can increase the chances of successful restoration of children into the care of the birth family. Again, building on Twigger et al.'s work, Boyle et al. outline how, faced with the histories of harm sustained by children in their family of origin, foster carers sometimes struggle to suspend moral judgements of birth families. This can complicate reunification as foster carers may consciously or unconsciously fail to lend their full support to the process for fear that the children will sustain more harm. This paper describes a unique model of specialist reunification foster care where foster families are supported to become part of the team around the birth family providing them with ongoing support and care. This is a novel way of enhancing the provision of therapeutic support to birth families working to have their children restored to their care, as also articulated by Segal in her call to action.

The final offering is an interview with Corin Morgan-Armstrong, architect of the Invisible Walls ‘whole-family’ model, which aims to support people serving custodial sentences to continue their roles as parents and valued family members. Morgan-Armstrong describes how the Invisible Walls remit has evolved since it began back in 2006 at HMP Parc, a Category B male prison in South Wales to become a model that has been successfully replicated in prisons across the UK, Europe and globally. This inspiring approach takes what some might recognise as therapeutic work into an environment where men are being formally sanctioned for their actions and where the idea of therapy has little traction. Moral condemnation of fathers serving custodial sentences is rife within the prison system and in the wider community. However, the Invisible Walls model has demonstrated that supporting families and children to maintain positive relationships not only improves resettlement and reintegration outcomes but improves the wellbeing of the children of these fathers. What stronger evidence could there be that what other authors have said about mothers in this special issue must also apply to fathers—including those who we especially condemn, such as men who have transgressed to the point of incarceration.

超越对父母的道德谴责:创伤、忽视和虐待背景下的弱势儿童和家庭
相反,她设想了一个协调的框架,在这个框架中,角色、责任、目标客户和预算是一致的,能够在伤害升级之前及时向家庭提供支持。在整个人力服务队伍中投资于高质量、了解创伤的培训,对于使专业人员具备敏感、有效和安全地与面临复杂挑战的家庭接触的技能至关重要。Twigger等人比较了临床医生和生活经验的观点,提出了关于无判断概念的问题,无判断在治疗文献中被视为一种理想,在寻求超越道德判断方面很重要。他们指出,我们经常达不到这个理想,并提请我们注意这样一个事实,即我们可能甚至没有认识到或意识到我们的无益判断。本系列的第三篇文章(Amos et al.)探讨了未被认识到的羞耻感对长期情感创伤的作用,这种创伤位于婴儿期关系创伤的核心,以及依恋照顾的混乱。作者讨论了如何避免这种伤害来解释攻击性、控制性和顺从性行为的使用,揭示了羞耻感在驱动无益和有害的育儿行为中的关键重要性。然后,这些作者提出的假设被用来讨论这种羞耻的知识如何帮助临床医生在第一次了解受创伤的家庭时细微地使用同理心,以减少家庭感到被评判的机会。不仅仅是从业者需要有一个清晰的模型,来解释为什么人们会以他们不喜欢的方式行事。家庭也需要这一点,来反驳他们对自己作为人和父母所做的判断。沃克和考文垂提供了“关系可能性地图”,提供了一种与家庭分享文章中概述的理论信息的可行方法(Amos等人),同时也允许扩大关系的可能性。当医护人员和家庭对导致困难行为的原因有共同的理解和语言时,家庭可以真正地被邀请成为改变过程中的平等伙伴。Walker和Coventry提出了一个令人信服的理由,说明地图如何提供了一种创造性的方法,可以在没有手动操作的情况下弥合研究实践的差距,而手动操作经常被实践者引用为采用循证治疗方案的障碍。该地图已被确定为centracare的STEP治疗框架发展的关键线索,因为它提供了跨大型非政府组织共享实践途径的方式。在对新西兰早期儿童教育家和儿童心理治疗师希瑟·钱伯斯的采访中,分享知识和创造共同理解的主题仍在继续。她一直专注于如何巧妙地探索父母和孩子之间的关系故事。这包括痛苦和伤害的艰难故事,这是至关重要的和具有变革性的。钱伯斯提请我们注意,发现并证明父母和孩子一直都是出于最好的意图,这是一种提供非评判性照顾的强大而实用的方式。在许多方面,玛丽-乔·麦克维的文章建立在钱伯斯采访的见解之上,批判性地探讨了社会对遭受家庭暴力的母亲和儿童的谴责如何不仅使她们的恢复能力最小化,而且由于无视她们的生活知识而造成认知上的伤害。麦克维介绍了生存的概念,敦促我们认识到这些人分享的故事中固有的积极抵抗。她的作品与钱伯斯的作品相呼应,展现了那些经常被压抑的不为人知的故事,为承认“被吞噬的悲伤”——那些使亲子关系紧张的未说出口的损失——开辟了空间。重要的是,麦克维暗示了seanchaí的后殖民立场,即爱尔兰传统的讲故事作为一种精神抵抗形式。这是理解生存的低调线索,将讲故事定位为一种可以抵消创伤系统和结构的沉默效应的复原行为。麦克维和钱伯斯都主张从关注家庭纠纷转向以家庭为中心的解决问题的方法,他们都强调建设和平,重新发现共享的“爱的声音”,促进关系和谐。昆士兰州酷刑和创伤幸存者援助计划(QPASST) (Caveny等人)的一份多作者合著的贡献延续了Twigger和Lee提出的主题,即来自文化和语言背景不同的家庭在获得护理时可能会感到更多的判断。鉴于他们在澳大利亚重新安置的生活经验和专业知识,这些作者特别适合探讨这个问题。 通过创新的合作研究方法,他们绘制了整个组织的服务地图,捕捉了复杂的需求层和服务提供的动态。他们的文章体现了他们所倡导的包容性价值观,精心整合了不同的声音和观点。他们的工作揭示了澳大利亚寻求庇护者面临的复杂困难,并研究了服务环境中的误解如何加深边缘化的感觉,并加强了判断和排斥的循环。重要的是,他们还讨论了如何使用谴责来强制同化主流文化,反对接受和庆祝差异的人文主义选择。有时,父母遇到儿童保护系统,他们的孩子在康复之前就被从他们的照顾中带走了。带走孩子是一种非常痛苦的经历。代际童年创伤的历史使情况更加复杂。未经处理的创伤往往会导致孩子被带走的困难,然后破坏父母与儿童保护工作者建设性接触的能力。儿童保护工作者的法定角色和对他们行使权力的要求使困难复杂化,使父母和工作者陷入以权力为基础的强制性关系中。这些结构性定义的关系使整个体系倾向于长期秩序,而不是统一。在他们的论文中,Carpenter和Sakar讨论了这些嵌入式权力结构的后果,并介绍了从业者通过将叙事暴露疗法引入现有的非政府组织统一服务,将焦点转移到父母的创伤经历上的经验。这种方法有效地扩展了非政府组织的作用,从专注于实际和创伤知情干预,到结合社会个案工作和创伤响应治疗服务,促进更有效地参与儿童生产系统。他们提出的轶事证据表明,在儿童保护的背景下,使用基于证据的干预措施来治疗终身创伤也可以改善育儿。这篇文章提出了关于谁可以提供创伤反应性护理的问题,创伤治疗的最佳环境是什么,并建议非政府组织在提供创伤反应性干预方面发挥作用。这些问题将我们带入特刊的最后部分,在这里我们将考虑进一步扩展传统治疗边界的创造潜力。本系列的下一篇文章探讨了寄养服务组织的创新如何增加儿童成功恢复到出生家庭照顾的机会。Boyle等人再次以Twigger等人的工作为基础,概述了面对孩子在原生家庭中遭受伤害的历史,寄养照顾者有时如何努力暂停对出生家庭的道德判断。这会使团聚变得复杂,因为寄养照顾者可能有意或无意地不全力支持这一过程,因为他们担心孩子会受到更多的伤害。本文描述了一种独特的专家团聚寄养模式,在这种模式下,寄养家庭被支持成为出生家庭周围团队的一部分,为他们提供持续的支持和照顾。西格尔在她的行动呼吁中也阐述了这一点,这是一种加强向努力让孩子恢复照顾的出生家庭提供治疗支持的新方法。最后一个节目是对科林·摩根-阿姆斯特朗的采访,他是“看不见的墙”“全家”模式的设计师,该模式旨在支持服刑人员继续扮演父母和重要家庭成员的角色。摩根-阿姆斯特朗描述了“看不见的墙”项目自2006年在南威尔士的B级男子监狱HMP Parc开始实施以来,是如何发展成为英国、欧洲和全球监狱成功复制的典范的。这种鼓舞人心的方法将一些人可能认为的治疗工作带入了一个男性因其行为而受到正式认可的环境,在这个环境中,治疗的想法几乎没有吸引力。在监狱系统和更广泛的社区中,对服刑父亲的道德谴责很普遍。然而,“看不见的墙”模式表明,支持家庭和儿童保持积极的关系不仅可以改善重新安置和重返社会的结果,还可以改善这些父亲的子女的福祉。还有什么更有力的证据可以证明,其他作者在本期特刊中关于母亲的言论也一定适用于父亲——包括那些我们特别谴责的人,比如那些违法到被监禁的人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
40
期刊介绍: The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.
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