Exploring changes in family functioning when a child participates in a School-Based Filial Therapy program

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Jane Cooper, Mong-lin Yu, Linda MacKay, Ted Brown
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引用次数: 1

Abstract

Child focus is a central construct within Bowen family systems theory (Bowen theory). A clinical implication is that mental health treatment focusing on a child may unwittingly reinforce the operation of child-focused processes, which undermine rather than enhance child well-being. The concept of child focus in Bowen theory presents significant implications for professionals working in school settings and in fields such as children's mental health, which are inherently child-focused. Bowen theory is the guiding theoretical framework for School-Based Filial Therapy (SBFT). SBFT is a play therapy intervention that was initially established in remote and outer-regional New South Wales, Australia in response to the low availability of children's mental health services and the significant barriers associated with caregiver engagement in children's mental health treatment. It involves trained school personnel facilitating therapeutic play sessions with children experiencing emotional–behavioural problems. The intervention occurs on school grounds, during school hours, and children's family members do not participate in the intervention. This mixed-methods study examines the impact of children's participation in SBFT upon family functioning. Interviews with caregivers (n = 10) of children who participated in 10 SBFT sessions were analysed using content analysis. Quantitative data were collected using the Differentiation of Self Inventory – Short Form and Visual Analogue Scale – Family Functioning. A Wilcoxon signed rank test was used to analyse the pre- and post-data. Qualitative outcomes indicated changes in the categories of child functioning, caregiver functioning, and extended family functioning, whilst child-focused processes remained dominant but changed in intensity and valence following SBFT.

探索孩子参加学校亲子治疗计划时家庭功能的变化
儿童焦点是Bowen家庭系统理论(Bowen theory)的核心概念。临床意义是,以儿童为中心的心理健康治疗可能会在不知不觉中加强以儿童为中心的过程的运作,从而破坏而不是提高儿童的福祉。Bowen理论中的儿童关注概念对学校环境和儿童心理健康等领域的专业人员具有重要意义,这些领域本质上是以儿童为中心的。Bowen理论是校本孝道治疗的指导理论框架。SBFT是一种游戏治疗干预,最初是在澳大利亚新南威尔士州偏远和偏远地区建立的,以应对儿童心理健康服务的可得性低以及与照顾者参与儿童心理健康治疗相关的重大障碍。它包括训练有素的学校人员,为有情绪行为问题的儿童提供治疗性游戏。干预发生在学校场地,在上课时间,孩子的家庭成员不参与干预。这项混合方法的研究考察了儿童参与SBFT对家庭功能的影响。对参加10次SBFT会议的儿童的照顾者(n = 10)的访谈进行内容分析。定量数据的收集使用自我量表的区分-短表格和视觉模拟量表-家庭功能。采用Wilcoxon符号秩检验对前后数据进行分析。定性结果表明,儿童功能、照顾者功能和大家庭功能的类别发生了变化,而以儿童为中心的过程仍然占主导地位,但在SBFT后的强度和效价发生了变化。
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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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