启动婴儿心理健康和家庭治疗之间的对话:定性调查和建议

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Jessica E. Opie, Anna T. Booth, Larissa Rossen, Elisabeth Fivaz-Depeursinge, Robbie Duschinsky, Louise Newman, Jennifer E. McIntosh, Eliza Hartley, Felicity Painter, David Oppenheim, Campbell Paul, Antoinette Corboz-Warnery, Alan Carr, Diane A. Philipp, James P. McHale
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引用次数: 0

摘要

本质性研究探讨婴儿-家庭心理健康专家的观点和经验,包括婴儿在家庭治疗设置。婴儿的社会情感发展本质上是关系性的,并在二元依恋关系和更广泛的多人共同抚养系统的背景下发展。鉴于此,我们试图理解为什么涉及有婴儿的家庭的家庭治疗干预很少将婴儿纳入三角形或家庭系统方法。访谈由临床和/或研究专家完成,他们的工作整合了婴儿心理健康(IMH)和家庭理论和治疗的原则。所有受访者都有至少5年的专业知识,并积极从事该领域的工作。受访者表达了一致的信念,即婴儿在家庭治疗方法中具有合法和有益的地位。他们认为婴儿天生的社会驱动力和沟通能力使他们能够在家庭和系统心理治疗环境中做出有意义和临床意义的贡献。注意到婴儿仍然处于这些实践的边缘,专家们主张在保持每个领域独特身份的同时,扩大和加强IMH和家庭治疗之间的整合。专家们报告说,由于家庭系统概念被嵌入到家庭健康管理方法中,家庭健康管理与家庭治疗领域之间的相互作用是单向的,但很少有家庭健康管理的前提被纳入主流家庭治疗实践。这种脱节是由多种因素造成的,包括研究生和专业培训以及理论、临床、研究和社会文化障碍,这些因素相互加强。专家们还发现,当婴儿被有意义地纳入家庭干预时,婴儿和家庭成员都能获得临床收益。学科之间的共同点被确定,相信关系困扰的幼儿和父母最好通过临床参与他们的关系网络来服务。结果要求各学科之间加强合作,挑战现有传统,并更充分地将婴儿纳入主流家庭治疗。建议在临床、理论、研究、培训和社会文化领域整合家庭治疗和IMH。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Initiating the dialogue between infant mental health and family therapy: a qualitative inquiry and recommendations

Initiating the dialogue between infant mental health and family therapy: a qualitative inquiry and recommendations

This qualitative study explores infant-family mental health experts' perspectives and experiences regarding the inclusion of infants in the family therapy setting. Infant socioemotional development is relational in nature and evolves in the context of both dyadic attachment relationships and broader multi-person co-parenting systems. Given this, we sought to understand why family therapy interventions involving families with infants rarely include the infant in a triangular or family systemic approach. Interviews were completed by clinical and/or research experts whose work integrates tenets of both infant mental health (IMH) and family theory and therapy. All interviewees brought at least 5 years of expertise and were actively engaged in the field. Interviewees expressed consistent beliefs that infants have a rightful and helpful place in family therapy approaches. They maintained that infants' innate social drive and communicative capacities position them to make meaningful and clinically significant contributions within family and systemic psychotherapy contexts. Noting that infants have remained on the periphery of these practices, experts advocated expansion and greater integration between IMH and family therapy, while preserving each field's distinctive identity. Experts reported that the interplay between IMH and family therapy fields has been uni-directional as family systems concepts are embedded within IMH approaches, but few IMH premises are incorporated in mainstream family therapy practices. The disconnect was attributed to multiple factors, including graduate and professional training and theoretical, clinical, research, and sociocultural barriers, which were mutually reinforcing. Experts also identified clinical gains for both infants and family members when infants were meaningfully included in family interventions. Common ground was identified between the disciplines, with a belief that relationally distressed young children and parents are best served by clinical engagement with their network of relationships. Results call for greater collaboration between disciplines to challenge existing traditions and to more fully include infants in mainstream family therapy. Recommendations for integration of family therapy and IMH in clinical, theoretical, research, training, and sociocultural domains are offered.

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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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