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引用次数: 0
摘要
目的：我们需要开展研究，以更好地了解 "伴侣式发展心理疗法"（Dyadic Development Psychal Therapy，DDP）的经验和效果，这是一种很有前途的干预措施，旨在满足替代照料机构中经历过发展创伤的儿童的复杂需求。DDP 是一种系统性干预措施，儿童的照料者在其中扮演着重要角色。鉴于寄养照护者的重要作用和现有研究的缺乏，本研究旨在探讨寄养照护者如何体验 DDP：设计：采用定性设计，对 10 名寄养照料者进行了半结构化访谈：方法：通过 Microsoft Teams 和电话进行访谈，并使用解释性现象分析法对访谈进行记录、转录和分析：结果：形成了四个小组经验主题和 11 个次主题："从不以为然到豁然开朗"、"支架和安全"、"适应和联系 "以及 "值得"。从最初的困惑和失望，到后来的清晰的自我认识，以及更加贴合和联系的依恋关系。对 DDP 的体验既充实又苛刻：尽管仍有必要对 DDP 的有效性进行探讨，但本研究表明，寄养照护者认为 DDP 是一种要求很高但却很有价值的干预措施。本研究探讨了对实践的影响，特别是对关系安全和照顾者支持的更大需求，以及未来研究的途径。
Exposed, scaffolded and connected - Foster carers' experiences of dyadic developmental psychotherapy: An interpretative phenomenological analysis.
Objective: Research is required to better understand the experience and effectiveness of dyadic developmental psychotherapy (DDP), a promising intervention developed to meet the complex needs of developmental trauma-experienced children in substitute care. DDP is a systemic intervention, within which the child's carer plays a significant role. Given their significant role and the lack of existing research, this study aimed to explore how foster carers experience DDP.
Design: A qualitative design using semi-structured interviews with 10 foster carers was implemented.
Method: Interviews conducted via Microsoft Teams and telephone were recorded, transcribed and analysed using interpretative phenomenological analysis.
Results: Four group experiential themes and 11 subthemes were formed; 'from disbelief to clarity', 'scaffolded and safe', 'attuned and connected' and "It's worth it". From initial confusion and disappointment, came clarity of self-understanding and a more attuned, connected attachment relationship. DDP was experienced as both fulfilling and demanding.
Conclusions: Though the need to explore DDP's effectiveness remains, this study suggests foster carers experience DDP as a demanding yet worthwhile intervention. Implications for practice, especially an increased need for relational safety and carer support are explored, as well as avenues for future research.
期刊介绍：
Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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