“Speech After Long Silence”: The Use of Narrative Therapy in a Preventive Intervention for Children of Parents with Affective Disorder

Focht, Lynn; Beardslee, William R.

doi:10.1111/j.1545-5300.1996.00407.x

Cited by 63 publications

(53 citation statements)

References 22 publications

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“…Recent literature notes the importance in adolescent development of moving from dependence on parents toward interdependence, but not total independence [6,27]. Similarly, previous research [39] has identified the importance of dialogue in helping facilitate family adjustment to chronic illness. With this goal in mind, clinical research needs to address how to help parents remain involved in their adolescents' management of type 1 diabetes in the least conflict-laden and most supportive ways.…”

Section: Discussionmentioning

confidence: 99%

Adolescent views of diabetes-related parent conflict and support: a focus group analysis

Weinger

OʼDonnell

Ritholz

2001

Journal of Adolescent Health

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Purpose-To increase understanding of adolescent-parent diabetes-related conflicts and supports in the management of type 1 diabetes by means of a focus group research approach.Methods-Twenty-four adolescents (10 boys and 14 girls, age 13-15 years; 97% white) participated in three same-sex focus groups at two diabetes summer camps. The focus group leader used a prepared set of open-ended questions to guide the 90-minute sessions. Sessions were taperecorded, transcribed, and analyzed by a set procedure for qualitative analysis to identify the adolescents' perspectives on parent-adolescent sources of diabetes-related conflict and support.Results-Adolescents reported the following sources of diabetes-related conflict: parental worry and intrusive behaviors; parental lack of understanding and blaming behaviors, and the parents focus on the future vs. the adolescent focus on the present. With regard to diabetes-related support, the teens identified parental understanding of the demands of diabetes and parental provision of reassurance about their child's illness and normative functioning.Conclusions-Adolescents' perceptions of parental worry, lack of understanding, and resulting intrusive and blaming behaviors are major areas of conflict that need to be addressed in the management of type 1 diabetes.

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Section: Discussionmentioning

confidence: 99%

Adolescent views of diabetes-related parent conflict and support: a focus group analysis

Weinger

OʼDonnell

Ritholz

2001

Journal of Adolescent Health

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“…Focht & Beardslee, 1996;FochtBirkerts & Beardslee, 2000) also show that initiating communication about PMHP can often be a challenging task for parents, partly because of feelings of guilt and shame and partly because of the difficulty of finding appropriate words to describe MHP. Focht-Birkerts & Beardslee (2000) observed that the pain of the children seemed to be "bulging through the seams of the 'not-yet-said'" (p. 421).…”

Section: Introductionmentioning

confidence: 99%

Talking or Keeping Silent About Parental Mental Health Problems—A Grounded Theory of Parents' Decision Making and Experiences with Their Children

Nolte

Wren

2016

J Marital Family Therapy

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This grounded theory study explored parents' experiences of responding to their children's need for understanding parental mental health concerns. Fifteen parents with severe and enduring mental health difficulties participated in the study. The findings suggest four main social processes that influence parents' talk with their children about parental mental health issues, namely “Protecting and being protected,” “Responding to children's search for understanding,” “Prioritizing family life,” and “Relating to others.” Implications of the findings for clinical practice and future research are considered. In particular, the need for more family‐orientated services where parents experience parental mental health problems is highlighted.

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“…The "attitude change" question regarding increases in understanding of feelings about their child's heart disease and inter-family supportiveness further bolster the use of the EJ as a sounding board for mothers to compare and contrast their own experiences and their child's feelings/behavior. All of these factors have all been identified as important to both successfully navigating medical crises (Shapiro & Koocher, 1996) and in developing self-understanding (Focht & Beardslee, 1996).…”

Section: Discussionmentioning

confidence: 99%

“…Based upon this work, an effective preventive intervention needs to include a focus on self-understanding and shared understanding. Self-understanding has proven an important component of resiliency in previous studies (Beardslee, 1989;Focht & Beardslee, 1996). The design of a computer program as a preventive intervention needs to go beyond the simple expression of factual information to one that allows an individual to not only read the stories of others, but also allow them the opportunity to tell their own story.…”

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confidence: 99%

The Experience Journal: A Computer-Based Intervention for Families Facing Congenital Heart Disease

DeMaso

Gonzalez–Heydrich

Erickson

et al. 2000

Journal of the American Academy of Child & Adolescent Psych

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This study tested the feasibility and safety of a computer-based application designed to facilitate the healthy coping of children and their families who must contend with significant congenital heart disease (CHD). The application, called the Experience Journal (EJ), is a psychoeducational intervention based upon a narrative model involving the sharing of personal stories about an illness. Testing was conducted in two phases. In Phase 1, 9 parents of children with CHD and 1 adult with CHD were asked to use the EJ. After utilization, semistructured interviews assessed EJ usability and safety. In Phase 2, 40 mothers of children with CHD used the EJ during a hospitalization. Assessment of feasibility and safety was measured through the use of semistructured interviews prior to EJ utilization and 2-4 weeks after hospital discharge. Results revealed that the EJ was safe and useful for decreasing social isolation, increasing understanding of familial feelings about cardiac illness, and fostering positive reactions in mothers. Computerbased interventions that present psychoeducational and medical information closely connected toöneś own storymay open up new possibilities for families facing pediatric illnesses. Journal of the American Academy of Child and Adolescent Psychiatry 39:6This work may not be copied or reproduced in whole or in part for any commercial purpose. Permission to copy in whole or in part without payment of fee is granted for nonprofit educational and research purposes provided that all such whole or partial copies include the following: a notice that such copying is by permission of Mitsubishi Electric Research Laboratories, Inc.; an acknowledgment of the authors and individual contributions to the work; and all applicable portions of the copyright notice. Copying, reproduction, or republishing for any other purpose shall require a license with payment of fee to Mitsubishi Electric Research Laboratories, Inc. All rights reserved. AbstractThis study tested the feasibility and safety of a computer-based application designed to facilitate the healthy coping of children and their families who must contend with significant congenital heart disease (CHD). The application, called the Experience Journal (EJ), is a psychoeducational intervention based upon a narrative model involving the sharing of personal stories about an illness. Testing was conducted in two phases. In Phase 1, 9 parents of children with CHD and 1 adult with CHD were asked to use the EJ. After utilization, semistructured interviews assessed EJ usability and safety. In Phase 2, 40 mothers of children with CHD used the EJ during a hospitalization. Assessment of feasibility and safety was measured through the use of semistructured interviews prior to EJ utilization and 2-4 weeks after hospital discharge. Results revealed that the EJ was safe and useful for decreasing social isolation, increasing understanding of familial feelings about cardiac illness, and fostering positive reactions in mothers. Computerbased interventions that pr...

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“Speech After Long Silence”: The Use of Narrative Therapy in a Preventive Intervention for Children of Parents with Affective Disorder

Cited by 63 publications

References 22 publications

Adolescent views of diabetes-related parent conflict and support: a focus group analysis

Adolescent views of diabetes-related parent conflict and support: a focus group analysis

Talking or Keeping Silent About Parental Mental Health Problems—A Grounded Theory of Parents' Decision Making and Experiences with Their Children

The Experience Journal: A Computer-Based Intervention for Families Facing Congenital Heart Disease

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