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Non‐violent resistance parent training for the parents of young adults with High Functioning Autism Spectrum Disorder

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Journal of Family Therapy

Published online on

Abstract

A ‘dependence trap’ between parents and young adults with High Functioning Autism Spectrum Disorder (HF‐ASD) develops when parents accommodate to the needs of their grown‐up child in ways that may hinder development and cause distress. Non‐Violent Resistance (NVR) parent training may help parents reduce their accommodation, manage arising conflicts through de‐escalation techniques, and amass external support for themselves and their child. Parents of four young adults with HF‐ASD received a ten‐week modified NVR parent training. Cases were evaluated through semi‐structured interviews and self‐report questionnaires. The parents reported improved independent functioning, reduced parental helplessness and accommodation, and enhanced support. Questionnaires showed improvements in reported parental hopefulness and reduced parental depression. Practitioner points Families with a grown‐up child with HF‐ASD may be characterised by excessive parental accommodation that is detrimental to optimal functioning Accommodation increases dependence, which in turn requires continued accommodation, forming a ‘dependence trap’ NVR parent training may help parents to young adults with HF‐ASD reduce parental accommodation, helplessness and depression, while improving hopefulness and adaptation 对患有高功能自闭症谱系疾病的青年人的家长开展非暴力抵抗家长培训 当家长对患有高功能自闭症谱系疾病(HF‐ASD)的青年人的迁就开始妨碍青年人的发展并给他们造成痛苦时, 家长与成年孩子之间就产生了一个“依赖陷阱”。非暴力抵抗(NVR)家长培训或许可以帮助家长减少迁就行为, 通过缓和技巧来处理出现的冲突, 并为自己和孩子大量寻找外部支援。四位患有HF‐ASD的青少年的家长参加了十周的调整版NVR家长培训。个案评估通过半结构式访谈和自我报告问卷进行。家长报告了独立行动能力的改善、家长无助感和迁就行为的减轻, 以及支持的增加。问卷结果显示, 自我报告的家长乐观感有所增加, 而家长抑郁情况有所减轻。 对实务工作者的启示 有罹患HF‐ASD青年人的家庭或许会出现家长过度迁就的情况, 而这种情况是不利于青年人发展最佳自理功能的。 迁就强化了依赖, 然后又会需要更多的迁就, 形成了一个“依赖陷阱”。 NVR家长培训或许可以帮助患有HF‐ASD的青年人家长减轻迁就行为、无助感和抑郁状况, 同时改善他们的乐观感和适应性。 关键词:自闭症谱系疾病;青年人;依赖;迁就;家长培训;非暴力抵抗