关键词: ADHD Adoption Alcohol Care Disability FASD Foster In utero Learning Psychological Trauma

Mesh : Adolescent Adoption / psychology Child Child, Adopted Humans Longitudinal Studies Outcome Assessment, Health Care Psychological Trauma

来  源:   DOI:10.1016/j.chiabu.2022.105623

Abstract:
Children who have been adopted from care are very likely to have experienced early adversity that may result in psychological trauma. A current debate in the field is whether adoption provides a pathway to healing for traumatised children, helping them to recover from past psychological harm, or creates trauma for children through the very nature of being an adopted child.
This study aimed to use longitudinal data pertaining to children who had been adopted from care to examine the relationship between being adopted from care and psychological trauma.
Seventeen adopted children had been interviewed in their adoptive homes during the third wave of the Care Pathways and Outcomes study (McSherry et al., 2013), when they were aged between nine and 14 years old. Ten of these children were selected for specific consideration in this article. Checklists for early adversities and psychological trauma were used to support the creation of case studies that highlighted the extent of psychological trauma in the children\'s lives.
The adopted children either experienced possible pre-care psychological trauma, with the impact of this reducing over time, in utero developmental harm due to their mother\'s alcohol misuse during pregnancy, inherited an intellectual disability, with the resultant difficulties superseding any concern regarding possible pre-care psychological trauma, or possible psychological trauma when moving from an established foster placement to adoption. Recommendations for policy and practice are provided.
摘要:
从护理中领养的儿童很可能经历过可能导致心理创伤的早期逆境。目前该领域的争论是收养是否为受创伤的儿童提供了治愈的途径,帮助他们从过去的心理伤害中恢复过来,或者通过被收养的孩子的本质给孩子造成创伤。
这项研究的目的是使用纵向数据有关的儿童从照顾被收养和心理创伤之间的关系。
在第三波“关爱途径和结果”研究中,17名被收养的孩子在他们的收养家中接受了采访(McSherry等人。,2013),他们的年龄在9到14岁之间。在本文中,选择了其中的十个孩子进行具体考虑。早期逆境和心理创伤的清单被用来支持案例研究的创建,强调了儿童生活中心理创伤的程度。
被收养的孩子要么经历了可能的护理前心理创伤,随着时间的推移这种影响的减少,在子宫内的发育伤害,由于他们的母亲的酒精滥用在怀孕期间,遗传了智力残疾,由此产生的困难取代了对可能的护理前心理创伤的任何担忧,或从既定的寄养安置转变为收养时可能的心理创伤。提供了政策和实践建议。
公众号