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Adult patients with schizophrenia using violence towards their parents: a phenomenological study of views and experiences of violence in parent-child dyads.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Feb2014, Vol. 70 Issue 2, p336-349, 14p
- Publication Year :
- 2014
-
Abstract
- Aims To describe the lived experiences of aggression and violence among patients with schizophrenia and their victimized biological parent as the major caregiver being aggressed by their child (parent-adult-child dyads), and to gain an understanding of the precipitating factors influencing violence. Background Child-to-parent violence, particularly in the mentally ill adult child, is arguably the most stressful and under-researched issue of family violence. Violence in patients with mental illness is most frequently targeted at family members, and most often takes place at home. Both patients and their parents' experiences of violence are relatively unexplored. Design Qualitative study design. Methods Data were collected using individual in-depth interviews between August 2010-August 2011 in Taiwan. Purposive sample of 14 hospitalized patients with schizophrenia who had aggression and violence in the past year directed towards their biological parent of either gender. Findings Five main themes were identified: violence occurring beyond control in a particular situation translated into parent and patient's possible endangerment, the repetitive nature of violence, distress, ineffective communication, and management of violence and help-seeking. Repetitive violent episodes and tension made both the parent and patient feel uncontrollable. Parents had a perceived fear of adverse consequences such as being punished by receiving more retribution and they also had concerns related to their parental responsibility. Conclusions Health professionals should be aware of the complexity of phenomena and the interplay of factors inducing violence. A comprehensive dyadic parent-child intervention is suggested for violence prevention. [ABSTRACT FROM AUTHOR]
- Subjects :
- ADULT children
BIRTHPARENTS
CAREGIVERS
COMMUNICATION
CONTENT analysis
EMPLOYMENT
EXPERIENCE
DOMESTIC violence
HELP-seeking behavior
INTERVIEWING
MARITAL status
PHENOMENOLOGY
RESEARCH methodology
PARENT-child relationships
PSYCHIATRIC hospitals
PSYCHOTHERAPY patients
RESEARCH funding
SCHIZOPHRENIA
SUBSTANCE abuse
JUDGMENT sampling
EDUCATIONAL attainment
THEMATIC analysis
BURDEN of care
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 70
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 93569627
- Full Text :
- https://doi.org/10.1111/jan.12194