Clinician and lived experience perspectives on non‐judgemental family care, in working with childhood maltreatment and intergenerational trauma: A pilot narrative review.
Saved in:
| Title: | Clinician and lived experience perspectives on non‐judgemental family care, in working with childhood maltreatment and intergenerational trauma: A pilot narrative review. |
|---|---|
| Authors: | Twigger, Ashley, Lee, Amos Yong Soon, Amos, Jackie |
| Source: | Australian & New Zealand Journal of Family Therapy. Dec2024, Vol. 45 Issue 4, p388-400. 13p. |
| Subjects: | Medical information storage & retrieval systems, Patient compliance, Mental health services, Social determinants of health, Occupational roles, Psychology of adult child abuse victims, Child abuse, Medical care, Severity of illness index, Descriptive statistics, Systematic reviews, Ethical decision making, MEDLINE, Thematic analysis, Attitudes of medical personnel, Family-centered care, Historical trauma, Medical databases, Mental health personnel, Social support, Online information services, Shame, Psychosocial factors, Adverse childhood experiences, Psychology information storage & retrieval systems |
| Abstract: | Non‐judgemental care is a widely acknowledged aspect of therapeutic work with children and families. There is limited literature that defines current practices of non‐judgemental family care and assesses its implementation within mental health settings. Clinicians who encounter and work with childhood maltreatment and abuse may make moral judgements and potentially ascribe culpability to a child's parents, carers or support network. This is despite understanding that adverse childhood experiences (ACEs) are associated with the complex interplay of sociocultural factors and wider determinants of health. This pilot narrative review explores facilitators and barriers to provision of non‐judgemental care in the modern literature from clinician, as well as lived and survivor, perspectives. A detailed search of the literature was conducted using PubMed, Cochrane Library, Ovid, Embase and PsycINFO databases, with focus on childhood maltreatment, intergenerational trauma and ACEs between 2014 and 2024 and published in English language. Title and abstract screening, then full‐text screening, was completed by the primary author and results were identified via informal analysis of themes. Eight studies of clinician perspectives identified facilitating themes of professionals' responsiveness, positive personal attributes and utilisation of strength‐based approaches. Clinician‐identified challenges included maintaining curiosity in the context of uncertainty and complexity, power differences and unconscious processes. Nine lived experience studies were included, identifying listening and attunement as facilitators. Shame, barriers and inadequate acknowledgement of historical traumas hindered therapeutic engagement. Shame was found to be a key barrier to the experience of non‐judgemental care and postulated to influence how clinician interventions are received. The author concludes that non‐judgemental care is incompletely understood in practice, with clinician judgements being ubiquitous and diffuse in therapeutic impacts. Future research is required to understand intersubjective therapeutic perspectives and elucidate existent gaps between delivery and perception of non‐judgemental care. [ABSTRACT FROM AUTHOR] |
| Copyright of Australian & New Zealand Journal of Family Therapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | Non‐judgemental care is a widely acknowledged aspect of therapeutic work with children and families. There is limited literature that defines current practices of non‐judgemental family care and assesses its implementation within mental health settings. Clinicians who encounter and work with childhood maltreatment and abuse may make moral judgements and potentially ascribe culpability to a child's parents, carers or support network. This is despite understanding that adverse childhood experiences (ACEs) are associated with the complex interplay of sociocultural factors and wider determinants of health. This pilot narrative review explores facilitators and barriers to provision of non‐judgemental care in the modern literature from clinician, as well as lived and survivor, perspectives. A detailed search of the literature was conducted using PubMed, Cochrane Library, Ovid, Embase and PsycINFO databases, with focus on childhood maltreatment, intergenerational trauma and ACEs between 2014 and 2024 and published in English language. Title and abstract screening, then full‐text screening, was completed by the primary author and results were identified via informal analysis of themes. Eight studies of clinician perspectives identified facilitating themes of professionals' responsiveness, positive personal attributes and utilisation of strength‐based approaches. Clinician‐identified challenges included maintaining curiosity in the context of uncertainty and complexity, power differences and unconscious processes. Nine lived experience studies were included, identifying listening and attunement as facilitators. Shame, barriers and inadequate acknowledgement of historical traumas hindered therapeutic engagement. Shame was found to be a key barrier to the experience of non‐judgemental care and postulated to influence how clinician interventions are received. The author concludes that non‐judgemental care is incompletely understood in practice, with clinician judgements being ubiquitous and diffuse in therapeutic impacts. Future research is required to understand intersubjective therapeutic perspectives and elucidate existent gaps between delivery and perception of non‐judgemental care. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 0814723X |
| DOI: | 10.1002/anzf.1611 |
