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- Onsjö, Marja, 1979, et al.
(författare)
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Children subjected to family violence: A retrospective study of experiences of trauma-focused treatment
- 2023
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Ingår i: Clinical Child Psychology and Psychiatry. - 1359-1045 .- 1461-7021. ; 28:3
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Tidskriftsartikel (refereegranskat)abstract
- Exposure to adverse childhood experiences is a risk factor for the development of serious psychiatric and somatic illness. Although trauma-focused therapy is effective in reducing symptoms, not all children benefit from it. To improve treatment efficacy, the children’s perspective on what they perceive as helpful versus hindering is necessary. This study aimed, retrospectively, to explore how children exposed to family violence experienced treatment at the Child and Adolescent Mental Health Service. Seventeen children and youths were interviewed 4–5 years after treatment. The thematic analysis resulted in five themes: confusion, the need to feel heard, fear of consequences, feelings of pain, and identifying oneself as an agent. The results emphasize the importance of the therapeutic relationship, and that trust, genuine interest, and reciprocity are necessary for the child to engage in treatment. However, neither the child’s own agency nor external obstacles such as continuous exposure to abuse should be underestimated in terms of the child’s engagement.
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| 2. |
- Onsjö, Marja, 1979, et al.
(författare)
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No child is an island – The life situation before and during treatment for children exposed to family violence
- 2022
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Ingår i: Human Systems - Therapy, Culture and Attachments. - : SAGE Publications. - 2634-4041. ; 2:2, s. 64-81
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Tidskriftsartikel (refereegranskat)abstract
- Compelling evidence indicates that child maltreatment is a risk factor for developing serious psychopathology. Trauma-focused treatment has been found to be effective, but not all children benefit from it. Interventions that consider multiple aspects of treatment that could improve the efficacy need to be developed. The present study explored how children exposed to family violence described their life situation before and during their contact with the child and adolescent mental health service. Thirteen children and adolescents were interviewed and we analysed the material using thematic analysis. Several of the participants reported continued violence, conflict and insecurity at home, in school and in other contexts. These results indicate how important it is never to assume that because children exposed to family violence are in treatment, they are safe in their homes. Interventions should therefore include continuous assessment of ongoing victimization and safety planning, considering children, not as isolated units, but in the context of complex life situations in which their well-being is affected by their parents, siblings and friends.
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