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Protecting the Interests and Welfare of Vulnerable Children
Published in Jo Bridgeman, Medical Treatment of Children and the Law, 2020
Many of the cases in which care proceedings have been initiated, like A Local Authority and An NHS Trust v MC & FC & C have involved children with severe disabilities in relation to whom concerns have arisen about the ability of the child’s parents, who have been their primary carer, to continue to meet their needs.100 Concerns that parental care is putting the child at risk of significant harm may arise from lack of co-operation with, and aggression to, professionals involved in the provision of the child’s care.101 The threshold was crossed in A Local Authority v J, S and R in respect of the mother’s care of 11-year-old R, who was profoundly disabled as a consequence of a life-limiting, incurable, and progressive condition. Her mother had not attended all medical appointments, did not always follow medical advice, and was considered to be ‘chaotic’ in her decision-making about R, decisions which were not always considered to be in R’s best interests and were affected by her beliefs about R’s quality of life.102
Major Schools of Psychology
Published in Mohamed Ahmed Abd El-Hay, Understanding Psychology for Medicine and Nursing, 2019
Donald Winnicott (1896–1971) asserted that the interaction of mothers and infants over time is crucial in infant growth and development, and stressed the importance of the raising environment on the ability of children to develop a sense of independence. Adequate parental care includes psychological and physical protection of the child from discomfort. The developing child may develop either a true self (the part of the infant that feels creative, spontaneous, and real) with good enough care, or a false self (built on the basis of compliance) with inadequate care.
The Productivity of Care
Published in Christine M. Koggel, Joan Orme, Care Ethics, 2019
My critical interpretive inquiry1 draws on a multi-method approach: semi-structured in-depth interviews, weekly diaries, participant observation, online discussion forums between members of parents’ associations, ongoing conversations with the respondents beyond the interview context, key-informants interviews, secondary sources on informal care and parenthood collected from adoption agencies and local associations, journal and newspaper articles, and the web. Between winter 2005 and summer 2007, I interviewed 80 caregivers, mostly living in the Philadelphia urban and suburban areas.2 The respondents were different in terms of gender, sexual orientation, and marital status. Both child care and elderly care were included in my study, although parental care is the main kind of informal care I explored. The sample included gay/lesbian caregivers not only because they have been thus far excluded from the conceptual category of ‘normal’ caregivers and from ‘normal’ research on informal care, but also because they represented a key-subject to visualize the less explored rationales of care and the crucial role of emotion in the reproduction of social inequality.3 The goal of the empirical part of the research was to gain insights into how emotional stratification is reproduced in specific kinds of interaction ritual chains.
What Was on the Parents’ Minds? Changes Over Time in Topics of Person-Centred Information for Mothers and Fathers of Children with Cancer
Published in Comprehensive Child and Adolescent Nursing, 2023
Anders Ringnér, Maria Björk, Cecilia Olsson
The literature reports a variety of topics that parents need information about or that are addressed by health care providers. Medical topics include the child’s specific illness, prognosis, examinations, treatment, side-effects, and late effects. Topics on parental care of the child include nutrition, pain, complementary and alternative medicine, and palliative care. Psychosocial topics include the consequences on the family, emotional and existential concerns, and the child or adolescent’s schooling (Kelly & Porock, 2005; Kılıçarslan Törüner & Akgün Çıtak, 2013; C. Rodgers et al., 2018). These informational needs are complex and comprehensive, and they change along the illness trajectory. Parents ask for information about diagnosis, chemotherapy, and clinical trials more often at diagnosis, while information about coping strategies and immunosuppression gets increasingly important later in the treatment (Kelly & Porock, 2005; Kılıçarslan Törüner & Akgün Çıtak, 2013; C. C. Rodgers et al., 2016).
Understanding attachment in homeless adolescents and emerging adults with pets
Published in Journal of Social Distress and Homelessness, 2023
Mary Hartsell, Tara Rava Zolnikov
Participants often felt outcomes associated with insecure or withdrawn attachment. These outcomes can include insensitive, inconsistent, and affective negative parental care. Participants felt that their parents were egocentric and more interested in their own lives than their children’s lives. “I want to love my parents [but I don’t] have parents who are interested in me.” P.3. This situation could result in abuse. “If my mom did not like what I was doing or she was mad at me, she would severely abuse me- punch me in the eye—kick me—throw me in a closet and lock it—call me vile names—I was and am still afraid of my mom.” P.3. Other participants explained how they did not have anyone to talk to about their lack of parental care, including their other non-primary caretaking parent. “I felt like my parents always chose their own needs or their boyfriend/girlfriend’s needs over my own.” P.17.
Lost in freedom: ambivalence on sexual freedom among Burundian adolescents living in the Nakivale refugee settlement, Uganda
Published in Sexual and Reproductive Health Matters, 2021
Yvette Ruzibiza, Lidewyde Berckmoes, Stella Neema, Ria Reis
While socio-economic differences between families were generally downplayed by Nakivale residents, perhaps due to the shared circumstances of displacement, some interlocutors suggested that families with an educated parent were frequently better off. These parents often worked in Kampala or Mbarara and sent money to support their families. Families with (adult) children in Europe or the USA also benefitted from their support through remittances, which reduced the families’ material strain in the settlement. However, most of the adolescents in our study described their life situation in terms of poverty, a poverty that helped to explain, but not excuse, parental neglect. The problem of who provides is crucial for understanding the complicated relations between Burundian parents and their adolescent children in the refugee setting. The narratives of adolescents reveal how relationships with parents are jeopardised when the UNHCR, rather than parents, provides, or if an adolescent can provide for him/herself. When parents directly provide for their children and their children therefore depend on them, parental care is reciprocated with respect, including acceptance of parental authority regarding boundaries to sexual freedoms. The involuntary, poverty-induced dissolution of the social-cultural contract between parents and children, appraised by adolescents as parental neglect, leads to the disempowerment and disrespect of parents and lies at the root of the ambivalence on sexual freedom. The lack of parental authority and engagement leads to the positive side of sexual freedom, as well as to too much freedom that harms.