Abstract
How is it possible to help children with parents suffering from mental disorders and/or drug abuse issues so serious that they have difficulty providing good enough care? Currently, conversation groups with a psychoeducational approach are a popular initiative. In this chapter, the authors question the relevance of this initiative when it comes to meeting children’s basic human need for care and their desire to be taken seriously as meaning-making subjects. The authors argue for a change of approach from psychoeducation to an ethics-based practice inspired by the ideas of French psychoanalyst Jacques Lacan and the hermeneutics of German philosophers Hans-Georg Gadamer and Martin Heidegger. The empirical basis of the argument is the second author’s narratives about different interactive situations in seven conversation groups for children with parents suffering from mental disorders and/or drug abuse issues (mostly alcoholism) over a period of 2 years. The data material for the narratives consists of about 200 h of observation and dialogues with group leaders and children.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Notes
- 1.
It is also conceivable that the manuals may prevent burnout since they invite the group leaders to take a general position in the conversations with the children, which does not presuppose emotional involvement. But we need more empirical data to conclude anything about whether the manuals contribute to or prevent burnout or do both.
References
Aamodt, L. G., & Aamodt I. (2005). Tiltak for barn med psykisk syke foreldre. (Measures for children with parents with mental disorders). Report. Region Centre for Children’s and Youth’s Mental Health, Health-region East and South.
Almvik, A., & Ytterhus, B. (2004). Ualminnelig alminnelighet—barn og unges hverdagsliv når mor har psykiske vansker (Uncommon generality—Children’ s and young people’s everyday life when mother has mental health problems). Report. Institute of Social Work and Health Sciences, NTNU.
Amble, N. (2010). Når smilet er arbeid—Om rytme og bærekraft i arbeid med mennesker. (When the smile is labor—About rhythm and sustainability in working with people). Tidsskrift for Arbejdsliv (Journal of Working Life), 12(3), 40–56. https://doi.org/10.7146/tfa.v12i3.108867
Bauman, Z. (1993). Postmodern ethics. Blackwell.
Christoffersen, S. (Ed.). (2011). Profesjonsetikk: Om etiske perspektiver i arbeidet med mennesker (Profession-ethics: on ethical perspectives in working with people). Universitetsforlaget.
Engelsrud, G., Øien, I., & Nordtug, B. (2018). Being present with the patient—A critical investigation of bodily sensitivity and presence in the field of physiotherapy. Physiotherapy Theory and Practice. https://doi.org/10.1080/09593985.2018.1460431
Fink, B. (1995). The Lacanian subject. Between language and jouissance. Princeton University Press.
Gadamer, H.-G. (2010). Sannhet og metode: Grunntrekk i en filosofisk hermeneutikk. (original: Wahrheit und Methode, 1960). Pax Forlag.
Giddens, A. (1991). Modernity and self-identity. Self and society in the late modern age. Polity Press.
Grimsgaard, C. (2019). Om å holde noe av et barns liv i sin hånd. (About holding something of a child’s life in one’s hand). Ph.D. thesis in Social Work. Inland Norway University of Applied Sciences.
Harasym, S. (Ed.). (1998). Levinas and Lacan. The missed encounter. State University of New York Press.
Heidegger, M. (2007). Væren og tid (original: Sein und Zeit, 1927). Pax Forlag.
Helsedepartementet. (2003). Regjeringens strategiplan for barn og unges psykiske helse (The government’s strategy plan for children and young people’s mental health). https://www.regjeringen.no/globalassets/upload/kilde/hd/bro/2003/0004/ddd/pdfv/187063-s.pdf
Helsedirektoratet. (2010). Barn som pårørende (Children as relatives). https://helsedirektoratet.no/Lists/Publikasjoner/Attachments/414/Barn-som-parorendeIS-5-2010.pdf
Hjelmeland, H., & Knizek, B. L. (2017). Suicide and mental disorders: A discourse of politics, power and vested interests. Death Studies (Special Issue on Critical Suicidology), 41(8), 481–492. https://doi.org/10.1080/07481187.2017.1332905
Hochschild, A. R. (1983). The managed heart—Commercialization of human feeling. University of California Press.
Irigaray, L. (1986). The fecundity of the caress: A reading of Levinas. In R. Cohen (Ed.), Face to face with Levinas (pp. 231–256). State University of New York Press.
Lacan, J. (1999). On feminine sexuality. The limits of love and knowledge. Book XX. Encore 1972–1973. W.W. Norton & Company.
Lacan, J. (2006). Écrits: the first complete edition in English. W.W. Norton.
Levinas, E. (1997). Otherwise than being or beyond essence. Kluwer Academic.
Madsen, O.J. (2020). Livsmestring på timeplanen (Life Mastery on schedule). Spartacus.
Meld. St. nr. 25. (1996–1997). Åpenhet og helhet: Om psykiske lidelser og tjenestetilbudene (Openness and wholeness: Governmental report about mental disorders and the services offered). https://www.regjeringen.no/no/dokumenter/st-meld-nr-25_1996-97/id191086/
Mevik, K., & Trymbo, B. E. (2002). Når foreldre er psykisk syke (When parents suffer from mental disorders). Universitetsforlaget.
Nasjonalt kompetansesenter for læring og mestring (National Competence Centre of Learning and Mastery). (2011). SMIL-grupper: En guide for etablering. http://mestring.no/wp-content/uploads/2013/05/smil_guide_2011.pdf
Nordtug, B. (2012). De kunnskapsrike pasientene (The knowledgeable patients). Tidsskrift for den Norske Legeforening (Journal of the Norwegian Medical Association), 132(9), 1122–1124. https://doi.org/10.4045/tidsskr.11.0597
Nordtug, B. (2014). Levinas’s ethics as a basis in healthcare—Challenges and dilemmas. Nursing Philosophy, 16(1), 51–63. https://doi.org/10.1111/nup.12072
Nordtug, B. (forthcoming 2022). Hva vet vi egentlig? (What do we really know?). Vidarbokforlaget.
Nortvedt, P. (2003). Levinas, justice and healthcare. Medicine, Healthcare and Philosophy, 6(1), 25–34. https://doi.org/10.1023/A:1022534902202
Østerberg, D. (1966). Forståelsesformer (Forms of understanding). Gyldendal Norwegian Publisher.
Östman, M. (2008). Interviews with children of persons with a severe mental illness—Investigating their everyday situation. Nordic Journal of Psychiatry, 62(5), 354–359. https://doi.org/10.1080/08039480801960065
Peirce, C. S. (1974). In C. Hartshorne & P. Weiss (Eds.), Collected papers of Charles S. Peirce Vols I–VI: 1931–1935. The Belknap Press of Harvard University Press.
Prop. nr. 63. (1997–98). Om Opptrappingsplanen for psykisk helse 1999–2006 (About the Governmental Proposal for Mental Health 1999–2006). Sosial- og helsedepartementet. https://www.regjeringen.no/no/dokumenter/stprp-nr-63-1997-98-/id201915/
Skårderud, F., Sommerfeldt, B., & Fonagy, P. (2012). Den reflekterende kroppen. Mentalisering og spiseforstyrrelser (The reflective body. Mentalization and eating disorders). Mellanrummet, 26, 6–21.
Tjora, A. (Ed.). (2008). Den moderne pasienten (The modern patient). Gyldendal Akademisk.
Torvik, F. A., & Rognmo, K. (2011). Barn av foreldre med psykiske lidelser eller alkoholmisbruk: Omfang og konsekvenser (Children of parents with mental disorders or alcohol abuse: Extent and consequences). Report. Folkehelseinstituttet. https://www.fhi.no/globalassets/dokumenterfiler/rapporter/2011/rapport-20114-pdf.pdf
Voksne for Barn (Adults for Children). (2008). Mestringsgrupper (Mastery groups). Manual. Internal document.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Nordtug, B., Grimsgaard, C. (2021). On the Care of Children Entrusted in our Hands: Reflections on the Position of Knowledge in Ethics-Based Practices. In: Knizek, B.L., Klempe, S.H. (eds) Foundation of Ethics-Based Practices. Annals of Theoretical Psychology, vol 18. Springer, Cham. https://doi.org/10.1007/978-3-030-83666-5_8
Download citation
DOI: https://doi.org/10.1007/978-3-030-83666-5_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-83665-8
Online ISBN: 978-3-030-83666-5
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)