Abstract
Compared to typically developing people, adults with high functioning autism (HFA) are more likely to have been abused during childhood, which would inescapably affect the present relationship with their parent(s). This paper narrates the healing journey of a Hong Kong Chinese family of an adult daughter with HFA, depression and suicidality through two family-focused interventions, structural family therapy (SFT) and multiple family therapy (MFT). Identifying the history of child maltreatment sheds light on direction for treatment. Treatment principles of SFT and MFT adapted to meeting the needs of this clientele are highlighted. Issues of integrating these two approaches are discussed.
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References
American Psychiatric Association. (2013). Diagnostic and statistics manual 5. Washington: APA.
Asen, E., & Scholz, M. (2009). Multi-family therapy: Concepts and techniques. New York: Routledge.
Aston, M. C. (2003). Asperger syndrome in the counselling room. Counselling and Psychotherapy Journal,14(5), 10–12.
Bobilya, A. J., McAvoy, L. H., & Kalisch, K. R. (2005). The power of the instructor in the solo experience: An empirical study and some non-empirical questions. Journal of Adventure Education & Outdoor Learning,5(1), 35–50.
Brenner, J., Pan, Z., Mazefsky, C., Smith, K. A., & Gabriels, R. (2018). Behavioral symptoms of reported abuse in children and adolescents with autism spectrum disorder in inpatient settings. Journal of Autism Development Disorder,48, 3727–3735.
Bronfenbrenner, U. (1993). The ecology of cognitive development: Research models and fugitive findings. In R. H. Wozniak & K. W. Fischer (Eds.), Acting and thinking in a specific environments (pp. 3–44). Hillsdale, NJ: Erlbaum.
Centers for Disease Control and Prevention, USA. (2014). Autism spectrum disorder (ASD): Data and statistics. Retrieved July 23, 2019, from https://www.cdc.gov/ncbddd/autism/data.html.
Chan, K. K. S., & Lam, C. B. (2016). Parental maltreatment of children with autism spectrum disorder: A developmental-ecological analysis. Research in Autism Spectrum Disorders,32, 106–114. https://doi.org/10.1016/j.rasd.2016.09.006.
Chan, R. W. S., Leung, C. N. W., Ng, D. C. Y., & Yau, S. S. W. (2017). Validating a culturally-sensitive social competence training programme for adolescents with ASD in a Chinese context: An initial investigation. Journal of Autism Developmental Disorder. https://doi.org/10.1007/s10803-017-3335-6.
Chiu, Y. L., Kao, S. Y., Tou, S. W., & Lin, F. G. (2016). Effects of heterogeneous risk factors on psychological distress in adolescents with autism and victimization experiences in Taiwan. Disability and Rehabilitation,40(1), 42–51. https://doi.org/10.1080/09638288.2016.1242173.
Hoover, D. W., & Kaufman, J. (2018). Adverse childhood experiences in children with autism spectrum disorder. Current Opinion Psychiatry,31, 128–132. https://doi.org/10.1097/YCO.0000000000000390.
Johnson, B. H. (2000). Family-centred care: Four decades of progress. Family, Systems and Health,18, 137–156.
Johnson, J. (2012). Treating couples raising children on the autism spectrum: A marriage-friendly approach. Contemporary Family Therapy,34, 555–565. https://doi.org/10.1007/x10591-012-9213-7.
Lemmens, G. M., Eisler, I., Buysse, A., Heene, E., & Demyttenaere, K. (2009). The effect on mood of adjunctive single family and multi-family group therapy in the treatment of hospitalized patients with major depression: An RCT and 15 months follow-up study. Psychotherapy & Psychosomatics,78, 98–105. https://doi.org/10.1159/000201935.
Lewis, L. F. (2017). “We will never be normal”: The experience of discovering a partner has autism spectrum disorder. Journal of Marital and Family Therapy,43(4), 631–643. https://doi.org/10.1111/jmft.12231.
Ma, J. L. C., Lai, K. Y. C., & Xia, L. L. (2018). Treatment efficacy of multiple family therapy for Chinese families of children with attention deficit hyperactivity disorder. Family Process,57(2), 399–414. https://doi.org/10.1111/famp.12297.
Ma, J. L. C., Wong, J. C. Y., & Xia, L. L. L. (2019). Helping a depressed Chinese adult with high functioning autism reconnect with his family through structural family therapy. Journal of Family Therapy. https://doi.org/10.1111/1467-6427.12281.
Minuchin, S., & Nichols, M. P. (1993). Family healing. New York: The Free Press.
Minuchin, S., Nichols, M. P., & Lee, W. Y. (2007). Assessing families and couples from symptom to system. Boston: Pearson Education Inc.
Parker, M. L., & Molteni, J. (2017). Structural family therapy and autism spectrum disorder: Bridging the disciplinary divide. The American Journal of Family Therapy,45(3), 135–148. https://doi.org/10.1080/01926187.2017.1303653.
Tadros, E. (2019). The Tadros theory of change: An integrated structural, narrative, and solution-focused approach. Contemporary Family Therapy,41, 347–356. https://doi.org/10.1007/s10591-019-09502-z.
Wallace, L. R. (2016). The impact of family autism camp on families and individuals with ASD. The Qualitative Report,21(8), 1441–1453.
World Health Organization (2019). Facts about Autism Spectrum Disorder. Retrieved August 31, 2019, from https://www.who.int/news-room/fact-sheets/detail/autism-spectrum-disorders.
Wu, D. Y. H. (1996). Parental control: Psycho-cultural interpretations of Chinese patterns of socialization. In S. Lau (Ed.), Growing up the Chinese way: Chinese child and adolescent development (pp. 1–28). Hong Kong: The Chinese University Press.
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The SAHK financially supported this clinical study. Gratitude should be sent to the participating families of the study.
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Ma, J.L.C., Wong, Cy., Xia, L.L.L. et al. Repairing the Parent–Child Relationship for a Hong Kong Chinese Family of an Adult Daughter with High Functioning Autism (HFA) Through Structural Family Therapy and Multiple Family Therapy. Contemp Fam Ther 42, 121–130 (2020). https://doi.org/10.1007/s10591-019-09529-2
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DOI: https://doi.org/10.1007/s10591-019-09529-2