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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

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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.

    Google Scholar 

  • Asen, E., & Scholz, M. (2009). Multi-family therapy: Concepts and techniques. New York: Routledge.

    Google Scholar 

  • Aston, M. C. (2003). Asperger syndrome in the counselling room. Counselling and Psychotherapy Journal,14(5), 10–12.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Johnson, B. H. (2000). Family-centred care: Four decades of progress. Family, Systems and Health,18, 137–156.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Minuchin, S., & Nichols, M. P. (1993). Family healing. New York: The Free Press.

    Google Scholar 

  • Minuchin, S., Nichols, M. P., & Lee, W. Y. (2007). Assessing families and couples from symptom to system. Boston: Pearson Education Inc.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Wallace, L. R. (2016). The impact of family autism camp on families and individuals with ASD. The Qualitative Report,21(8), 1441–1453.

    Google Scholar 

  • 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.

    Google Scholar 

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Acknowledgements

The SAHK financially supported this clinical study. Gratitude should be sent to the participating families of the study.

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Authors and Affiliations

  1. Department of Social Work, The Chinese University of Hong Kong, Hong Kong, China

    Joyce L. C. Ma, Lily L. L. Xia & Julia W. K. Lo

  2. ‘True Colours’ Autism Support Service, SAHK, Kowloon, Hong Kong

    Chi-yan Wong

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  1. Joyce L. C. Ma
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  2. Chi-yan Wong
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  3. Lily L. L. Xia
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  4. Julia W. K. Lo
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Correspondence to Joyce L. C. Ma.

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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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