De la perturbation à la connexion : un modèle de pratique fondé sur la famille pour améliorer les relations dans les familles d'adolescents autistes
Titre original en anglais : From Disruption to Connection: A Family-Based Practice Model for Enhancing Relationships in Families of Autistic Adolescents
Trew, S. & Lawson, W. (2026). From Disruption to Connection: A Family-Based Practice Model for Enhancing Relationships in Families of Autistic Adolescents. Child Psychiatry & Human Development. https://doi.org/10.1007/s10578-026-02021-7
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Résumé
Les recherches examinant les relations familiales dans les familles comptant des membres autistes demeurent limitées, et les cadres intégratifs qui traduisent les données probantes en pratiques centrées sur la famille sont rares. Les interventions existantes donnent souvent la priorité à la gestion des symptômes individuels plutôt qu'au renforcement des relations familiales et de la connexion. Cet article présente un modèle de pratique éclairé par les données probantes, conçu pour améliorer les relations et la connexion dans les familles d'adolescents autistes, fondé sur la théorie des systèmes. Le modèle s'appuie sur une recherche qualitative menée auprès de 44 participants issus de 18 familles, y compris des adolescents autistes, des parents et des frères et sœurs. Les expériences et dynamiques des relations familiales ont été explorées, sept résultats clés alimentant le cadre conceptuel et le modèle de pratique. Des facteurs perturbateurs tels que le stress, les conflits, la charge des aidants et les difficultés relationnelles ont contribué au repli et à la déconnexion, tandis que des facteurs de connexion, notamment la communication, le travail d'équipe, les routines et les expériences positives partagées, ont favorisé les liens. Le modèle de pratique comprend six éléments et est guidé par dix principes relatifs à la structure familiale, aux rôles, à la communication et aux schémas adaptatifs. Ce modèle comble des lacunes en matière de soutien familial holistique et offre aux praticiens des stratégies centrées sur la famille, éclairées par les données probantes, qui s'appuient sur les forces tout en abordant les difficultés relationnelles.
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