Social exclusion and inclusion: perception of family members living with a person with autism spectrum disorder

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35103

Keywords:

Autistic spectrum disorder; Family; Social exclusion; Social stigma; Life change events.

Abstract

Objective: Identify evidence of social inclusion and exclusion perceived by family members, due to living with a person diagnosed with Autism Spectrum Disorder (ASD). Methodology: The study was conducted following a qualitative approach, in which five families that live with a person diagnosed with ASD were part of our analysis, involving fathers (2), mothers (5), brothers (2) and grandmother (1). Data collection was carried out through recorded interviews, using the Critical Incident Technique, and data were organized using Bardin's thematic content analysis. Results: Two thematic categories emerged: “The context of autistic life and its adversities facing stigma and exclusion" and "A positive view of Autism Spectrum Disorder." The first addresses the adversities and difficulties faced in identifying the disorder and in the process of family adaptability. This category also takes into consideration society's and family's lack of knowledge about ASD, which leads to social exclusion. The second category exhibits lessons learned while living with a person diagnosed with ASD. Conclusion: Furthermore, it portrays the adaptation and growth occurred in intrafamily relationships. Therefore, daily living with a person with ASD is characterized by adversity, stigma and social exclusion. However, it also distinguishes the resilience and overcoming of family members.

References

Aguiar, M. C. M. & Pondé, M. P. (2020). Autism: impact of the diagnosis in the parentes. J Bras Psiquiatr., 69(3), 149-155.

American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Publishing.

Anjos, B. B. & Morais, N. A. (2021). Experiences of families with autistic children: an integrative literature review. Cienc. Psicol., 15(1), e-2347.

Ardic, A. (2020). Relationship between parental burnout level and perceived social support levels of parents of children with Autism Spectrum Disorder. Int J Educ Method., 6(3), 533-543.

Balestro, J. I. & Fernandes, F. D. M. (2012). Questionnaire about communicative difficulties perceived by parents of children of the autism spectrum. Rev Soc Bras Fonoaudiol., 17(3), 279-286.

Bardin, L. (2016). Content analysis. Translated by Reto, L. A. & Pinheiro, A. São Paulo: 70th ed.

Bianchi, E. & Jurado, S. R. (2019). Biomedicalization of times: therapies, biosocialities and daily cares in children with ASD diagnostic in Buenos Aires. Saude Soc., 28(1), 92-106.

Bidaki, Z. Z. & Jahangiri, M. M. (2019). Effectiveness of acceptance and commitment-based therapy on psychological flexibility among mothers with autistic children. J Arak Uni Med Sci., 21(7), 41-47.

Brazilian Association for Action for the Rights of Autistic Persons (ABRAÇA). (2016). Manifesto: I am autistic, I have the right to my own body. Brazilian Association for Action for the Rights of People with Autism.

Carvalho, L. S.; Santana, I. G. L.; Freitas, C. K. A. C.; Medeiros, A. de A.; Santos, A. de J.; Santos, B. G. de A.; Barreiro, M. do S. C.; Melo, M. S.; Santos, T. S.; Silva, G. M. Evaluation of the opinion of undergraduate students in the health area regarding people with mental disorders. Research, Society and Development, [S. l.], v. 10, n. 14, p. e269101422134, 2021. DOI: 10.33448/rsd-v10i14.22134. https://rsdjournal.org/index.php/rsd/article/view/22134. Acesso em: 15 sep. 2022.

Chan, J. Y. & Lai, K. Y. (2016). Psychological adjustment of siblings of children with autism spectrum disorder in Hong Kong. East Asian Arch Psychiatry, 26(4), 141-147.

Cloete, L. G. & Obaigwa, E. O. (2019). Lived experiences of caregivers of children with autism spectrum disorder in Kenya. Afr J Disabil, 8, 435-443.

Constantinidis, T. C.; Silva, L. C. & Ribeiro, M. C. C. (2018). Everyone Wants To Have a Perfect Child”: Being Mother of Children with Autism. Psico-USF, 23(1), 47-58.

Dela Coleta, J. A. (1974). The critical incident technique: applications and results. Arq. Bras. Psic. Aplic., 26(2), 35-58.

Derguy, C.; Roux, S.; Portex, M. & M’bailara K. (2018). An ecological exploration of individual, family, and environmental contributions to parental quality of life in autism. Psychiat Res., 268, 87–93.

Desiningrum, D. R.; Suminar, D. R. & Surjaningrum, E. R. (2019). Psychological well-being among mothers of children with autism spectrum disorder: the role of family function. Humanitas, 16(2), 106-115.

Ekas, N. V.; Pruitt, M. M. & McKay, E. (2016). Hope, social relations, and depressive symptoms in mothers of children with autism spectrum disorder. Res Autism Spect Dis., 29(30), 8–18.

Estrem, H. H.; Thoyre, S. M.; Knafl, K. A.; Pados, B. F. & Van Riper, M. (2018). “It’s a long-term process”: description of daily family life when a child has a feeding disorder. J Pediatr Health Care, 32(4), 340–347.

Fadda, G. M. & Cury, V. E. (2019). The experience of parents in the relationship with their child diagnosed with autism. Psic. Teor. e Pesq., 35(spe).

Fernandes, A. D. S. A.; Speranza, M.; Mazak, M. S. R.; Gasparini, D. A. & Cid, M. F. B. (2021). Everyday challenges and caring possibilities for children and adolescents with Autistic Spectrum Disorder (ASD) in the face of COVID-19. Reflection Article/Essay. Cad. Bras. Ter. Ocup., 29.

Ferreira, M. & Smeha, L. N. (2018). The experience of being a mother of a child with autism in the single-parenthood contexto. Psicol. Rev., 24(2), 462-481.

Gallo, A.; Wertz, C.; Kairis, S. & Blavier, A. (2019). Exploration of relationship between parental distress, family functioning and post-traumatic symptoms in children. European Journal of Trauma and Dissociation, 3, 125-133.

Lima, R. C. & Couto, M. C. V. (2020). Perceptions on autism and experiences of overload in everyday care: a study with relatives of CAPSi from the Metropolitan Region of Rio de Janeiro. Brazilian Journal of Mental Health, 12(31), 217-244.

Lu, C.; Yuan, L.; Lin, W.; Zhou, Y. & Pan, S. (2017). Depression and resilience mediates the effect of family function on quality of life of the elderly. Arch Gerontol Geriatr., 71, 34–42.

Machado, G. D. S. (2019). The importance of routine for autistic children in basic education. GepesVida Magazine, 9(1), 100-114.

Mapelli, L. D.; Barbieri, M. C.; Castro, G. V. D. Z. B.; Bonelli, M. A.; Wernet, M. & Dupas, G. (2018). Child with autistic spectrum disorder: care from the family. Esc Anna Nery, 22(4), e20180116.

Menezes Neto, J. B. de; Silva, E. de S. M. e; Figueira, G. M.; Souza, J. C. The stigma of mental illness among students and health professionals. Research, Society and Development, [S. l.], v. 10, n. 3, p. e8310312899, 2021. DOI: 10.33448/rsd-v10i3.12899. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12899. Acesso em: 15 sep. 2022.

Mira, A.; Berengher, C.; Baixauli, I.; Roselló, B. & Miranda, A. (2019). Family context of children with autism: implications for social and emotional development. Medicine, 79(Supl.I), 22-26.

Mitchell, A. E.; Whittingham, K.; Steindl, S. & Kirby, J. (2018). Feasibility and acceptability of a brief online self-compassion intervention for mothers of infants. Arch Womens Ment Health, 21(5), 553–561.

Ortega, F. (2009). Disability, autism and neurodiversity. Ciênc. Saúde Coletiva, 14(1), 67-77.

Pereira, A. I. L.; Fernandes, O. M. & Relva, I. C. (2018). Psychopathological symptomatology and social support in parents of children with autism spectrum disorder. Análise Psicológica, 36(3), 327-340.

Plumb, J. C. (2011). The impact of social support and family resilience on parental stress in families with a child diagnosed with an Autism Spectrum Disorder [dissertation]. University of Pennsylvania.

Portes, J. R. M. & Vieria, M. L. (2020). Coparenting in the family context of children with autism spectrum disorder. Psicol. Estud., 25.

Pratt, K. J. & Skelton, J. A. (2018). Family functioning and childhood obesity treatment: A Family Systems Theory-informed approach. Acad Pediatr., 18(6), 620–627.

Predescu, E. & Şipoş, R. (2017). Family quality of life in autism spectrum disorders (ASD). In: Fitzgerald, M. & Yip, J., editors. AUTISM paradigms, recent research and clinical applications. InTech, Chapter 7, 87-111.

Reddy, G.; Fewster, D. L. & Gurayah, T. (2019). Parent’s voices: experiences and coping as a parent of a child with autism spectrum disorder. S. Afr. J. Occup. Ther., 49(1), 43-50.

Ribeiro, S. H.; Paula, C. S.; Bordini, D.; Mari, J. J. & Caetano, S. C. (2017). Barriers to early identification of autismo. Braz J Psychiatry, 39(4), 352-354. Segeren, L. & Françozo, M. F. C. (2014). The living experiences of mothers of autistic youngsters. Psicol. Estud., 19(1), 39–46.

Smeha, L. N. & Cezar, P. K. (2011). The living of maternity with autist children mothers. Psicol. Estud., 16(1), 43-50.

Starr, E. M. & Foy, J. B. (2012). In parents’ voices: the education of children with autismo spectrum disorders’. Remedial Spec Educ., 33(4), 207-216.

World Health Organization (WHO). (2013). Comprehensive and coordinated efforts for the management of autism spectrum disorder. https://apps.who.int/gb/ebwha/pdf_files/eb133/b133_4-en.pdf.

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Published

29/09/2022

How to Cite

DECESARO, S. R.; LOPES, J. C.; LOPES, A. P. A. T. Social exclusion and inclusion: perception of family members living with a person with autism spectrum disorder. Research, Society and Development, [S. l.], v. 11, n. 13, p. e100111335103, 2022. DOI: 10.33448/rsd-v11i13.35103. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35103. Acesso em: 19 apr. 2024.

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Section

Health Sciences