Tensions in Maternal Care for Children, Youth, and Adults With Autism Spectrum Disorder

This study explored the experiences of mothers caring for an individual with autism spectrum disorder (ASD) ranging from 5 to 25 years of age, and examined pervasive tensions in caregiving. Guided by ethnographic methods, a retrospective cross-sectional study was conducted. Interviews with 85 mother...

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Main Authors: David B. Nicholas, Radha MacCulloch, Wendy Roberts, Lonnie Zwaigenbaum, Patricia McKeever
Format: Article
Language:English
Published: SAGE Publishing 2020-02-01
Series:Global Qualitative Nursing Research
Online Access:https://doi.org/10.1177/2333393620907588
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author David B. Nicholas
Radha MacCulloch
Wendy Roberts
Lonnie Zwaigenbaum
Patricia McKeever
author_facet David B. Nicholas
Radha MacCulloch
Wendy Roberts
Lonnie Zwaigenbaum
Patricia McKeever
author_sort David B. Nicholas
collection DOAJ
description This study explored the experiences of mothers caring for an individual with autism spectrum disorder (ASD) ranging from 5 to 25 years of age, and examined pervasive tensions in caregiving. Guided by ethnographic methods, a retrospective cross-sectional study was conducted. Interviews with 85 mothers were analyzed inductively. Prevalent tensions in maternal caregiving were identified: (a) difficulties obtaining, yet resistance to, an ASD diagnosis; (b) identified giftedness of the child versus notions of deficit imposed by others; (c) disability-related behaviors erroneously interpreted as ‘poor parenting’; (d) contradictory considerations in diagnosis disclosure; (e) the invisibility yet pervasiveness of ASD; (f) extensive need for, yet the lack of, accessible services; (g) ASD-related care demands versus other pressing responsibilities; (h) arguments for inclusive versus exclusive services; and (i) aims of nurturing independence versus managing safety risk. Tensions were heightened by insufficient supports relative to need. Implications and recommendations for practice and policy are offered.
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spelling doaj.art-576add3f33534b8aa11e5f53a6d3373f2022-12-22T00:07:23ZengSAGE PublishingGlobal Qualitative Nursing Research2333-39362020-02-01710.1177/2333393620907588Tensions in Maternal Care for Children, Youth, and Adults With Autism Spectrum DisorderDavid B. Nicholas0Radha MacCulloch1Wendy Roberts2Lonnie Zwaigenbaum3Patricia McKeever4University of Calgary, Edmonton, Alberta, CanadaHolland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, CanadaIntergrated Services for Autism and Neurodevelopmental Disorders, Toronto, Ontario, CanadaUniversity of Alberta, Edmonton, Alberta, CanadaUniversity of Toronto, Toronto, Ontario, CanadaThis study explored the experiences of mothers caring for an individual with autism spectrum disorder (ASD) ranging from 5 to 25 years of age, and examined pervasive tensions in caregiving. Guided by ethnographic methods, a retrospective cross-sectional study was conducted. Interviews with 85 mothers were analyzed inductively. Prevalent tensions in maternal caregiving were identified: (a) difficulties obtaining, yet resistance to, an ASD diagnosis; (b) identified giftedness of the child versus notions of deficit imposed by others; (c) disability-related behaviors erroneously interpreted as ‘poor parenting’; (d) contradictory considerations in diagnosis disclosure; (e) the invisibility yet pervasiveness of ASD; (f) extensive need for, yet the lack of, accessible services; (g) ASD-related care demands versus other pressing responsibilities; (h) arguments for inclusive versus exclusive services; and (i) aims of nurturing independence versus managing safety risk. Tensions were heightened by insufficient supports relative to need. Implications and recommendations for practice and policy are offered.https://doi.org/10.1177/2333393620907588
spellingShingle David B. Nicholas
Radha MacCulloch
Wendy Roberts
Lonnie Zwaigenbaum
Patricia McKeever
Tensions in Maternal Care for Children, Youth, and Adults With Autism Spectrum Disorder
Global Qualitative Nursing Research
title Tensions in Maternal Care for Children, Youth, and Adults With Autism Spectrum Disorder
title_full Tensions in Maternal Care for Children, Youth, and Adults With Autism Spectrum Disorder
title_fullStr Tensions in Maternal Care for Children, Youth, and Adults With Autism Spectrum Disorder
title_full_unstemmed Tensions in Maternal Care for Children, Youth, and Adults With Autism Spectrum Disorder
title_short Tensions in Maternal Care for Children, Youth, and Adults With Autism Spectrum Disorder
title_sort tensions in maternal care for children youth and adults with autism spectrum disorder
url https://doi.org/10.1177/2333393620907588
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