Child and adolescent-to-parent violence and abuse (CAPVA) refers to abusive and violent behaviours by children towards their parents or primary caregivers. The abuse and harmful behaviours can include a full range of physical, emotional, verbal, financial, and material actions over prolonged periods of time, from childhood to young adulthood. Parents and caregivers of children with neuro-developmental conditions are vulnerable to CAPVA, and little research has been undertaken exploring the experiences of caregivers of children with fetal alcohol spectrum disorder (FASD). In Aotearoa New Zealand, 56 caregivers were interviewed using semi-structured interviews, and over half identified significant levels and impacts of CAPVA, including dealing with physical violence and frequent emotional abuse. Health and stress issues were present in all caregivers interviewed. Caregivers also identified how systemic ignorance and a lack of understanding from caring professionals led to parent blaming, a sense of shame and isolation. Yet, caregivers also showed resilience and implemented strategies of de-escalation and distraction. More specialised practice is needed in this emerging field of family violence and in how to support families with children who have FASD.

中文翻译：

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“没有人相信我们：没有人来帮忙”：护理人员遭受胎儿酒精谱系障碍儿童暴力和虐待的经历

儿童和青少年对父母的暴力和虐待（CAPVA）是指儿童对其父母或主要照顾者的虐待和暴力行为。虐待和有害行为可以包括从童年到成年初期的长期的各种身体、情感、言语、经济和物质行为。患有神经发育疾病的儿童的父母和照顾者很容易受到 CAPVA 的影响，而且很少有研究探索患有胎儿酒精谱系障碍 (FASD) 儿童的照顾者的经历。在新西兰，56 名护理人员接受了半结构化访谈，超过一半的人确定了 CAPVA 的显着水平和影响，包括处理身体暴力和频繁的精神虐待。所有接受采访的护理人员都存在健康和压力问题。护理人员还发现，系统性的无知和护理专业人士缺乏理解是如何导致父母责备、羞耻感和孤立感的。然而，护理人员也表现出了韧性，并实施了降级和分散注意力的策略。在这个新兴的家庭暴力领域以及如何支持有胎儿酒精谱系障碍 (FASD) 儿童的家庭中，需要更专业的实践。