2024 Volume 44 Pages 546-556
Purpose: This study aimed to examine the influencing factors of the attachment formation process for homebound children with severe physical and mental disabilities and their families.
Method: Semi-constructive interviews were conducted with 10 family members of homebound children with severe physical and mental disabilities, and the lifeline method was utilized for subjective emotions. Analysis was performed with MAXQDA using the trajectory equifinality approach.
Results: The attachment formation process was divided into three phases: Phase 1 was the [unexpected difficulties period], phase 2 was the [search for a sense of security at home period], and phase 3 was the [creating ties to the local community period]. Ten categories of Social Guidance and 7 categories of Social Direction were identified as influencing factors.
Discussion: Families faced a life-threatening situation and sought a relationship with their child, while having anxieties towards the local community’s acceptance system in the midst of a restless life for the sake of home care for their child. It is believed that increased community empowerment to support families will lead to support for a stable attachment formation process.