Practitioner Development

Narrating disability, narrating religious practice: reconciliation and fragile X syndrome.

Michie et al. (2010) · Intellectual and developmental disabilities 2010
★ The Verdict

Moms of kids with fragile X often reframe the diagnosis as a divine blessing, and joining that narrative builds rapport.

✓ Read this if BCBAs who coach or assess fragile X families in home or clinic.
✗ Skip if RBTs working only with autism-only caseloads who never meet fragile X parents.

01Research in Context

01

What this study did

Marsha et al. (2010) talked with mothers who have a child with fragile X syndrome.

The team used open interviews to learn how moms make sense of the diagnosis.

They wanted to see if faith stories helped families cope.

02

What they found

Most moms told a religious reconciliation story.

They said the child was a blessing or part of God’s plan.

This story helped them feel hope and purpose.

03

How this fits with other research

Lalvani (2008) saw the same meaning-making in Down syndrome moms, but they used culture instead of church.

Howlin et al. (2006) and McCarthy et al. (2006) showed these moms feel high stress; Marsha explains one way they soothe it.

Raspa et al. (2014) later counted the same families and found high life quality, backing up that the faith story works.

04

Why it matters

When you meet a fragile X caregiver, expect talk of fate, blessing, or God’s plan.

Mirror that language in your notes and chats.

It builds trust and keeps moms engaged in therapy.

If you hear guilt or anger under the faith talk, link the family to a parent group or chaplain so the story stays helpful, not harmful.

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Add one open question like “Some parents see a bigger purpose in their child—does that fit for you?” to your caregiver intake form.

02At a glance

Intervention
not applicable
Design
qualitative
Population
other
Finding
not reported

03Original abstract

This article examines the place of religion in the narratives of mothers of children with fragile X syndrome. In semistructured interviews, a majority of women combined narratives of religious practice with illness narratives, interpreting their children's disabilities within a religious framework. Informed by Arthur Frank's (1995) concept of "wounded storytellers," the authors articulate a reconciliation narrative that mothers commonly used to describe their transition from viewing disability as a burden or challenge to seeing it as a blessing, or as a part of God's purpose or plan for their lives. The authors discuss the significance of narrative for better understanding religious perspectives on disability and conclude with the implications of these findings for practitioners and future research.

Intellectual and developmental disabilities, 2010 · doi:10.1352/1934-9556-48.2.99