Background and objective. In families with children with special needs, fathers play a crucial role in their growth and development. However, there has been a lack of research on the emotional impact on fathers when caring for children with special needs. The Department of Social Work and Social Administration, The University of Hong Kong conducted the first local study in Hong Kong called the "Father's Moral Emotions and Needs in Caring for Children with Special Needs Survey." This 1.5-year research used a mixed method design and took into consideration the influence of Chinese culture and traditional male roles on fathers in Hong Kong. The study aimed to understand the psychological and behavioural responses, such as shame and guilt, that fathers may experience when caring for children with special needs, particularly the stress that male caregivers/fathers may face.
Currently, there are no official statistics in Hong Kong on the number of fathers caring for children aged 2-12 with special needs. Based on this research, it is estimated that by mid-2023, there are 12,554 such fathers. The survey was conducted from May 2022 to September 2023 in two phases. The first phase involved qualitative research, conducting in-depth interviews with 31 fathers raising children aged 2-12 with special needs. The second phase developed scales based on the qualitative research results to measure fathers' shame and guilt and conducted quantitative research. A total of 437 valid questionnaires were collected to study fathers' involvement, moral emotions, explicit behaviors, and traditional male roles, resulting in key findings from the sample analysis.
Result. Qualitative results indicated that, according to the model of "Flagship of roles as fathers/men in rearing children with special needs", the roles of fathers and men in views of family and societal systems are somehow unique and mutually inclusive; (2) expanded the model of "Five stages of horseshoe-shaped emotional reactions of fathers rearing children with special needs" by highlighting that emotions of fathers in different stages of rearing their children with special needs are ambivalent, mixed and fluctuating; (3) proposed a unifying thematic framework of "Moral emotions (Shame and Guilt) and behavioural reactions of fathers and their children with special needs". Among fathers interviewed qualitatively, 71% experienced shame while caring for children with special needs, leading to avoidance behaviors in 80% of cases; 90% experienced guilt, resulting in compensation behaviors in 93% of cases.
Quantitative results highlighted the developing shame, guilt, avoidance, and compensation scales for fathers with children with special needs, validating the shortened form of assessing father involvement (Chinese version) and the Chinese Conformity to Masculine Norms Inventory. All proposed variables were significant, except the negative relationship between shame and father involvement. Path analysis results indicated that fathers of children with special needs, their Chinese masculine norms, and the dialogistic period of children had negative effects on their shame, but positive influences on guilt emotions, respectively. These effects were mediated by their avoidance and compensatory behaviour influencing father involvement. According to the relevant scales developed by the research team, only a small percentage of respondents in the quantitative study strongly disagreed with experiencing shame (9.8%), guilt (2.9%), avoidance (13.7%), and compensation (0.09%) behaviors when caring for children with special needs. The scale ranged up to 6 points, with average scores for shame (3.37), guilt (3.7), avoidance (3), and compensation (4.1) behaviors, showing that fathers experienced more guilt and compensation behaviors when caring for children with special needs.
The study also found that the reasons for fathers' experiences of moral emotions and outward behaviors can be divided into two main factors: social and family. Socially, when fathers and children with special needs exhibit socially inappropriate behaviors in public places (e.g., public transportation, playgrounds, malls) such as emotional outbursts or running away, they may feel shame due to negative reactions and remarks from others, leading to avoiding taking their children out and participating in social activities. Men tend to uphold their traditional male roles and faces, resulting in higher scores in relevant categories on the scale (shame – perceived negative reactions from others - 3.39; avoidance behaviors - reserved participation - 3.38). 5. In terms of family factors, interviewed fathers often feel extremely guilty about their intense emotional reactions when disciplining children with special needs. As men often value traditional male roles in discipline and tend to use harsh tones and punishment to control their children's abnormal behavior, these parenting methods often backfire, not only failing to help discipline special needs children but also lacking understanding and support from family members. This leads fathers to hope to reduce guilt through ongoing compensatory behaviors. Fathers' scores in relevant categories on the scale were also higher than the overall average (guilt - emotional wrongdoing - 3.86; compensation behaviors – recurrent compensation - 4.4).
In this study, the research team proposes the following recommendations:
Establish government-funded support centers for male/dad caregivers
In recent years, there have been tragic incidents involving caregivers of persons with disabilities under extreme stress, including many men/fathers' caregivers. Currently, services for caregivers of children with disabilities are often focused on women/mothers, while the needs of men/father’ caregivers are often overlooked, for example, group sharing sessions and service hours primarily during weekdays. This study illustrates the impact of moral emotions on men/fathers' caregivers' involvement in caring for children with special needs, both qualitatively and quantitatively. The government should consider funding non-governmental organizations to establish specialized services for men/fathers caregivers support centers, providing tailored service response strategies to meet the needs of men/fathers’ caregivers, such as incorporating moral emotion intervention theory, parenting courses for fathers, play/sports-based parent-child activities, and flexible open hours with mixed mode services to strengthen the support network for men/fathers’ caregivers and effectively relieve caregiving stress.
Promote father-friendly policies
The role of fathers in caring for children with special needs is irreplaceable, yet society still lacks sufficient recognition of this. The research team suggests that the government should promote the implementation of "father-friendly policies" and collaborate with various stakeholders (such as employers, policymakers, school administrators, etc.) to increase the amount of time fathers spend with their children and their involvement in caregiving through flexible work arrangements, incentives for father-child bonding, etc. This can enhance fathers' participation in family life, as well as increase public recognition of the unique role fathers play in caring for children with special needs.
Enhance community education to reduce stigmatization of children with special needs
The survey shows that when children with special needs exhibit social unaccepted behavior in public, fathers may feel shame due to onlookers' stares and negative reactions, leading them to avoid going out with their children and participating in social activities. If this situation persists, it may reduce fathers' involvement in caregiving and even affect the integration of children with special needs into society. In addition, reviewing the Disability Discrimination Ordinance (Chapter 487) and developing community education activities to promote acceptance of children with special needs can help eliminate stigmatization. The ultimate goal is to reduce fathers' feelings of shame and guilt when facing societal reactions to their children's abnormal behavior through these measures.
Conclusion. Previously, social science researchers and practitioners addressed the limitations of fathers' emotional expression and accessibility to social services. The results showed societal implications as showcasing the impact of shame and guilt emotions, and their reciprocal relationship influencing father involvement in rearing children with special needs. Fathers/men shared their views on expressing their emotions and underlying service accessibility issues. Stakeholders, including social workers, social science researchers, and policymakers, should echo this voice and review the research and services to address their needs.