"Resisting Social Identity Threat and Maintaining Resilience": A Qualitative Study of Chinese Parents Following the Loss of an Only Child

Objective: Parents who lose an only child in China are stressed and traumatized due to social identity threat (SIT). This qualitative study aimed to interpret their experience to inform culturally and socially sensitive intervention strategies. Methods: Using a phenomenological approach, 17 bereaved parents who lost an only child were interviewed. The transcripts were analyzed using Colaizzi's method. Results: Three themes were identified, namely, "assuming a new social identity," "triggering social identity threat," and "resisting social identity threat and maintaining resilience." The study showed that SIT initially began with identity reconstruction, where self-identity and social identity occurred 1 after another. Once labeled with such social identity, the bereaved parents suffered social identity threat triggered by inner inferiority and external stigmatization. The bereaved parents undertook a variety of coping strategies to resist the threat and to maintain resilience; of these strategies, 4 patterns depicting resilience and threat were interpreted. Conclusion: The findings offer an understanding of the multifaceted bereavement dilemma and lay a foundation for developing intervention strategies. Promoting or maintaining resilience and alleviating SIT are 2 important ways that help parents move on. To help them with identity reconstruction, the development of culturally sensitive resilience-based programs and the linking of social resources to solve practical problems are recommended. Community health professionals should encourage parents to maintain good health management to prevent their predicament from worsening. Raising economic assistance, building an elderly care support system, and promoting social acceptance are strategies that could be considered by policymakers. Clinical Impact Statement The bereaved parents who have lost an only child in China is facing a multifaceted dilemma, which involves psychological, economic and cultural issues. This study applies the construct of social identity threat to interpretive lived experience of parents in China who have lost their only child. The study contributes to better understanding of their multifaceted bereavement dilemma, and lay the foundation for developing psycho-behavioural intervention strategies, which potentially also benefit other marginalized or traumatized bereaved groups. Results in this study offered several recommendations for psychological counselors, community workers, community health professionals, and government policymakers.