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Evid Based Nurs 6:61 doi:10.1136/ebn.6.2.61
  • Qualitative

Families of patients with mental illness revised their ideas of what it means to live a “normal” life


 
 QUESTION: How do families manage the experience of mental illness?

Design

Grounded theory.

Setting

A medical institution in the US.

Participants

29 family members (age range 18–73 y; 66% women; 66% white, 28% African-American, 7% Hispanic) of 17 patients who had schizophrenia, major depression, or bipolar disorder. Patients consented to researchers contacting their relatives. Family members had ≥1 weekly contact with patients. Most patients had a history of ≥3 hospital admissions.

Methods

Three 60–90 minute semistructured interviews were planned with each family over 2 years (soon after initial contact, at 6 mo, and at 1 y). Participants were asked to talk about their experiences of the illness, observations of social or cultural issues, and thoughts about the future. Interviews were audiotaped, transcribed, and analysed using the constant comparative method.

Main findings

The basic social problem facing families was living with the ambiguity of mental illness. This was resolved through the basic sociopsychological process of pursuing normalcy for the patient. Families expressed anger and frustration …

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