A psychosocial study of young adults’ experiences of their sibling’s mental illness
- Authors: Laurie, Gina
- Date: 2017
- Subjects: Brothers and sisters of people with disabilities -- South Africa -- Case studies , Brothers and sisters of people with disabilities -- Psychology , Mentally ill -- Family relationships , Mentally ill -- Care -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/6165 , vital:21053
- Description: There are a number of studies that investigate the experiences of mental illness in the context of sibling relationships. However, these studies have not focused on young adulthood and limited research has been conducted in South Africa. This research uses a psychosocial framework which combines psychoanalytic theory and social constructionism to account for individual subjectivity and social influences. This method sought to answer two main research questions: how do young adults construct their experiences of having a sibling with a mental illness and with what effects, and how might we understand the emotional investments in these constructions? Six participants were interviewed and the findings suggest that participants draw on four main discourses in constructing their siblings’ mental illness: a discourse of mental illness as a sickness, a discourse of mental illness as part of the person, a discourse of mental illness as bad behaviour, and a discourse of mental illness as a spiritual issue. These discourses and the function of these discourses are discussed. Furthermore, an extract from one participant is examined in a case study format so as to explore the emotional investments in the discourse of mental illness as bad behaviour, arguing that her investments in this discourse serves to protect her by enabling her to manage feelings of not being ‘good enough’.
- Full Text:
- Date Issued: 2017
- Authors: Laurie, Gina
- Date: 2017
- Subjects: Brothers and sisters of people with disabilities -- South Africa -- Case studies , Brothers and sisters of people with disabilities -- Psychology , Mentally ill -- Family relationships , Mentally ill -- Care -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/6165 , vital:21053
- Description: There are a number of studies that investigate the experiences of mental illness in the context of sibling relationships. However, these studies have not focused on young adulthood and limited research has been conducted in South Africa. This research uses a psychosocial framework which combines psychoanalytic theory and social constructionism to account for individual subjectivity and social influences. This method sought to answer two main research questions: how do young adults construct their experiences of having a sibling with a mental illness and with what effects, and how might we understand the emotional investments in these constructions? Six participants were interviewed and the findings suggest that participants draw on four main discourses in constructing their siblings’ mental illness: a discourse of mental illness as a sickness, a discourse of mental illness as part of the person, a discourse of mental illness as bad behaviour, and a discourse of mental illness as a spiritual issue. These discourses and the function of these discourses are discussed. Furthermore, an extract from one participant is examined in a case study format so as to explore the emotional investments in the discourse of mental illness as bad behaviour, arguing that her investments in this discourse serves to protect her by enabling her to manage feelings of not being ‘good enough’.
- Full Text:
- Date Issued: 2017
Experiences of having an adult sibling with a mental illness: an interpretative phenomenological analysis
- Authors: Flannigan, Raylene
- Date: 2017
- Subjects: Mentally ill -- Family relationships , Mentally ill -- Care -- South Africa , Mental illness -- Public opinion -- South Africa , Mentally ill -- Deinstitutionalization , Brothers and sisters of people with disabilities , Brothers and sisters of people with disabilities -- Psycnology , Brothers and sisters of people with disabilities -- Case studies -- South Africa -- Makhanda
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/6309 , vital:21088
- Description: Mental illness has a significant impact on the life of an individual, however not only on the individual but on the family as well. A considerable amount of research has been carried out regarding the experiences of family members internationally. However, in South Africa (SA) there is inadequate information regarding the experiences of families, especially adult siblings, of individuals with a mental illness. Specifically, there is a lack of research investigating individuals’ perceptions of their brother or sister’s mental illness as well as how this affects the sibling relationship. It is for this reason that the current study aimed at exploring the lived experiences of ‘black1’ isiXhosa speaking individuals who have a sibling with a mental illness. The study employed Interpretative Phenomenological Analysis (IPA) as its qualitative approach. A sample of five participants between the ages of 20-50 years was selected through purposive and snowballing sampling techniques. Semi-structured interviews were utilised and were transcribed and analysed based on the IPA framework. The analysis of the participants’ transcripts provided three master themes, which are supported by subordinate themes. The master themes are: 1) experiencing the sibling as a burden post diagnosis, 2) positive experiences from the sibling’s mental illness, 3) participant’s experiences of their sibling’s treatment and the mental health care system. Participants experienced financial burden as well as the burden of caregiving as a result of their sibling’s mental illness; these are understood as being subjective and objective burdens. While no change was experienced within the sibling relationship, the siblings’ mental illness was experienced as affecting the sibling relationship due to the socioeconomic status of the participants and stigma. The findings support and expand on the growing knowledge of adult sibling relationships and mental illness.
- Full Text:
- Date Issued: 2017
- Authors: Flannigan, Raylene
- Date: 2017
- Subjects: Mentally ill -- Family relationships , Mentally ill -- Care -- South Africa , Mental illness -- Public opinion -- South Africa , Mentally ill -- Deinstitutionalization , Brothers and sisters of people with disabilities , Brothers and sisters of people with disabilities -- Psycnology , Brothers and sisters of people with disabilities -- Case studies -- South Africa -- Makhanda
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/6309 , vital:21088
- Description: Mental illness has a significant impact on the life of an individual, however not only on the individual but on the family as well. A considerable amount of research has been carried out regarding the experiences of family members internationally. However, in South Africa (SA) there is inadequate information regarding the experiences of families, especially adult siblings, of individuals with a mental illness. Specifically, there is a lack of research investigating individuals’ perceptions of their brother or sister’s mental illness as well as how this affects the sibling relationship. It is for this reason that the current study aimed at exploring the lived experiences of ‘black1’ isiXhosa speaking individuals who have a sibling with a mental illness. The study employed Interpretative Phenomenological Analysis (IPA) as its qualitative approach. A sample of five participants between the ages of 20-50 years was selected through purposive and snowballing sampling techniques. Semi-structured interviews were utilised and were transcribed and analysed based on the IPA framework. The analysis of the participants’ transcripts provided three master themes, which are supported by subordinate themes. The master themes are: 1) experiencing the sibling as a burden post diagnosis, 2) positive experiences from the sibling’s mental illness, 3) participant’s experiences of their sibling’s treatment and the mental health care system. Participants experienced financial burden as well as the burden of caregiving as a result of their sibling’s mental illness; these are understood as being subjective and objective burdens. While no change was experienced within the sibling relationship, the siblings’ mental illness was experienced as affecting the sibling relationship due to the socioeconomic status of the participants and stigma. The findings support and expand on the growing knowledge of adult sibling relationships and mental illness.
- Full Text:
- Date Issued: 2017
“I won’t say I feel happy or sad”: experiences of siblings of young disabled people in disadvantaged socio-economic circumstances
- Authors: Foote, Tamlyn Lou-Ann
- Date: 2017
- Subjects: Mentally ill -- Family relationships , Mentally ill -- Care -- South Africa , Mentally ill children -- Care -- South Africa , Brothers and sisters of people with disabilities , Brothers and sisters of people with disabilities -- Psycnology , Brothers and sisters of people with disabilities -- Case studies -- South Africa -- Makhanda
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/7774 , vital:21296
- Description: The impact of having a disabled sibling has been well researched in first world countries, revealing complex and varied results. However, in disadvantaged socioeconomic contexts, where disability has been found to be more prevalent, and where arguably, the functioning and quality of life of a disabled person is more likely to be affected by an impairment, very little is known about how siblings of young disabled people are affected. In response, this qualitative study explores the experiences of five, isiXhosa speaking adolescents, living in Joza Township, Grahamstown, who have a brother or sister with an intellectual, physical or developmental impairment. Semi-structured interviews were conducted and an interpretative phenomenological analytic approach was utilized to ascertain how the participants make sense of their worlds in relation to their sibling’s disability. Specifically, this research aimed at developing an understanding of how the participants experienced their family climate, self-concept, interpersonal relations and daily living in relation to their disabled sibling. The results of this study reveal a prevailing sense of incongruity experienced by the participants, although there are variances between their experiences. While family climate was largely experienced as warm, the participants were ambivalent about their relationship with their mothers who are experienced more as providers than nurturers. The participants described oscillating between feelings of protectiveness and alliance, and responsibility and sacrifice toward their sibling. A high incidence of incongruity pertaining to their sense of self was noted; this was described as impacting on their interpersonal relations where an underlying sense of negative public perception in relation to the disability is perceived. Although the participants expressed feeling supported within their homes, it was evident that they experienced little support from peers or the community at large. Four out of the five participants did not report experiencing a sense of deprivation, despite their socio-economic contexts and described a day-to-day existence that allows for their needs to be met. This included adequate time during their day to pursue personal interests as opposed to their time being spent taking care of their disabled sibling or assisting their parents, who may be overburdened due to the added care and responsibilities a disabled child might require. Furthermore, it is suggested that the incongruity experienced by the participants could be the result of various factors including age, gender, birth order and the nature of their sibling’s impairment. On the basis of the findings of this research, it can be concluded that the experiences of siblings of young, disabled people living in disadvantaged socioeconomic contexts cannot necessarily be described as being positive or negative, but are highly nuanced. In addition, the participants to some extent experience disability by association and are lacking in adequate support and opportunities to discuss their unique challenges. These insights serve to better inform disability studies in disadvantaged socio-economic circumstances. These findings are in accordance with earlier research.
- Full Text:
- Date Issued: 2017
- Authors: Foote, Tamlyn Lou-Ann
- Date: 2017
- Subjects: Mentally ill -- Family relationships , Mentally ill -- Care -- South Africa , Mentally ill children -- Care -- South Africa , Brothers and sisters of people with disabilities , Brothers and sisters of people with disabilities -- Psycnology , Brothers and sisters of people with disabilities -- Case studies -- South Africa -- Makhanda
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/7774 , vital:21296
- Description: The impact of having a disabled sibling has been well researched in first world countries, revealing complex and varied results. However, in disadvantaged socioeconomic contexts, where disability has been found to be more prevalent, and where arguably, the functioning and quality of life of a disabled person is more likely to be affected by an impairment, very little is known about how siblings of young disabled people are affected. In response, this qualitative study explores the experiences of five, isiXhosa speaking adolescents, living in Joza Township, Grahamstown, who have a brother or sister with an intellectual, physical or developmental impairment. Semi-structured interviews were conducted and an interpretative phenomenological analytic approach was utilized to ascertain how the participants make sense of their worlds in relation to their sibling’s disability. Specifically, this research aimed at developing an understanding of how the participants experienced their family climate, self-concept, interpersonal relations and daily living in relation to their disabled sibling. The results of this study reveal a prevailing sense of incongruity experienced by the participants, although there are variances between their experiences. While family climate was largely experienced as warm, the participants were ambivalent about their relationship with their mothers who are experienced more as providers than nurturers. The participants described oscillating between feelings of protectiveness and alliance, and responsibility and sacrifice toward their sibling. A high incidence of incongruity pertaining to their sense of self was noted; this was described as impacting on their interpersonal relations where an underlying sense of negative public perception in relation to the disability is perceived. Although the participants expressed feeling supported within their homes, it was evident that they experienced little support from peers or the community at large. Four out of the five participants did not report experiencing a sense of deprivation, despite their socio-economic contexts and described a day-to-day existence that allows for their needs to be met. This included adequate time during their day to pursue personal interests as opposed to their time being spent taking care of their disabled sibling or assisting their parents, who may be overburdened due to the added care and responsibilities a disabled child might require. Furthermore, it is suggested that the incongruity experienced by the participants could be the result of various factors including age, gender, birth order and the nature of their sibling’s impairment. On the basis of the findings of this research, it can be concluded that the experiences of siblings of young, disabled people living in disadvantaged socioeconomic contexts cannot necessarily be described as being positive or negative, but are highly nuanced. In addition, the participants to some extent experience disability by association and are lacking in adequate support and opportunities to discuss their unique challenges. These insights serve to better inform disability studies in disadvantaged socio-economic circumstances. These findings are in accordance with earlier research.
- Full Text:
- Date Issued: 2017
Parental mental health and perceived parenting of children with disruptive behaviour disorders
- Authors: Ligthelm, Elizabeth
- Date: 2013
- Subjects: Mentally ill -- Family relationships , Mental illness -- Physiological aspects , Behavior disorders in children , Parenting -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9957 , http://hdl/handle.net/10948/d1020034
- Description: Disruptive behaviour disorders (DBDs) in children are among the most common referrals to mental health services and can lead to adverse psychosocial outcomes. There is consistent evidence that dysfunctional parenting, which has been associated with parental psychopathology, is a risk factor for the onset of these disorders. Yet, few studies have explored a wide range of parental pathology and parenting behaviours as well as perceptions of mental health and parenting of the parents of children with DBDs. This study, which took the form of a multiple case study, aimed to explore and describe the mental health and parenting of parents of pre-adolescent and adolescent children with DBDs. It also aimed to explore and describe parental perceptions of their own mental health and parenting and how (or if) they perceive their mental health as influencing their parenting. Purposive sampling was used to select participants and the sample size was determined through data saturation. Data was collected via the Millon Clinical Multiaxial Inventory and a semi-structured interview. Thematic content analysis and cross-case synthesis were used to analyse the data. The participants’ personality profiles indicated the presence of moderate to severe pathology including personality disorders and clinical disorders. Parenting themes that emerged included a number of dysfunctional parenting behaviours. The parents showed an awareness of their mental health and perceived it as influencing their parenting. This study emphasised the importance of exploring mental health and parenting interventions for parents of children with DBDs. The biggest limitations of this study was the small sample size.
- Full Text:
- Date Issued: 2013
- Authors: Ligthelm, Elizabeth
- Date: 2013
- Subjects: Mentally ill -- Family relationships , Mental illness -- Physiological aspects , Behavior disorders in children , Parenting -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9957 , http://hdl/handle.net/10948/d1020034
- Description: Disruptive behaviour disorders (DBDs) in children are among the most common referrals to mental health services and can lead to adverse psychosocial outcomes. There is consistent evidence that dysfunctional parenting, which has been associated with parental psychopathology, is a risk factor for the onset of these disorders. Yet, few studies have explored a wide range of parental pathology and parenting behaviours as well as perceptions of mental health and parenting of the parents of children with DBDs. This study, which took the form of a multiple case study, aimed to explore and describe the mental health and parenting of parents of pre-adolescent and adolescent children with DBDs. It also aimed to explore and describe parental perceptions of their own mental health and parenting and how (or if) they perceive their mental health as influencing their parenting. Purposive sampling was used to select participants and the sample size was determined through data saturation. Data was collected via the Millon Clinical Multiaxial Inventory and a semi-structured interview. Thematic content analysis and cross-case synthesis were used to analyse the data. The participants’ personality profiles indicated the presence of moderate to severe pathology including personality disorders and clinical disorders. Parenting themes that emerged included a number of dysfunctional parenting behaviours. The parents showed an awareness of their mental health and perceived it as influencing their parenting. This study emphasised the importance of exploring mental health and parenting interventions for parents of children with DBDs. The biggest limitations of this study was the small sample size.
- Full Text:
- Date Issued: 2013
A study on the effects of mental illness on relationships amongst families with the mentally ill members
- Authors: Magadla, Mfanisi Welcome
- Date: 2009
- Subjects: Families -- Health and hygiene , Mentally ill -- Home care , Mentally ill -- Family relationships , Mental illness
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11901 , http://hdl.handle.net/10353/d1001101 , Families -- Health and hygiene , Mentally ill -- Home care , Mentally ill -- Family relationships , Mental illness
- Description: The increased abscondment of Mental Health Care Users from institutions of care, treatment and rehabilitation has prompted the researcher to conduct the study because patients who are not visited do not stand a chance of getting a Leave Of Absence (LOA). Problem: The concern is the danger of assault, murder, rape and other high risk situations the mentally ill individuals and the community are exposed to, which is caused by frequent abscondment of mentally unstable individuals who roam around the community without proper treatment and care. This is caused by failure of the relatives in coming to request patients for leave of absence (LOA). Purpose: The study investigated the effects of mental illness on relationships amongst families with the mentally ill members. The number or frequency of visitations by relatives to the mental health institutions is used by the researcher, to measure the nature of relationships between families and the psychiatric patients related to them. Method: The population comprised families of the mentally ill persons admitted at Cecilia Makiwane mental health units. The sample was collected conveniently as relatives came to visit the mentally ill until the desired number was reached. The designed tool was a questionnaire which was self administered. Data were analysed manually. Tables and graphs are shown in the results. Conclusion and Recommendations: The study revealed that approximately 100% of respondents had a lack of knowledge about mental illness and the mentally ill, in terms of care, treatment and rehabilitation hence they all need assistance in dealing with the mentally ill in the community. Findings also revealed that mental illness causes breakdown in family relationships. Recommendations regarding the enhancement of relationships between families and their mentally ill members are formulated as coping skills in the dissertation. The burden of having to deal with mentally ill person whose illness is not understood can lead the family to a state of confusion and iv not knowing what to anticipate. Lack of resources compounds the problem as the family members are not able to visit the ill member due to lack of funds (Baumann, 2007:637). The families with a mentally ill member usually shoulder the greatest part of the burden of mental illness (Uys and Middleton, 2004:77); unfortunately, lack of resources pose a problem.
- Full Text:
- Date Issued: 2009
- Authors: Magadla, Mfanisi Welcome
- Date: 2009
- Subjects: Families -- Health and hygiene , Mentally ill -- Home care , Mentally ill -- Family relationships , Mental illness
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11901 , http://hdl.handle.net/10353/d1001101 , Families -- Health and hygiene , Mentally ill -- Home care , Mentally ill -- Family relationships , Mental illness
- Description: The increased abscondment of Mental Health Care Users from institutions of care, treatment and rehabilitation has prompted the researcher to conduct the study because patients who are not visited do not stand a chance of getting a Leave Of Absence (LOA). Problem: The concern is the danger of assault, murder, rape and other high risk situations the mentally ill individuals and the community are exposed to, which is caused by frequent abscondment of mentally unstable individuals who roam around the community without proper treatment and care. This is caused by failure of the relatives in coming to request patients for leave of absence (LOA). Purpose: The study investigated the effects of mental illness on relationships amongst families with the mentally ill members. The number or frequency of visitations by relatives to the mental health institutions is used by the researcher, to measure the nature of relationships between families and the psychiatric patients related to them. Method: The population comprised families of the mentally ill persons admitted at Cecilia Makiwane mental health units. The sample was collected conveniently as relatives came to visit the mentally ill until the desired number was reached. The designed tool was a questionnaire which was self administered. Data were analysed manually. Tables and graphs are shown in the results. Conclusion and Recommendations: The study revealed that approximately 100% of respondents had a lack of knowledge about mental illness and the mentally ill, in terms of care, treatment and rehabilitation hence they all need assistance in dealing with the mentally ill in the community. Findings also revealed that mental illness causes breakdown in family relationships. Recommendations regarding the enhancement of relationships between families and their mentally ill members are formulated as coping skills in the dissertation. The burden of having to deal with mentally ill person whose illness is not understood can lead the family to a state of confusion and iv not knowing what to anticipate. Lack of resources compounds the problem as the family members are not able to visit the ill member due to lack of funds (Baumann, 2007:637). The families with a mentally ill member usually shoulder the greatest part of the burden of mental illness (Uys and Middleton, 2004:77); unfortunately, lack of resources pose a problem.
- Full Text:
- Date Issued: 2009
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