Redefining Parental Identity: Caregiving and Schizophrenia

When parents try to assume responsibility for an ill adult-child with schizophrenia, the law, mental health practitioners, and often the ill person reject their right to do so. Consequently, these parents regard themselves as disenfranchised, i.e., lacking the rights required to care properly for their loved ones. Redefining Parental Identity, a grounded theory of caregiving and schizophrenia, traces changes in a parent’s identity and caregiving during the erratic course of the child’s mental illness. Participants were a purposive sample of 29 parent caregivers from 19 families in British Columbia, Canada, caring for 20 adult children. This understanding of their experience will be helpful to parents of people with schizophrenia, professional practitioners, and those involved in mental health care reform.

[1]  A. Strauss Chronic illness and the quality of life , 1975 .

[2]  A. Hatfield Psychological costs of schizophrenia to the family. , 1978, Social work.

[3]  L. Stein,et al.  Alternative to mental hospital treatment. I. Conceptual model, treatment program, and clinical evaluation. , 1980, Archives of general psychiatry.

[4]  S. Pai,et al.  Impact of treatment intervention on the relationship between dimensions of clinical psychopathology, social dysfunction and burden on the family of psychiatric patients , 1982, Psychological Medicine.

[5]  C. Gilligan In a Different Voice. Psychological Theory and Women’s Development. Cambridge, MA (Harvard University Press) 1982. , 1982 .

[6]  J. Hoult,et al.  The Relatives of the Mentally Ill: A Comparative Trial of Community‐Oriented and Hospital‐Oriented Psychiatric Care , 1984, The Journal of nervous and mental disease.

[7]  Schizophrenia: Straight Talk for Family and Friends—by Maryellen Walsh; Morrow, New York, 1985, 264 pages, $15.95 , 1985 .

[8]  M. Belenky Women's Ways Of Knowing , 1986 .

[9]  L. French Victimization of the mentally ill: an unintended consequence of deinstitutionalization. , 1987, Social work.

[10]  R. Turner,et al.  Living with psychiatric patients: implications for the mental health of family members. , 1987, Social science & medicine.

[11]  H. Lefley,et al.  Families of the mentally ill : coping and adaptation , 1987 .

[12]  W. Avison,et al.  Spouses of Discharged Psychiatric Patients: Factors Associated with Their Experience of Burden. , 1988 .

[13]  H. Grunebaum Families of the Mentally Ill: Coping and Adaptation , 1988 .

[14]  D. Lewis,et al.  Worlds That Fail: A Longitudinal Study of Urban Mental Patients , 1989 .

[15]  Kenneth J. Doka,et al.  Disenfranchised Grief: Recognizing Hidden Sorrow , 1989 .

[16]  C. Brooker Expressed emotion and psychosocial intervention: a review. , 1990, International journal of nursing studies.

[17]  David A. Rochefort,et al.  Deinstitutionalization: An Appraisal of Reform , 1990 .

[18]  J. Tronto,et al.  Toward a Feminist Theory of Caring , 1990 .

[19]  J. Maurin,et al.  Burden of mental illness on the family: a critical review. , 1990, Archives of psychiatric nursing.

[20]  C. Chesla Parents' Caring Practices with Schizophrenic Offspring , 1991 .

[21]  J. Janofsky Madness in the Streets—How Psychiatry and the Law Abandoned the Mentally Ill , 1991 .

[22]  L. Noelker,et al.  Circles of Care: Work and Identity in Women's Lives. , 1991 .

[23]  David E. Biegel,et al.  Family caregiving in chronic illness: Alzheimer's disease, cancer, heart disease, mental illness, and stroke. , 1991 .

[24]  J. Geller A historical perspective on the role of state hospitals viewed from the era of the "revolving door". , 1992, The American journal of psychiatry.

[25]  S. Reinhard,et al.  Living with mental illness: effects of professional support and personal control on caregiver burden. , 1994, Research in nursing & health.

[26]  P. Howard Lifelong maternal caregiving for children with schizophrenia. , 1994, Archives of psychiatric nursing.

[27]  I. Tuck,et al.  The experience of caring for an adult child with schizophrenia. , 1997, Archives of psychiatric nursing.

[28]  Out of the Shadows: Confronting America's Mental Health Crisis , 1999 .

[29]  Milliken Pj Disenfranchised mothers: caring for an adult child with schizophrenia. , 2001 .

[30]  Phyllis Noerager Stern,et al.  Using grounded theory in nursing , 2001 .

[31]  P. Milliken DISENFRANCHISED MOTHERS: CARING FOR AN ADULT CHILD WITH SCHIZOPHRENIA , 2001, Health care for women international.