Working Collaboratively with Families

Hatfield, Agnes B.

doi:10.1300/j010v25n03_07

Cited by 19 publications

(14 citation statements)

References 8 publications

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“…Clinicians are spontaneously prone to attribute high‐EE attitudes to characteristics internal to the relative (e.g., ongoing depressive or anxiety disorders) rather than considering the situational determinants of these behaviors: the difficulties inherent in coping with a bipolar relative who has recently been ill and remains irritable, grandiose, depressed, or functionally impaired. The emotional reactions of caregivers may be affected by their understanding of the causes of the patients' negative behaviors (e.g., Hooley & Gotlib, 2000), recent negative interactions with the ill relative (e.g., Simoneau, Miklowitz, & Saleem, 1998), or frustrations with the mental health system (e.g., Hatfield 1997; Hatfield, Spaniol, & Zipple, 1987). The clinician who considers these alternative explanations for the genesis of high‐EE attitudes will probably be of better service to the family and the patient when encountoring an angry or critical relative.…”

Section: Discussionmentioning

confidence: 99%

Expressed Emotion Attitudes and Individual Psychopathology Among the Relatives of Bipolar Patients

2002

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This study investigated the relationships between expressed emotion (EE) and individual psychopathology among 82 biological and non-biological relatives of 66 patients with bipolar I disorder. Relatives' psychopathology was assessed via the Structured Clinical Interview for DSM-III-R, Patient Version (SCID-P) and the General Behavior Inventory (GBI), a self-report measure of lifetime subsyndromal mood disturbances. We hypothesized that relatives who held high-EE critical, hostile, and/or overinvolved attitudes toward their bipolar family member, as measured via the Camberwell Family Interview, would be more likely to have DSM-III-R Axis I diagnoses on the SCID, as well as more mood and temperamental disturbances on the GBI, than those who held low-EE attitudes. The findings did not support a significant relationship between overall EE status and psychopathology in family members. However, relatives without significant Axis I pathology scored significantly higher than those with Axis I pathology on one measure of EE, emotional overinvolvement. The findings are discussed with reference to explanations for the genesis of high-EE attitudes.

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Section: Discussionmentioning

confidence: 99%

Expressed Emotion Attitudes and Individual Psychopathology Among the Relatives of Bipolar Patients

2002

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“…For example, during colonial times in North America, families were the primary providers of care for relatives with mental health issues, but in the late 1800s and early 1900s, as industrialization and urbanization reshaped society, families were frequently blamed for failing to "manage" their "deviant" relatives, which served to justify institutionalization (Friesen-Grande, 2006;Jones, 2002;Lefley, 1996;Nichols & MacFarlane, 2001;Terkelsen, 1990). During the 1950s and 1960s, increased advocacy for human rights, combined with extensive use of psychopharmacology and the search for less expensive forms of treatment by the State, contributed to deinstitutionalization (Bassman, Baker, & Packard, 2009;Hatfield, 1997;Jubb & Shanley, 2002;Suissa, 2005). As a result, people were discharged into communities, often without adequate supports.…”

Section: Literature Reviewmentioning

confidence: 99%

Understanding Family-Centered Care in the Mental Health System: Perspectives From Family Members Caring for Relatives With Mental Health Issues

Rsw¹

2013

Social Work in Mental Health

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A recent focus on Family-Centered Care (FCC) in mental health has resulted in a variety of recommendations designed to increase family involvement in caring for relatives with mental health issues. Studies indicate that family members require collaboration, information, and support from the mental health system and its providers, but confidentiality concerns, funding limitations, and discrimination often prevent such needs from being met. A qualitative, exploratory study using in-person interviews has been implemented to consider how family members describe and understand their experiences with the mental health system. A critical, Foucauldian analysis is applied to the data to expose hidden systems of domination and oppression that may be contributing to discriminatory attitudes and practices that interfere with family involvement. Results of this research reiterate those found in the FCC literature; however, family members in this study seem hesitant to identify discrimination as a primary obstacle to FCC. It appears that complex processes may be at work that elicit the participation of family members in the reproduction of discrimination by interfering with their ability to recognize and resist its multiple and subtle forms. Recommendations for resistance include cultivating a critical awareness to disrupt dominant assumptions that inform discriminatory attitudes and practices.

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“…In the past, the family of persons with severe mental illness (SMI), such as schizophrenia, has been excluded from care by mental health professionals (MHP) while nowadays a more co‐operative view prevails (1) according to which the family is seen as a resource in care (2). Families of people with schizophrenia often provide considerable support to their ill members (3) and changed social patterns in the family, such as life‐long parental responsibility, cause an increased burden (4–6) of stress, loss and fear (7).…”

Section: Introductionmentioning

confidence: 99%

Mental health professional support in families with a member suffering from severe mental illness: a grounded theory model

Gavois

Paulsson

Fridlund

2006

Scandinavian Caring Sciences

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The aim of this study was to develop a model of mental health professional (MHP) support based on the needs of families with a member suffering from severe mental illness (SMI). Twelve family members were interviewed with the focus on their needs of support by MHP, then the interviews were analyzed according to the grounded theory method. The generated model of MHP support had two core categories: the family members' process from crisis to recovery and their interaction with the MHP about mental health/illness and daily living of the person with SMI. Interaction based on ongoing contact between MHP and family members influenced the family members' process from crisis towards recovery. Four MHP strategies--being present, listening, sharing and empowering--met the family members' needs of support in the different stages of the crisis. Being present includes early contact, early information and protection by MHP at onset of illness or relapse. Listening includes assessing burden, maintaining contact and confirmation in daily living for the person with SMI. Sharing between MHP and family members includes co-ordination, open communication and security in daily living for the person with SMI. Finally, the MHP strategy empowering includes creating a context, counselling and encouraging development for the family members. The present model has a holistic approach and can be used as an overall guide for MHP support in clinical care of families of persons with SMI. For future studies, it is important to study the interaction of the family with SMI and the connection between hope, coping and empowerment.

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Working Collaboratively with Families

Cited by 19 publications

References 8 publications

Expressed Emotion Attitudes and Individual Psychopathology Among the Relatives of Bipolar Patients

Expressed Emotion Attitudes and Individual Psychopathology Among the Relatives of Bipolar Patients

Understanding Family-Centered Care in the Mental Health System: Perspectives From Family Members Caring for Relatives With Mental Health Issues

Mental health professional support in families with a member suffering from severe mental illness: a grounded theory model

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