The aim of this study was to investigate the perceived influence of family on recovery from severe mental illness. 54 semi-structured interviews were conducted with a diverse sample of people with severe mental illness living in Montreal. Results indicated that family both facilitated and impeded recovery processes. Specifically, family facilitated recovery through providing (a) moral support, (b) practical support and (c) motivation to recover. However family impeded recovery through (a) acting as a stressor, (b) displaying stigma and lack of understanding, and (c) forcing hospitalization. The study indicates the importance of family psychoeducation in promoting recovery.
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Adeponle, A. B., Thombs, B. D., Adelekan, M. L., & Kirmayer, L. (2009). Family participation in treatment, post-discharge appointment and medication adherence at a Nigerian psychiatric hospital. British Journal of Psychiatry, 194, 86–87. doi:10.1192/bjp.bp.108.052217.
ASMFMH. (2014). About Les Amis de la Santé Mentale. Retrieved from http://www.asmfmh.org/?page_id=506. Accessed on January 28, 2014.
Bateson, G., Jackson, D. D., Haley, J., & Weakland, J. (1956). Toward a theory of schizophrenia. Behavioral Science, 1(4), 251–254.
Becker, D. R., & Drake, R. E. (2003). A working life for people with severe mental illness. Oxford: Oxford University Press.
Bradshaw, W., Armour, M. P., & Roseborough, D. (2007). Finding a place in the world: The experience of recovery from severe mental illness. Qualitative Social Work, 6, 27–47.
Bresnahan, M. (2003). Geographical variation in incidence, course, and outcome of schizophrenia: A comparison of developing and developed countries. In R. Murray, P. Jones, E. Susser, J. Os, M. Cannon, et al. (Eds.), The epidemiology of schizophrenia. Cambridge: Cambridge University Press.
Burland, J. (1998). Family-to-family: A trauma and recovery model of family education. New Directions for Mental Health Services, 77, 33–41.
Callard, F., Rose, D., Hanif, E. L., Quigley, J., Greenwood, K., & Wykes, T. (2012). Holding blame at bay? ′Gene talk′ in family members’ accounts of schizophrenia aetiology. BioSocieties, 7, 273–293.
Cohen, A. N., Drapalski, A. L., Glynn, S. M., Medoff, D., Fang, L. J., & Dixon, L. B. (2013). Preferences for family involvement in care among consumers with serious mental illness. Psychiatric Services, 64(3), 257–263.
Docherty, N. M., St-Hilaire, A., Aakre, J. M., Seghers, J. P., McCleery, A., & Divilbiss, M. (2011). Anxiety interacts with expressed emotion criticism in the prediction of psychotic symptom exacerbation. Schizophrenia Bulletin, 37(3), 611–618.
EnglandKennedy, E. S., & Horton, S. (2011). “Everything that I thought that they would be, they weren’t:” Family systems as support and impediment to recovery. Social Science and Medicine, 73, 1222–1229.
Gehart, D. R. (2012). The mental health recovery movement and family therapy, part II: A collaborative, appreciative approach for supporting mental health recovery. Journal of Marital & Family Therapy, 38(3), 443–457.
Glynn, S. M., Cohen, A. N., Dixon, L. B., & Niv, N. (2006). The potential impact of the recovery movement on family interventions for schizophrenia: Opportunities and obstacles. Schizophrenia Bulletin, 32(3), 451–463.
Guarnaccia, P. J. (1998). Multicultural experiences of family caregiving: A study of African American, European American, and Hispanic American families. In H. Lefley (Ed.), Families Coping with Mental Illness: The cultural context. San Francisco: Jossey-Bass Publishers.
Guarnaccia, P. J., & Parra, P. (1996). Ethnicity, social status, and families’ experiences of caring for a mentally ill family member. Community Mental Health Journal, 32, 243–260.
Harrington, A. (2012). The art of medicine, the fall of the schizophrenogenic mother. The Lancet, 379, 1292–1293.
Hirsch, R., & Leff, J. P. (1975). Abnormalities in the parents of schizophrenics: A review of the literature and an investigation of communication defects and deviances. New York: Oxford University Press.
Jenkins, J. H. (1991). Anthropology, expressed emotion, and schizophrenia. Ethos, 19, 387–431.
Laing, R. D. (1967). The Politics of Experience. Harmondsworth: Penguin.
Leff, J. (2013). Expressed emotion in 100 words. The British Journal of Psychiatry, 202, 335.
Lefley, H. P. (1997). The consumer recovery vision: Will it alleviate family burden? American Journal of Orthopsychiatry, 67(2), 210–219.
Lincoln, T. M., Wilhelm, K., & Nestoriuc, Y. (2007). Effectiveness of psychoeducation for relapse, symptoms, knowledge, adherence, and functioning in psychotic disorders: A meta-analysis. Schizophrenia Research, 96, 232–245.
Lucksted, A., Mcfarlane, W., Downing, D., Dixon, L., & Adams, C. (2012). Recent developments in family psychoeducation as an evidence-based practice. Journal of Marital and Family Therapy, 38(1), 101–121.
Luhrmann, T. M. (2007). Social defeat and the culture of chronicity: Or, why schizophrenia does so well over there and so badly here. Culture, Medicine and Psychiatry, 31, 135–172.
Maxwell, J. A. (2005). Qualitative research design: An interactive approach. New York: Sage.
McFarlane, W. R., Dixon, L., Lukens, E., & Lucksted, A. (2003). Family psychoeducation and schizophrenia: A review of the literature. Journal of Marital and Family Therapy, 29(2), 223–245.
Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Calgary, AB: National Library of Canada. Retrieved December 4, 2014 from http://strategy.mentalhealthcommission.ca/pdf/strategy-text-en.pdf.
Neill, J. (1990). Whatever became of the schizophrenogenic mother? American Journal of Psychotherapy, 44(4), 499–505.
Padgett, D. K. (2007). There’s no place like (a) home: Ontological security among persons with serious mental illness in the United States. Social Science and Medicine, 64(9), 1925–1936.
Padgett, D. K., Henwood, B., Abrams, C., & Drake, R. E. (2008). Social relationships among persons who have experienced serious mental illness, substance abuse, and homelessness: Implications for recovery. American Journal of Orthopsychiatry, 78(3), 333–339.
Pernice-Duca, F. (2010). Family network support and mental health recovery. Journal of Marital and Family Therapy, 36(1), 13–257.
Pharoah, F., Mari, J. J., Rathbone, J., Wong, W. (2010). Family intervention for schizophrenia. Cochrane Database of Systematic Reviews, 12, CD000088. doi:10.1002/14651858.CD000088.pub3.
Schon, U., Denhov, A., & Topor, A. (2009). Social relationships as a decisive factor in recovering from severe mental illness. International Journal of Social Psychiatry, 55(4), 336–347.
Topor, A., Borg, M., Di Girolamo, S., & Davidson, L. (2011). Not just an individual journey: Social aspects of recovery. International Journal of Social Psychiatry, 57(1), 90–99.
Ware, N. C., Hopper, K., Tugenberg, T., Dickey, B., & Fisher, D. (2007). Connectedness and citizenship: Redefining social integration. Psychiatric Services, 58(4), 469–474.
Wearden, A. J., Tarrier, N., Barrowclough, C., Zastowny, T. R., & Rahill, A. A. (2000). A review of expressed emotion research in health care. Clinical Psychology Review, 20, 633–666.
Whitley, R., & Drake, R. (2010). Recovery: A dimensional approach. Psychiatric Services, 61, 1248–1250.
We would like to express appreciation to the clinicians and consumers whose participation made this study possible. We also gratefully acknowledge Marie-Eve Boucher, Anna Miller, and Aldric Reid for their work as research assistants on this project. We would like to thank the Canadian Institutes of Health Research who funded this research through an Open Operating Grant (231520).
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Aldersey, H.M., Whitley, R. Family Influence in Recovery from Severe Mental Illness. Community Ment Health J 51, 467–476 (2015). https://doi.org/10.1007/s10597-014-9783-y
- Severe mental illness