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Family Influence in Recovery from Severe Mental Illness


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.

    Article  PubMed  Google Scholar 

  • ASMFMH. (2014). About Les Amis de la Santé Mentale. Retrieved from 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.

    Article  Google Scholar 

  • Becker, D. R., & Drake, R. E. (2003). A working life for people with severe mental illness. Oxford: Oxford University Press.

    Book  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Harrington, A. (2012). The art of medicine, the fall of the schizophrenogenic mother. The Lancet, 379, 1292–1293.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Lefley, H. P. (1997). The consumer recovery vision: Will it alleviate family burden? American Journal of Orthopsychiatry, 67(2), 210–219.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Maxwell, J. A. (2005). Qualitative research design: An interactive approach. New York: Sage.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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

  • Neill, J. (1990). Whatever became of the schizophrenogenic mother? American Journal of Psychotherapy, 44(4), 499–505.

    CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Pernice-Duca, F. (2010). Family network support and mental health recovery. Journal of Marital and Family Therapy, 36(1), 13–257.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Ware, N. C., Hopper, K., Tugenberg, T., Dickey, B., & Fisher, D. (2007). Connectedness and citizenship: Redefining social integration. Psychiatric Services, 58(4), 469–474.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Whitley, R., & Drake, R. (2010). Recovery: A dimensional approach. Psychiatric Services, 61, 1248–1250.

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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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Correspondence to Heather Michelle Aldersey.

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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).

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