Experiencing the relationship with a sibling coping with mental health problems: Dilemmas of connection, communication, and role.

Prolonged mental health problems of one family member influences the whole family system, including sibling relationships. The current research focuses on the way siblings of persons with mental health problems experience the relationship. The findings identify the challenges and difficulties these...

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Publicado en:Health & Social Care in the Community Vol. 27; no. 5; pp. 1185 - 1193
Autores principales: Kovacs, Tehila, Possick, Chaya, Buchbinder, Eli
Formato: research Journal Article
Publicado: Wiley-Blackwell Sep2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2019
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      pub: Wiley-Blackwell
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        10.1111/hsc.12761
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        atl: Experiencing the relationship with a sibling coping with mental health problems: Dilemmas of connection, communication, and role.
      aug:
        au:
          Kovacs, Tehila
          Possick, Chaya
          Buchbinder, Eli
        affil: School of Social Work, Ariel University, Ariel Israel
      sug:
        subj:
          Sibling Relations
          Siblings Psychosocial Factors
          Coping
          Mental Disorders
          Communication
          Role
          Human
          Mental Health Personnel
          Support, Psychosocial
          Qualitative Studies
          Phenomenological Research
          Semi-Structured Interview
          Male
          Female
          Adult
          Middle Age
          Thematic Analysis
          Professional Role
          Israel
          Purposive Sample
          Interview Guides
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Prolonged mental health problems of one family member influences the whole family system, including sibling relationships. The current research focuses on the way siblings of persons with mental health problems experience the relationship. The findings identify the challenges and difficulties these siblings face and can help mental health practitioners support siblings as well as their brothers and sisters with mental health problems. This qualitative research employs the Interpretative Phenomenological Analysis method. Data were collected through in‐depth semi‐structured interviews with 14 adult siblings of persons coping with prolonged mental health problems. The sample included seven men and seven women, between the ages of 20–55. Three main themes were identified: (a) Connection: Between involvement and distance; (b) Communication: Controlled confrontation or cautious vagueness; (c) Role: Positioning in the sibling relationship. The discussion introduces the Relational Dialectics Theory in order to understand contradictory statements that arise from the interviewees' experience of dialectal tensions between: involvement versus distancing; direct confrontation versus cautious vagueness; and opposing positions in relation to the sibling coping with mental health problems. A multi‐voiced discourse allows for dialogue that incorporates the contradictory poles of the dialectic, thus enabling the siblings to balance the tension in the relationship. In addition, the concept of ambiguous loss is used to interpret the findings. The study is limited by the small homogeneous sample. The results highlight the need for practitioners to give special attention to siblings of persons with mental health problems in order to help them process and cope with the challenges in the relationship, thus providing an opportunity for growth and empowerment.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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