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Family Experiences with Mental Illness (Hardcover)
Loot Price: R2,687
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Family Experiences with Mental Illness (Hardcover)
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Tessler and Gamache provide substantial research on the impact of
mental illness on the family through interviews conducted with
hundreds of family members between 1989 and 1997. According to the
authors, how families experience the mental illness of a relative
depends on many social factors, including how public mental health
services are organized and financed, and whether families feel
judged or supported by professionals. Most family members
experience a range of emotions toward one another ranging from
warmth and gratification to anger and rejection. Tessler and
Gamache detail the family experience with mental illness in terms
of both negative and positive feelings. They take a holistic
approach to the family experience and present a variety of family
responses and dilemmas. The family members whose stories are told
are diverse in respect to race, gender, age, and relationship, and
the demographic-clinical characteristics of their relatives with
mental illness. Tessler and Gamache find that the amount of burden
that family members experience depends, in part, on which dimension
of burden is being addressed. When burden is defined as assistance
in daily living, it is less than what was thought. On the other
hand, the subjective burden associated with supervision and control
is substantial. Family role and residence contribute to most
dimensions of burden. For example, a mother living with an adult
son with schizophrenia will experience mental illness differently
than the brother who has moved out of the family home and moved to
another state. In both studies, a major finding involved lower than
expected expenditures by family members for medication and mental
health treatment in both studies. Most expenditures were focused
instead on personal or survival needs, which for a sub-sample of
family members involves considerable expenditures. This work is an
important research finding for scholars, students, and
professionals involved with social work, public health, and public
mental health policy.
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