Wilbram Mark, Kellett Stephen, Beail Nigel
Assertive Outreach Team, Kendray Hospital, Barnsley PCT, South Yorkshire, UK.
Br J Clin Psychol. 2008 Mar;47(Pt 1):59-73. doi: 10.1348/014466507X240740.
This study explores the experiences of family members caring for a person who compulsively hoards.
Ten participants, all 'key carers' for a hoarding family member, were interviewed using a semi-structured interview schedule designed for the purpose of the study.
Transcribed interviews were analysed using interpretive phenomenological analysis.
Five superordinate, discrete but interconnecting themes were identified: 'loss of normal family life'; 'the need for understanding'; 'coping with the situation'; 'impact on relationships'; and 'marginalization'. Carers' accommodation of hoarding behaviours and role isolation were examined in drawing connections between themes. Outlying themes suggesting factors protective of relationships and facilitating coping were also identified.
Carers struggled to cope with both the environmental and interpersonal impacts of the hoarding. Lacking both formal and informal networks of support, carers are in need of information and treatment options for themselves and their families. Possible avenues for future clinical and theoretical research are suggested.
本研究探讨照顾强迫性囤积者的家庭成员的经历。
采用为该研究目的设计的半结构化访谈提纲,对10名参与者进行访谈,他们均为囤积家庭成员的“主要照顾者”。
对转录的访谈内容采用解释现象学分析方法进行分析。
确定了五个上位、离散但相互关联的主题:“正常家庭生活的丧失”;“理解的必要性”;“应对这种情况”;“对人际关系的影响”;以及“边缘化”。在主题之间建立联系时,研究了照顾者对囤积行为的迁就和角色孤立。还确定了表明有助于维护关系和促进应对的因素的外围主题。
照顾者难以应对囤积行为对环境和人际关系的影响。由于缺乏正式和非正式的支持网络,照顾者需要为自己和家人获取信息及治疗选择。提出了未来临床和理论研究的可能途径。