Clinical Psychologist, 3769University of Hertfordshire, Hatfield, Hertfordshire, UK.
Clinical Psychologist, Child and Adolescent Psychology Service, 8964University College London Hospital, London, UK.
Clin Child Psychol Psychiatry. 2021 Oct;26(4):1257-1270. doi: 10.1177/13591045211033188. Epub 2021 Jul 30.
Literature reviews revealed no existing research on family narratives of living with multigenerational persistent physical symptom (PPS) conditions. The current study examined the personal and family narratives of one such family, from a relational/systemic perspective.
This research employed a qualitative research design, specifically using narrative methodologies to explore the experiences of a single family comprising two parents and their three children. All the children and their mother had a diagnosis of Ehlers-Danlos syndrome (EDS) but are specifically afflicted with PPS. The father is in good health. Using narrative inquiry, the family members were interviewed together and then individually. The interviews were audio-recorded, transcribed and analysed using narrative analysis in NVivo.
Overarching narratives were stories of loss and sacrifice and stories of family unity. An exploration of the family's negotiation of roles and identities is presented in the context of stigmatised illness.
Novel findings are presented in the context of the central role of the mother, the importance of family cohesion and the impact to family life resulting from living with stigmatised illness. Lastly, clinical implications and future research ideas are discussed.
文献综述显示,目前尚无针对多代持续性躯体症状(PPS)状况的家庭叙事的研究。本研究从关系/系统视角出发,考察了这样一个家庭的个人和家庭叙事。
本研究采用了定性研究设计,特别是使用叙事方法来探索一个由父母和三个孩子组成的家庭的经历。所有的孩子和他们的母亲都被诊断为埃勒斯-当洛斯综合征(EDS),但具体受 PPS 的影响。父亲身体健康。通过叙事探究,对家庭成员进行了集体访谈和个体访谈。访谈以录音形式进行,并在 NVivo 中使用叙事分析进行转录和分析。
总体叙事是关于失去和牺牲的故事以及家庭团结的故事。在受污名化疾病影响的背景下,探讨了家庭对角色和身份的协商。
新颖的发现是在母亲的核心作用、家庭凝聚力的重要性以及与污名化疾病共存对家庭生活的影响的背景下提出的。最后,讨论了临床意义和未来的研究思路。