Gerace L M, Camilleri D, Ayres L
University of Illinois, Dept. of Psychiatric Nursing, Chicago 60612.
Schizophr Bull. 1993;19(3):637-47. doi: 10.1093/schbul/19.3.637.
Intensive audiotaped interviews with 14 adult siblings of schizophrenia patients were used to explore their experiences. Interviews focused on the ways adult siblings define and experience their sibling's mental illness and their participation in illness management. Cross-case analysis revealed that recognition of schizophrenia in a brother or sister was characterized by a pivotal, reorganizing event that redefined behavior previously viewed as difficult or different. Subjects' approach to the sibling's illness reflected three distinct patterns: collaborative, crisis-oriented, and detached. The impact of a mentally ill brother or sister on subjects' lives ranged from pervasive to discrete and was seen as emanating from the family and the sibling, but in different ways. These findings can help sensitize clinicians to the complex nature of sibling experiences as well as to the needs of siblings and their families.
通过对14名精神分裂症患者的成年兄弟姐妹进行密集的录音访谈，来探索他们的经历。访谈聚焦于成年兄弟姐妹如何界定以及体验其手足的精神疾病，以及他们在疾病管理中的参与情况。跨案例分析显示，对兄弟姐妹患有精神分裂症的认知以一个关键的、重新组织的事件为特征，该事件重新定义了以前被视为困难或不同的行为。受试者对待手足疾病的方式反映出三种不同模式：合作型、危机导向型和疏离型。患有精神疾病的兄弟姐妹对受试者生活的影响程度不一，从普遍到个别，且被视为源自家庭和手足，但方式有所不同。这些发现有助于使临床医生认识到手足经历的复杂性以及手足及其家庭的需求。
