Future involvement of siblings in the lives of persons with mental illness

Future involvement of siblings in the lives of persons with mental illness
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DOI:
10.1007/s10597-005-5005-y
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发表时间:
2005-06-01
影响因子:
2.7
通讯作者:
Lefley, HP
Lefley, HP
中科院分区:
医学4区
文献类型:
--
作者:
Hatfield, AB;Lefley, HP

文献摘要

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保姆被认为是严重精神疾病患者年迈的父母照顾者的合理替代品。在为400名年长父母举办的未来规划讲习班中,60名兄弟姐妹回答了关于他们未来生活期望、预期困难和需要帮助的调查。几乎所有人都希望参与其中,但他们更有可能提供社会和情感支持,而不是父母提供的工具性支持。近一半的人表示,消费者的敌意和缺乏合作是有效护理的主要障碍。有人建议,兄弟姐妹需要教育和专业人士的帮助,以评估行为,适当的互动,并赋予自己的生活控制他们生病的亲属。对于消费者来说,精神病康复计划中的社交技能和自尊培训应该解决兄弟姐妹关系和互惠的问题。这些问题应及早处理,而不是在疾病过程中的后期处理
Siblings are considered logical replacements for aging parental caregivers of persons with severe mental illness. For workshops on future planning conducted with 400 elderly parents, 60 siblings answered a survey regarding their future caregiving expectations, anticipated difficulties, and need for help. Nearly all expected to be involved, but were more likely to provide social and emotional support than the instrumental support offered by their parents. Nearly half indicated that the consumer's hostility and lack of cooperation were major barriers to effective care. It was suggested that siblings need education and help from professionals in assessing behaviors, interacting appropriately, and conferring control of their own lives to their ill relatives. For consumers, social skills and self-esteem training in psychiatric rehabilitation programs should address the area of sibling relationships and reciprocity. Such issues should be dealt with early, rather than later in the course of illness