A family perspective on parental psychosis: An interpretative phenomenological analysis study.

Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101135751 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2044-8341 (Electronic) Linking ISSN: 14760835 NLM ISO Abbreviation: Psychol Psychother Subsets: MEDLINE

Publication: 2011- : West Sussex, England : Wiley-Blackwell
Original Publication: Leicester, UK : British Psychological Society, c2002-

Psychotic Disorders* ; Child of Impaired Parents*; Child ; Humans ; Child, Preschool ; Parents ; Family

Objectives: While one third of people with a psychotic disorder are a parent, there has been little research to date examining the consequences of this from a whole family perspective. This study investigates families where a parent has experienced an episode of psychosis and compares and contrasts the family members' perspectives.
Design: This study was rooted in phenomenology and data were derived from in-depth semi-structured interviews.
Methods: Parents with a psychotic disorder who had a child aged between 3 and 11 in a UK NHS Trust were invited to take part in the study. Semi-structured interviews were conducted with these parents, with their child (if they were between the ages of 8 and 11), and with their partner or another close family member. Data were analysed using multiperspectival interpretive phenomenological analysis (m-IPA).
Results: Thirteen participants took part comprising of five parents, four children, three partners and one grandmother. Four themes were developed using m-IPA: (1) Parental psychosis impacts the whole family, (2) Psychosis and my role as a parent, (3) Secrecy and concealment surrounding parental psychosis, and (4) Pressures and vulnerabilities within the family system.
Conclusion: Psychosis had a negative impact on all family members and secrecy existed between family members. The children in particular only had partial information about their parent's mental illness, which left them worried and confused. More work is needed to support these families to explain psychosis to the children.
(© 2022 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of The British Psychological Society.)

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Keywords: family experience of illness; interpretative phenomenological analysis; multiple perspectives; parental mental illness; psychosis

Date Created: 20221204 Date Completed: 20230508 Latest Revision: 20230509

20230512

10.1111/papt.12443

36463435