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29-06-2022 | Original Paper

Authenticity, Vulnerability, and Shame in Peer Relationships among Marginalized Youth Living with Mood and Anxiety Disorders

Auteurs: Beth Sapiro, Silvia Ramirez Quiroz

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 11/2022

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Abstract

Meaningful peer relationships are developmentally important for adolescents and young adults. Yet trauma histories and stigma around mental illness can impede connection for marginalized youth living with mental health challenges. This study was grounded in relational-cultural theory, which posits that relationships characterized by authenticity and supported vulnerability foster growth; however, in the absence of support for vulnerability, people are likely to relate inauthentically. This qualitative study explored how young people living with mental health challenges navigated issues of authenticity, shame, and vulnerability in peer relationships. As part of a broader feasibility study of an intervention providing services to youth living with mental illness, in-depth interviews were conducted with 11 young women, ages 17–20. Participants were ethnically diverse, primarily low-income, and most had histories of child maltreatment. Interviews focused on participants’ peer relationships, and were audio recorded and transcribed verbatim. Coders analyzed transcripts using thematic analysis and interpreted results using relational-cultural theory. While nearly all participants identified a friend or romantic partner as a significant peer, their experiences within these relationships varied considerably. These are described as a continuum of authenticity, along which participants varied in their experiences of supported vulnerability, feelings of shame, and willingness to represent themselves authentically in these relationships. Some participants who lived with mental health challenges and histories of trauma experienced close, supportive relationships with friends and intimate partners. The ability of marginalized youth to navigate issues of authenticity, vulnerability, shame and stigma in their peer relationships is a worthwhile focus for both practitioners and researchers.
Literatuur
go back to reference Bernstein, D. P., Ahluvalia, T., Pogge, D., & Handelsman, L. (1997). Validity of the Child Trauma Questionnaire in an adolescent psychiatric population. Journal of the American Academy of Child & Adolescent Psychiatry, 36(3), 340–348.CrossRef Bernstein, D. P., Ahluvalia, T., Pogge, D., & Handelsman, L. (1997). Validity of the Child Trauma Questionnaire in an adolescent psychiatric population. Journal of the American Academy of Child & Adolescent Psychiatry, 36(3), 340–348.CrossRef
go back to reference Boyatzis, R. E. (1998). Transforming qualitative information: Thematic analysis andcode development. Sage. Boyatzis, R. E. (1998). Transforming qualitative information: Thematic analysis andcode development. Sage.
go back to reference Brown, B. (2006). Shame resilience theory: A grounded theory study on women and shame. Families in Society: The Journal of Contemporary Social Services, 87(1), 43–52.CrossRef Brown, B. (2006). Shame resilience theory: A grounded theory study on women and shame. Families in Society: The Journal of Contemporary Social Services, 87(1), 43–52.CrossRef
go back to reference Burke, T., & Brown, B. (Eds.). (2021). You are your best thing: Vulnerability, shame resilience, and the Black experience (First edition). Random House. Burke, T., & Brown, B. (Eds.). (2021). You are your best thing: Vulnerability, shame resilience, and the Black experience (First edition). Random House.
go back to reference Center for Behavioral Health Statistics and Quality. (2020). Results from the 2019 National Survey on Drug Use and Health: Detailed tables. Substance Abuse and Mental Health Services Administration. https://www.samhsa.gov/data/. Center for Behavioral Health Statistics and Quality. (2020). Results from the 2019 National Survey on Drug Use and Health: Detailed tables. Substance Abuse and Mental Health Services Administration. https://​www.​samhsa.​gov/​data/​.
go back to reference Gardner, A., Cotton, S., O’Donoghue, B., Killackey, E., Norton, P., & Filia, K. (2019). Group differences in social inclusion between young adults aged 18 to 25 with serious mental illness and same-aged peers from the general community. International Journal of Social Psychiatry, 65(7–8), 631–642. https://doi.org/10.1177/0020764019868749.CrossRefPubMed Gardner, A., Cotton, S., O’Donoghue, B., Killackey, E., Norton, P., & Filia, K. (2019). Group differences in social inclusion between young adults aged 18 to 25 with serious mental illness and same-aged peers from the general community. International Journal of Social Psychiatry, 65(7–8), 631–642. https://​doi.​org/​10.​1177/​0020764019868749​.CrossRefPubMed
go back to reference Hall-Lande, J. A., Eisenberg, M. E., Christenson, S. L., & Neumark-Sztainer, D. (2007). Social isolation, psychological health, and protective factors in adolescence. Adolescence, 42(166), 265–286.PubMed Hall-Lande, J. A., Eisenberg, M. E., Christenson, S. L., & Neumark-Sztainer, D. (2007). Social isolation, psychological health, and protective factors in adolescence. Adolescence, 42(166), 265–286.PubMed
go back to reference Hartling, L. M., Rosen, W. B., Walker, M., & Jordan, J. V. (2004). Shame and humiliation: from isolation to relational transformation. In J. V. Jordan, M. Walker, & L. M. Hartling (Eds.), The complexity of connection: Writings from the Stone Center’s Jean Baker Miller Training Institute. (pp. 103–128. Guilford). Hartling, L. M., Rosen, W. B., Walker, M., & Jordan, J. V. (2004). Shame and humiliation: from isolation to relational transformation. In J. V. Jordan, M. Walker, & L. M. Hartling (Eds.), The complexity of connection: Writings from the Stone Center’s Jean Baker Miller Training Institute. (pp. 103–128. Guilford).
go back to reference Herman, J. (1992). Trauma and recovery. Basic Books. Herman, J. (1992). Trauma and recovery. Basic Books.
go back to reference Jordan, J. V. (2004). Relational resilience. In J. V. Jordan, M. Walker, & L. M. Hartling (Eds.), The complexity of connection (pp. 28–46. Guilford). Jordan, J. V. (2004). Relational resilience. In J. V. Jordan, M. Walker, & L. M. Hartling (Eds.), The complexity of connection (pp. 28–46. Guilford).
go back to reference Jordan, J. V. (2009). Relational-cultural therapy. American Psychological Association. Jordan, J. V. (2009). Relational-cultural therapy. American Psychological Association.
go back to reference Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.CrossRefPubMed Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.CrossRefPubMed
go back to reference Khesht-Masjedi, M. F., Shokrgozar, S., Abdollahi, E., Golshahi, M., & Zamiri, A. (2017). Exploring social factors of mental illness stigmatization in adolescents with mental disorders. Journal of Clinical & Diagnostic Research, 11(11), 1–4. Khesht-Masjedi, M. F., Shokrgozar, S., Abdollahi, E., Golshahi, M., & Zamiri, A. (2017). Exploring social factors of mental illness stigmatization in adolescents with mental disorders. Journal of Clinical & Diagnostic Research, 11(11), 1–4.
go back to reference Kranke, D. A., Floersch, J., Kranke, B. O., & Munson, M. R. (2011). A qualitative investigation of self-stigma among adolescents taking psychiatric medication. Psychiatric Services, 62(8), 893–899.CrossRefPubMed Kranke, D. A., Floersch, J., Kranke, B. O., & Munson, M. R. (2011). A qualitative investigation of self-stigma among adolescents taking psychiatric medication. Psychiatric Services, 62(8), 893–899.CrossRefPubMed
go back to reference Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989. https://doi.org/10.1016/j.jaac.2010.05.017.CrossRef Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989. https://​doi.​org/​10.​1016/​j.​jaac.​2010.​05.​017.CrossRef
go back to reference Miles, M. B., Huberman, A. M., & Saldaña, J. (2013). Qualitative data analysis: a methods sourcebook. SAGE Publications, Incorporated. Miles, M. B., Huberman, A. M., & Saldaña, J. (2013). Qualitative data analysis: a methods sourcebook. SAGE Publications, Incorporated.
go back to reference Miller, J. B., & Stiver, I. P. (1997). The healing connection: how women form relationships in therapy and in life. Beacon Press. Miller, J. B., & Stiver, I. P. (1997). The healing connection: how women form relationships in therapy and in life. Beacon Press.
go back to reference Padgett, D. K. (2008). Qualitative methods in social work research (2nd ed.). Sage. Padgett, D. K. (2008). Qualitative methods in social work research (2nd ed.). Sage.
go back to reference Patton, M. Q. (2002). Qualitative research & evaluation methods. Sage. Patton, M. Q. (2002). Qualitative research & evaluation methods. Sage.
go back to reference Pottick, K. J., Bilder, S., Vander Stoep, A., Warner, L. A., & Alvarez, M. F. (2008). US patterns of mental health service utilization for transition-age youth and young adults. The Journal of Behavioral Health Services & Research, 35(4), 373–389.CrossRef Pottick, K. J., Bilder, S., Vander Stoep, A., Warner, L. A., & Alvarez, M. F. (2008). US patterns of mental health service utilization for transition-age youth and young adults. The Journal of Behavioral Health Services & Research, 35(4), 373–389.CrossRef
go back to reference Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRef Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRef
go back to reference Sparks, E. (2004). Relational experiences of delinquent girls. In M. Walker & W. B. Rosen (Eds.), How connections heal: stories from relational-cultural therapy (pp. 233–252. Guilford Press). Sparks, E. (2004). Relational experiences of delinquent girls. In M. Walker & W. B. Rosen (Eds.), How connections heal: stories from relational-cultural therapy (pp. 233–252. Guilford Press).
go back to reference Wolfe, D. A., & Mash, E. J. (2006). Behavioral and emotional problems in adolescents: Overview and issues. In D. A. Wolfe & E. J. Mash (Eds.), Behavioral and emotional disorders in adolescents: Nature, assessment, and treatment (pp. 3–20. Guilford Press). Wolfe, D. A., & Mash, E. J. (2006). Behavioral and emotional problems in adolescents: Overview and issues. In D. A. Wolfe & E. J. Mash (Eds.), Behavioral and emotional disorders in adolescents: Nature, assessment, and treatment (pp. 3–20. Guilford Press).
go back to reference Wolfe, D. A., Rawana, J. S., & Chiodo, D. (2006). Abuse and trauma. In D. A. Wolfe & E. J. Mash (Eds.), Behavioral and emotional disorders in adolescents: nature, assessment, and treatment (pp. 642–671. Guilford Press). Wolfe, D. A., Rawana, J. S., & Chiodo, D. (2006). Abuse and trauma. In D. A. Wolfe & E. J. Mash (Eds.), Behavioral and emotional disorders in adolescents: nature, assessment, and treatment (pp. 642–671. Guilford Press).
Metagegevens
Titel
Authenticity, Vulnerability, and Shame in Peer Relationships among Marginalized Youth Living with Mood and Anxiety Disorders
Auteurs
Beth Sapiro
Silvia Ramirez Quiroz
Publicatiedatum
29-06-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 11/2022
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-022-02358-2