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Gepubliceerd in: Journal of Child and Family Studies 10/2016

04-06-2016 | Original Paper

Failing to Meet the Good Parent Ideal: Self-Stigma in Parents of Children with Mental Health Disorders

Auteurs: Kim Eaton, Jeneva L. Ohan, Werner G. K. Stritzke, Patrick W. Corrigan

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 10/2016

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Abstract

Self-stigma detracts from the wellbeing, self-esteem, and social connectedness of adults with mental health disorders. Although emerging research has indicated that self-stigma may have similar consequences for parents of children with mental health disorders, currently we lack a comprehensive description of how parents experience self-stigma. To address this, we investigated parents’ lived experiences of self-stigma using a descriptive qualitative approach. Directed by interview questions informed by a parent-based participatory action research group (n = 4), we conducted individual semi-structured interviews with 12 parents of children (aged 5–13) diagnosed with emotional and/or behavioural disorders. Data obtained from interviews with 11 mothers was coded and thematically analysed. Five themes were found: (1) the ‘good parent’ ideal, (2) awareness of external stigma, (3) outcomes of external stigma (social avoidance and self-doubt), (4) self-stigma (believing self-doubt and external stigma), and (5) refuting self-stigma. Our findings show that parents of children with mental health disorders experience self-stigma. However, because it leads to a diminished sense of being a good parent, the self-stigma is of a different type to that which has been described for adults with mental illness. This has important implications for the conceptualisation and assessment of parent self-stigma as research in this area moves forward.
Literatuur
go back to reference Arcia, E., Fernández, M. C., & Jáquez, M. (2005). Latina mothers’ characterizations of their young children with disruptive behaviors. Journal of Child and Family Studies, 14(1), 111–125. doi:10.1007/s10826-005-1126-8.CrossRef Arcia, E., Fernández, M. C., & Jáquez, M. (2005). Latina mothers’ characterizations of their young children with disruptive behaviors. Journal of Child and Family Studies, 14(1), 111–125. doi:10.​1007/​s10826-005-1126-8.CrossRef
go back to reference Arditti, J. A., Gryzwacz, J. G., & Gallimore, S. W. (2013). A demedicalized view of maternal distress: Conceptualisation and instrument development. Psychological Services, 10(4), 386–394. doi:10.1017/a0029954.PubMedCrossRef Arditti, J. A., Gryzwacz, J. G., & Gallimore, S. W. (2013). A demedicalized view of maternal distress: Conceptualisation and instrument development. Psychological Services, 10(4), 386–394. doi:10.​1017/​a0029954.PubMedCrossRef
go back to reference Brohan, E., Elgie, R., Sartorius, N., & Thornicroft, G. (2010). Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: The GAMIAN-Europe study. Schizophrenia Research, 122(1–3), 232–238. doi:10.1016/j.schres.2010.02.1065.PubMedCrossRef Brohan, E., Elgie, R., Sartorius, N., & Thornicroft, G. (2010). Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: The GAMIAN-Europe study. Schizophrenia Research, 122(1–3), 232–238. doi:10.​1016/​j.​schres.​2010.​02.​1065.PubMedCrossRef
go back to reference Campbell, J. L., Quincy, C., Osserman, J., & Pedersen, O. K. (2013). Coding in-depth semistructured interviews: Problems of unitization and intercoder reliability and agreement. Sociological Methods and Research, 42(3), 294–320. doi:10.1177/0049124113500475.CrossRef Campbell, J. L., Quincy, C., Osserman, J., & Pedersen, O. K. (2013). Coding in-depth semistructured interviews: Problems of unitization and intercoder reliability and agreement. Sociological Methods and Research, 42(3), 294–320. doi:10.​1177/​0049124113500475​.CrossRef
go back to reference Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage. Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage.
go back to reference Chevalier, J. M., & Buckles, D. J. (2013). Participatory action research: Theory and methods for engaged inquiry. UK: Routledge. Chevalier, J. M., & Buckles, D. J. (2013). Participatory action research: Theory and methods for engaged inquiry. UK: Routledge.
go back to reference Coleman, P. K., & Hilderbrandt-Karraker, K. (2003). Maternal self-efficacy beliefs, competence in parenting, and toddlers’ behaviour and developmental status. Infant Mental Health Journal, 24(2), 126–148. doi:10.1002/imhj.10048.CrossRef Coleman, P. K., & Hilderbrandt-Karraker, K. (2003). Maternal self-efficacy beliefs, competence in parenting, and toddlers’ behaviour and developmental status. Infant Mental Health Journal, 24(2), 126–148. doi:10.​1002/​imhj.​10048.CrossRef
go back to reference Corrigan, P. W., Pickett, S., Kraus, D., Burks, R., & Schmidt, A. (2015). Community-based participatory research examining health care needs of African Americans who are homeless with mental illness. Journal of Health Care for the Poor and Undeserved, 26(1), 119–133. doi:10.1353/hpu.2015.0018.CrossRef Corrigan, P. W., Pickett, S., Kraus, D., Burks, R., & Schmidt, A. (2015). Community-based participatory research examining health care needs of African Americans who are homeless with mental illness. Journal of Health Care for the Poor and Undeserved, 26(1), 119–133. doi:10.​1353/​hpu.​2015.​0018.CrossRef
go back to reference Crotty, M. (1998). The foundations of social research: Meaning and perspective in the research process. London: Sage Publications. Crotty, M. (1998). The foundations of social research: Meaning and perspective in the research process. London: Sage Publications.
go back to reference Fernández, M. C., & Arcia, E. (2004). Disruptive behaviours and maternal responsibility: A complex portrait of stigma, self-blame, and other reactions. Hispanic Journal of Behavioural Science, 26(3), 356–372. doi:10.1177/0739986304267208.CrossRef Fernández, M. C., & Arcia, E. (2004). Disruptive behaviours and maternal responsibility: A complex portrait of stigma, self-blame, and other reactions. Hispanic Journal of Behavioural Science, 26(3), 356–372. doi:10.​1177/​0739986304267208​.CrossRef
go back to reference Giorgi, A. (2009). The descriptive phenomenological method in psychology. Pittsburgh, PA: Duquesne University Press. Giorgi, A. (2009). The descriptive phenomenological method in psychology. Pittsburgh, PA: Duquesne University Press.
go back to reference Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York, NY: Simon and Schuster. Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York, NY: Simon and Schuster.
go back to reference Hinshaw, S. P., Scheffler, R. M., Fulton, B. D., Aase, H., Banaschewski, T., Cheng, W., & Weiss, M. D. (2011). International variation in treatment procedures for ADHD: Social context and recent trends. Psychiatric Services, 62(5), 459–464. doi:10.1176/appi.ps.62.5.459.PubMedCrossRef Hinshaw, S. P., Scheffler, R. M., Fulton, B. D., Aase, H., Banaschewski, T., Cheng, W., & Weiss, M. D. (2011). International variation in treatment procedures for ADHD: Social context and recent trends. Psychiatric Services, 62(5), 459–464. doi:10.​1176/​appi.​ps.​62.​5.​459.PubMedCrossRef
go back to reference Ilic, M., Reinecke, J., Bohner, G., Röttgers, H., Beblo, T., Driessen, M., & Corrigan, P. W. (2011). Protecting self-esteem from stigma: A test of different strategies for coping with the stigma of mental illness. International Journal of Social Psychiatry, 58(3), 246–257. doi:10.1177/0020764010392058.PubMedCrossRef Ilic, M., Reinecke, J., Bohner, G., Röttgers, H., Beblo, T., Driessen, M., & Corrigan, P. W. (2011). Protecting self-esteem from stigma: A test of different strategies for coping with the stigma of mental illness. International Journal of Social Psychiatry, 58(3), 246–257. doi:10.​1177/​0020764010392058​.PubMedCrossRef
go back to reference Mak, W. W. S., & Cheung, R. Y. M. (2012). Psychological distress and subjective burden of caregivers of people with mental illness: The role of affiliate stigma and face concern. Community Mental Health Journal, 48(3), 270–274. doi:10.1007/s10597-011-9422-9.PubMedCrossRef Mak, W. W. S., & Cheung, R. Y. M. (2012). Psychological distress and subjective burden of caregivers of people with mental illness: The role of affiliate stigma and face concern. Community Mental Health Journal, 48(3), 270–274. doi:10.​1007/​s10597-011-9422-9.PubMedCrossRef
go back to reference Masten, A. S. (2014). Ordinary magic: Resilience in development. New York: Guilford Publications. Masten, A. S. (2014). Ordinary magic: Resilience in development. New York: Guilford Publications.
go back to reference Moses, T. (2014). Stigma and family. In P. W. Corrigan (Ed.), The stigma of disease and disability (pp. 247–268). Washington DC: American Psychological Association. Moses, T. (2014). Stigma and family. In P. W. Corrigan (Ed.), The stigma of disease and disability (pp. 247–268). Washington DC: American Psychological Association.
go back to reference Neuberg, S. L., Smith, D. M., Hoffman, J. C., & Russell, F. J. (1994). When we observe stigmatised and ‘normal’ individuals interacting: Stigma by association. Personality and Social Psychology Bulletin, 20(2), 196–209. doi:10.1177/0146167294292007.CrossRef Neuberg, S. L., Smith, D. M., Hoffman, J. C., & Russell, F. J. (1994). When we observe stigmatised and ‘normal’ individuals interacting: Stigma by association. Personality and Social Psychology Bulletin, 20(2), 196–209. doi:10.​1177/​0146167294292007​.CrossRef
go back to reference Ohan, J. L., Leung, D. W., & Johnston, C. (2000). The parenting sense of competence scale: Evidence of a stable factor structure and validity. Canadian Journal of Behavioural Science, 32(4), 251–261. doi:10.1037/h0087122.CrossRef Ohan, J. L., Leung, D. W., & Johnston, C. (2000). The parenting sense of competence scale: Evidence of a stable factor structure and validity. Canadian Journal of Behavioural Science, 32(4), 251–261. doi:10.​1037/​h0087122.CrossRef
go back to reference Perlick, D. A., Rosenheck, R., Clarkin, J., Sirey, J., Salahi, J., Struening, E., & Link, B. (2001). Stigma as a barrier to recovery: Adverse effects of perceived stigma on social adaption of persons diagnosed with bipolar affective disorder. Psychiatric Services, 52(12), 1627–1632. doi:10.1176/appi.ps.52.12.1627.PubMedCrossRef Perlick, D. A., Rosenheck, R., Clarkin, J., Sirey, J., Salahi, J., Struening, E., & Link, B. (2001). Stigma as a barrier to recovery: Adverse effects of perceived stigma on social adaption of persons diagnosed with bipolar affective disorder. Psychiatric Services, 52(12), 1627–1632. doi:10.​1176/​appi.​ps.​52.​12.​1627.PubMedCrossRef
go back to reference Perlick, D. A., Kalvin, C., Huntington, B., Holman, C. S., Nelson, A. H., Mattias, K., & Corrigan, P. W. (2011). In our own voice-family companion: Reducing self-stigma of family members of persons with serious mental illness. Psychiatric Services, 62(12), 1456–1462. doi:10.1176/appi.ps.001222011.PubMedCrossRef Perlick, D. A., Kalvin, C., Huntington, B., Holman, C. S., Nelson, A. H., Mattias, K., & Corrigan, P. W. (2011). In our own voice-family companion: Reducing self-stigma of family members of persons with serious mental illness. Psychiatric Services, 62(12), 1456–1462. doi:10.​1176/​appi.​ps.​001222011.PubMedCrossRef
go back to reference Pescosolido, B. A., Fettes, D. L., Martin, J. K., McLeod, J. D., & Monahan, J. (2007). Perceived dangerousness of children with mental health problems and support for coerced treatment. Psychiatric Services, 58(5), 619–625. doi:10.1176/appi.ps.58.5.619.PubMedCrossRef Pescosolido, B. A., Fettes, D. L., Martin, J. K., McLeod, J. D., & Monahan, J. (2007). Perceived dangerousness of children with mental health problems and support for coerced treatment. Psychiatric Services, 58(5), 619–625. doi:10.​1176/​appi.​ps.​58.​5.​619.PubMedCrossRef
go back to reference Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry and Allied Disciplines, 56(3), 345–365. doi:10.1111/jcpp.12381.CrossRef Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry and Allied Disciplines, 56(3), 345–365. doi:10.​1111/​jcpp.​12381.CrossRef
go back to reference Saltzburg, S. (2009). Parents’ experience of feeling socially supported as adolescents come out as lesbian and gay: A phenomenological study. Journal of Family Social Work, 12(4), 340–358. doi:10.1080/10522150903261932.CrossRef Saltzburg, S. (2009). Parents’ experience of feeling socially supported as adolescents come out as lesbian and gay: A phenomenological study. Journal of Family Social Work, 12(4), 340–358. doi:10.​1080/​1052215090326193​2.CrossRef
go back to reference Walker, J. S., Coleman, D., Lee, J., Squire, P. N., & Friesen, B. J. (2008). Children’s stigmatization of childhood depression and ADHD: Magnitude and demographic variation in a national sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 912–920. doi:10.1097/CHI.0b013e318179961a.PubMedCrossRef Walker, J. S., Coleman, D., Lee, J., Squire, P. N., & Friesen, B. J. (2008). Children’s stigmatization of childhood depression and ADHD: Magnitude and demographic variation in a national sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 912–920. doi:10.​1097/​CHI.​0b013e318179961a​.PubMedCrossRef
go back to reference Zisman-Ilani, Y., Levy-Frank, I., Hasson-Ohayon, I., Kravetz, S., Mashiach-Eizenberg, M., & Roe, D. (2013). Measuring the internalised stigma of parents of persons with a serious mental illness. The Journal of Nervous and Mental Disease, 201(3), 186–187. doi:10.1097/NMD.0b013e3182845d00.CrossRef Zisman-Ilani, Y., Levy-Frank, I., Hasson-Ohayon, I., Kravetz, S., Mashiach-Eizenberg, M., & Roe, D. (2013). Measuring the internalised stigma of parents of persons with a serious mental illness. The Journal of Nervous and Mental Disease, 201(3), 186–187. doi:10.​1097/​NMD.​0b013e3182845d00​.CrossRef
Metagegevens
Titel
Failing to Meet the Good Parent Ideal: Self-Stigma in Parents of Children with Mental Health Disorders
Auteurs
Kim Eaton
Jeneva L. Ohan
Werner G. K. Stritzke
Patrick W. Corrigan
Publicatiedatum
04-06-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 10/2016
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-016-0459-9

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