Limited research and clinical attention has been paid to the experience of being an ill parent, so that parents are given little support in preparing for the effect their illness might have on their children. In this article, we explore how parents manage being a patient and a parent at the same time, focusing on three themes which have emerged: parental fears that illness renders them less fit to meet the needs of their children; dilemmas about balancing self-care with the care of others; and how the illness can evoke feelings that relate to previous trauma, influencing their responses to their children in the present. We highlight how these issues do not happen in isolation, but in the context of ongoing intimate, family relationships. We suggest that if they are not addressed, parents and children are left unprepared to meet the demands which illness poses. Finally, we examine the implications for clinical work in this area.
This paper outlines the development of clinical understanding and a clinical model for working with families with parental physical illness. The lens of gender to explore clinical process reveals blind spots and can uncover alternative perspectives on parental illness. The authors look at the very different needs of children and parents for coherent explanations. The impact of this way of working on therapists and the importance of reflecting teams, as part of the process of working collaboratively with families, are addressed.
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