“…There is considerable attention being paid to the support needs of primary carers in recognition not only of the importance of their contribution but the ‘enormous amount and complexity of care that is performed by informal caregivers' (Nordberg 2007 : 38) and the level of challenge the role presents (Balducci et al 2008 ; Eagar et al 2007). Being a primary carer has been associated with a wide range of threats to health and wellbeing (Eagar et al 2007 ) with carers experiencing poorer health (Donelan, Falik and DesRoches 2001 ; Mannion 2008 a , 2008 b ), higher rates of depression (Adams 2007 ; Spector and Tampi 2005 ), increased stress levels (Rahman 1999 ), financial penalties (Chambers, Ryan and Connor 2001 ; Ross et al 2008 ; Schofield et al 1997 ), social isolation and exclusion (Chambers, Ryan and Connor 2001 ; Clements 2004 ; Schneider et al 1999 ; Tilvis, Jolkkonen and Strandberg 2000 ), and increased mortality (Schulz and Beach 1999 ). These associations have led to a focus on primary caring as an essentially affectively negative, stressful and burdensome experience, and a tendency to conceptualise carer need largely in terms of one-dimensional, decontextualised measures of carer ‘burden’ (Hodgson, Higginson and Jefferys 1998 ).…”