The burden of caring for family members with mental illness has been researched extensively. However, knowledge of spouse carers' experiences is limited. In this article, we explore this from a carers' perspective, with 28 spouse carers, using qualitative open-ended semi-structured interviews using a grounded theory approach informed by the social interactionism tradition to collect and analyze the data. We present six interrelated themes around the central theme of this being "a real and genuine relationship". The findings indicate that caring for a spouse with severe mental illness is a unique role compared with other caring roles. First and foremost, spouse carers strive for the relationship with their partner, and accommodate mental illness into their lives to protect the relationship. Because of this, they often lead surreal lives marked by significant emotional pressure and isolation. This has implications for how mental health service providers work with and support spouse carers.
KeywordsCaregivers / caregiving; grounded theory; men's health; mental health and illness; relationships, primary partner 2 Archived at Flinders University: dspace.flinders.edu.auInformal carers provide unpaid care to family or friends with a disability, chronic physical illness, mental illness, or who are frail aged. Treloar and Funk (2011) called this "intimate labour" which they situated within the broader concept of "familialism" where, "Households are viewed as having the primary responsibility for members' welfare throughout the life course" (p. 154). Some carers assume these responsibilities willingly, as part of familial connection with the person cared for. As Cormac and Tihanyi (2006) suggested Underpinning the caring role may be life-long love and friendship, together with an acceptance of the duty to provide care. Carers can derive satisfaction and a sense of well-being . . . receive love and affection from the care recipient, (and) gain a sense of achievement from developing personal attributes of patience and tolerance (p. 162).A significant group, bound to provide care through their chosen relationship, are wives, husbands or de facto partners of people with severe mental illnesses such as major depression, schizophrenia, bipolar disorder, post-traumatic stress disorder (PTSD) or personality disorder. Caring for someone with these diagnoses requires spouses to navigate many complexities within the spousal relationship and caring role.
Spouse Carers of People with Chronic Physical Health ConditionsMany researchers have looked at the experience of spouse carers of people with cancer (Kuenzler, Hodgkinson, Zindel, Bargetzi & Znoi, 2011), stroke (Coombs, 2007, cardiac disease (Mahrer-Imhoff, Hoffmann & Froelicher, 2007), arthritis (Roberto & Gold, 1997), asthma (Afari & Schmaling, 2000, Parkinson's disease (Tanji, et al., 2008), Alzheimer's dementia (Gilliam & Steffen, 2006) and chronic conditions generally (Baanders & Heijmans, 2007). This research has highlighted carers' grief, burden, obligation, problems...