Struggling for existence—Life situation experiences of older persons with mental disorders

Older persons with mental disorders represent a vulnerable group of people with extensive and complex needs. The older population is rapidly increasing worldwide and, as a result of deinstitutionalization in mental health care, older persons are remaining at home to a greater extent. Although they c...

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Main Authors: Gunilla Martinsson, Ingegerd Fagerberg, Christina Lindholm, Lena Wiklund-Gustin
Format: Article
Language:English
Published: Taylor & Francis Group 2012-06-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://www.ijqhw.net/index.php/qhw/article/view/18422/22669
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author Gunilla Martinsson
Ingegerd Fagerberg
Christina Lindholm
Lena Wiklund-Gustin
author_facet Gunilla Martinsson
Ingegerd Fagerberg
Christina Lindholm
Lena Wiklund-Gustin
author_sort Gunilla Martinsson
collection DOAJ
description Older persons with mental disorders represent a vulnerable group of people with extensive and complex needs. The older population is rapidly increasing worldwide and, as a result of deinstitutionalization in mental health care, older persons are remaining at home to a greater extent. Although they constitute a large proportion of the population, older persons with mental disorders have been neglected in research as well as in care organizations. As there is little previous knowledge concerning older persons’ experiences of their own situations, this study aimed to illuminate the meaning of the life situation as experienced by older persons with mental disorders (excluding dementia disorders). Interviews were conducted with seven older persons and the text was analyzed using a phenomenological hermeneutical research method, inspired by the philosophy of Paul Ricoeur. “Struggling for existence” emerged as a main theme in the older persons’ narratives, understood as a loss of dignity of identity and involving being troubled and powerless as well as yearning for respect. The older persons fought to master their existence and to be seen for who they are. The study highlights the importance for caregivers, both formal and informal, to avoid focusing on the diagnoses and rather acknowledge the older persons and their lifeworld, be present in the relation and help them rebuild their dignity of identity. This study brings a new understanding about older persons with mental disorders that may help reduce stigma and contribute to planning future mental health care.
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spelling doaj.art-bbd3bb1c7cf246cb9bf4dc826f3183502022-12-22T02:57:32ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312012-06-01701910.3402/qhw.v7i0.18422Struggling for existence—Life situation experiences of older persons with mental disordersGunilla MartinssonIngegerd FagerbergChristina LindholmLena Wiklund-GustinOlder persons with mental disorders represent a vulnerable group of people with extensive and complex needs. The older population is rapidly increasing worldwide and, as a result of deinstitutionalization in mental health care, older persons are remaining at home to a greater extent. Although they constitute a large proportion of the population, older persons with mental disorders have been neglected in research as well as in care organizations. As there is little previous knowledge concerning older persons’ experiences of their own situations, this study aimed to illuminate the meaning of the life situation as experienced by older persons with mental disorders (excluding dementia disorders). Interviews were conducted with seven older persons and the text was analyzed using a phenomenological hermeneutical research method, inspired by the philosophy of Paul Ricoeur. “Struggling for existence” emerged as a main theme in the older persons’ narratives, understood as a loss of dignity of identity and involving being troubled and powerless as well as yearning for respect. The older persons fought to master their existence and to be seen for who they are. The study highlights the importance for caregivers, both formal and informal, to avoid focusing on the diagnoses and rather acknowledge the older persons and their lifeworld, be present in the relation and help them rebuild their dignity of identity. This study brings a new understanding about older persons with mental disorders that may help reduce stigma and contribute to planning future mental health care.http://www.ijqhw.net/index.php/qhw/article/view/18422/22669Agedgerontologymental disordersmunicipal care of the oldphenomenological hermeneuticspsychiatry
spellingShingle Gunilla Martinsson
Ingegerd Fagerberg
Christina Lindholm
Lena Wiklund-Gustin
Struggling for existence—Life situation experiences of older persons with mental disorders
International Journal of Qualitative Studies on Health & Well-Being
Aged
gerontology
mental disorders
municipal care of the old
phenomenological hermeneutics
psychiatry
title Struggling for existence—Life situation experiences of older persons with mental disorders
title_full Struggling for existence—Life situation experiences of older persons with mental disorders
title_fullStr Struggling for existence—Life situation experiences of older persons with mental disorders
title_full_unstemmed Struggling for existence—Life situation experiences of older persons with mental disorders
title_short Struggling for existence—Life situation experiences of older persons with mental disorders
title_sort struggling for existence x2014 life situation experiences of older persons with mental disorders
topic Aged
gerontology
mental disorders
municipal care of the old
phenomenological hermeneutics
psychiatry
url http://www.ijqhw.net/index.php/qhw/article/view/18422/22669
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