A Phenomenologycal Study: Family Experience in Expressed Emotion in Providing Care for Client with Risk of Aggressive Behavior

Ika Ratih Wibawa, Achir Yani Hamid, Novy Helena Daulima

Abstract


Agressiveness and violent behavior are among the symptoms manifested in individual with severe mental disorder. The relationship between caregiving and mental disorder can be assessed through expressed emotion. This study aimed to identify family experience in expressing emotion when providing care for client with risk of aggressive behavior. The study design was qualitative with phenomenological approach. Six participants were involved for an in-depth interview about their experiences in expressing emotion in providing care for client with risk of aggressive behavior. The findings identified three themes that included psychological responses followed by physical responses as manifestation of family response, hostility as reflection of family’s negative emotion, and positive interaction within family to meet psychological need. The findings may be used as reference for nurses or families to consider expressed emotion when providing care for client with risk of aggressive behavior. The result suggested that psychiatric nurse to emphasize expressed emotion when providing psycho-education for family and self-hep group.


Keywords


expressed emotion, family, risk of aggressive behavior

References


Onwumere J, Grice S, Garety P, Bebbington P, Dunn G, Freeman D, et al. Caregiver reports of patients-initiated violence in psychosis. Can J Psychiatry. 2014;59(7),376–84.

Gupta N, Mohanty S. Relationship of burden and social support with expressed emotion in spouses of persons with schizophrenia. Journal of the Indian Academy of Applied Psychology. 2016;42(1):172-78.

Subandi, MA. Family expressed emotion in a javanese cultural context. Cult Med Psychiatry. 2011;35(3):331-46. DOI: 10.1007/s11013-011-9220-4

Bogojevic G, Ziravac L, Zigmund D. Impact of expressed emotion on the course of schizophrenia. Eur Psychiatr. 2015;30:Suppl 1:390. DOI: 10.1016/S0924-9338(15)30309-6

JW Creswell. Research design : pendekatan kualitatif, kuantitatif dan mixed. Pustaka Belajar, Yogyakarta, 2013.

DF Polit, CT Beck. Nursing research : Generating and assessing evidence for nursing practice. Wolter Kluwer Health, Philadelpia, 2012.

Y Afiyanti, IN Rachmawati. Metodologi penelitian kualitatif dalam riset keperawatan. Edisi 1. Rajawali Pers, Jakarta, 2014.

JJ Gross. Handbook of emotion regulation. 2nd ed. Guilford Press, New York, 2014.

EP Sarafino. Health Psychology : Biopsychosocial Interactions. 5th ed. John Wiley & Sons, USA, 2006.

S Sadiq, K Suhail. Relationship of expressed emotion with burden of care and health of caregivers of patients with schizophrenia. Pakistan Journal of Social and Clinical Psychology. 2013;11(1),3-10.

E Tomlinson, J Onwumere, E Kuipers, Distress and negative experiences of the caregiving relationship in early psychosis: does social cognition play a role? Early Interv. Psychiatry. 2014;8(3),253–60. DOI: 10.1111/eip.12040

K Bademli, N Lok, AK Kilic. Relationship between caregiving burden and anger level in primary caregivers of individuals with chronic mental illness. Arch of Psychiatr Nurs. 2017;31(3),263-268 DOI: 10.1016/j.apnu.2016.12.001

JA Kymalainen, MAG Weisman. Expressed emotion, communication deviance and culture in families of patients with schizophrenia : a review of the literature. Cultur Divers Ethnic Minor Psychol. 2008;14(2),85-91. Available from: DOI: 10.1037/1099-9809.14.2.85

FM Suseno. Etika Jawa : sebuah analisa falsafi tentang kebijaksanaan hidup Jawa. PT Gramedia Pustaka Utama, Jakarta. 2001.

M Koschorke, R Padmavati, S Kumar, A Cohen, HA Weiss, S Chatterjee, et al. Experience of stigma and discrimination faced by family caregivers of people with schizophrenia in India. Soc Sci Med. 2017, DOI: 10.1016/j.socscimed.2017.01.061

O Santesteban-Echarri, MA Ramos-Olazagasti, RE Eisenberg, C Wei, HR Bird, G Canino, et al. Parental warmth and psychiatric disorders among Puerto Rican children in two different socio-cultural contexts. Journal of Psychiatric Research. 2017, DOI: 10.1016/j.jpsychires.2016.12.008

MM Friedman, VR Bowden, EG Jones. Buku Ajar keperawatan keluarga : riset, teori dan praktik. 5th ed. Tiar, S, editor. Hamid AY et al, translator. EGC, Jakarta,2010.

TM Schaffer. 2014, The experience of the addiction-affected family : A communication based interpretive phenomenological analysis. Dissertation. The University of Memphis, Memphis, USA.


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