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Struggling for existence: - Life situation experiences of older persons with mental disorders
Mälardalen University, School of Health, Care and Social Welfare.
Ersta Sköndal Högskola.
Karolinska Institutet.
Mälardalen University, School of Health, Care and Social Welfare.ORCID iD: 0000-0002-9714-577X
2012 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, no Art. nr. 18422Article in journal (Refereed) Published
Abstract [en]

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

Place, publisher, year, edition, pages
2012. Vol. 7, no Art. nr. 18422
Keywords [en]
aged, gerontology, mental disorders, municipal care of the old, phenomenological hermeneutics, psychiatry
National Category
Medical and Health Sciences
Research subject
Care Sciences within Health and Welfare
Identifiers
URN: urn:nbn:se:mdh:diva-15112DOI: 10.3402/qhw.v7i0.18422ISI: 000305456700001PubMedID: 22693537Scopus ID: 2-s2.0-84875176784OAI: oai:DiVA.org:mdh-15112DiVA, id: diva2:543855
Projects
Äldre med psykiatrisk ohälsaAvailable from: 2012-08-10 Created: 2012-08-10 Last updated: 2017-12-07Bibliographically approved

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Publisher's full textPubMedScopushttp://www.ijqhw.net/index.php/qhw/article/view/18422

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Wiklund Gustin, Lena

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