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A dependence that empowers - the meaning of the conditions that enable a good life with bipolar disorder
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences. University of Borås, Sweden.
University of Borås, Sweden.
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.ORCID iD: 0000-0002-3164-8681
University of Borås, Sweden.
2010 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 5, no 1, article id 4653Article in journal (Refereed) Published
Abstract [en]

The extensive suffering related to a complex life situation with bipolar disorder and the reported difference between care needs and the needs that are actually met implicates that there are still questions about management of life with bipolar disorder that need to be answered. The present study therefore aims to describe the meaning of the conditions that enable a good life with bipolar disorder. Ten persons, six women and four men, (aged 30 – 61), diagnosed with bipolar disorder were interviewed. A reflective lifeworld perspective based on phenomenological philosophy was used. The findings present the essential meaning of the conditions that enable a good life with bipolar disorder as a dependence that empowers, which is further described by its constituents: “turning the course of life”, “protecting oneself from running out of energy”, “being needed”, “being oneself through reliable others”, “personal landmarks for navigating through life”. A voluntary chosen dependence, as described in the present study, is a new approach of care that enables a good life with bipolar disorder, while enhancing own power, freedom and control. The conditions that enable a good life with bipolar disorder are more than separate supporting measures. Therefore a holistic perspective is preferable while providing care for individuals with bipolar disorder.

Place, publisher, year, edition, pages
Stockholm: Co-Action Publishing , 2010. Vol. 5, no 1, article id 4653
Keywords [en]
Bipolar disorder, caring science, dependence, empowerment, lifeworld research, phenomenology
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:vxu:diva-7112DOI: 10.3402/qhw.v5i1.4653OAI: oai:DiVA.org:vxu-7112DiVA, id: diva2:293904
Available from: 2010-02-15 Created: 2010-02-15 Last updated: 2019-08-28Bibliographically approved
In thesis
1. Bipolär sjukdom - ur ett existentiellt perspektiv
Open this publication in new window or tab >>Bipolär sjukdom - ur ett existentiellt perspektiv
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Bipolar disorder - from an existential perspective
Abstract [en]

Aim: The overall aim was to create knowledge about what it means to live with bipolar disorder from an existential perspective, both for individuals with the diagnosis and for their close relatives.

Method: An existential perspective in this context entails that it is explored and described from a lifeworld perspective of individuals who in various ways experience that which is termed as bipolar disorder. The lifeworld phenomenological approach Reflective Lifeworld Research (RLR) was used in the four empirical studies. Meaning-oriented interviews and analysis were conducted following the leading methodological principles of the chosen scientific approach. A synthesis, based on lifeworld hermeneutic existential philosophy, then presents how it is possible to understand the perspective of individuals with bipolar disorder and their close relatives as a coherent whole.

Findings and conclusions: A magnitude and complexity of experiencing, which means that life with bipolar disorder is characterized by extra dimensions, specific tension and contradictions, has been elucidated. Knowledge of the meaning of these aspects enables for the persons with the illness and for their close relatives to understand, to put words to, and to communicate how their life is and what they need, which in turn enhances their ability to influence their lives. It also increases the opportunities for professional caregivers to develop care, both in content and organization, so that it can meet the actual needs of those concerned in an adequate way.

Living with bipolar disorder means so much more than the usual description with changes between episodes of depression and mania. The diagnosis “bipolar disorder” thus appears to be an inadequate label that only reflects the more obvious and visible dimensions of the illness, while those that characterize life in its entirety remain hidden.

The thesis also shows that the importance of the common everyday life of persons with bipolar disorder and their close relatives should be highlighted as the most important factor in a liveable existence. A change in the view of mental health care is thus needed; a change that is characterized by consensus, collaboration and transparent communication between the person with the illness, their close relatives and mental health care. The common goal should be about meeting actual needs, and to strengthen a profound connectedness in order to make everyday life more liveable.

Place, publisher, year, edition, pages
Växjö, Kalmar: Linnaeus University Press, 2012
Series
Linnaeus University Dissertations ; 99/2012
Keywords
bipolar disorder, extra dimensions, existential perspective, lived experiences, phenomenology, close relatives
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-21988 (URN)978-91-86983-80-2 (ISBN)
Public defence
2012-11-16, Sal Myrdal, Hus K, Växjö, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2012-10-10 Created: 2012-10-09 Last updated: 2018-09-24Bibliographically approved

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Rusner, MarieBrunt, David

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