Personal identity and the role of 'carer' among relatives and friends of people with multiple sclerosis

Bibliographic Data

ID4597615
AuthorsNic Hughes (University of Oxford), Louise Locock (0000-0002-8109-1930, University of Oxford), Sue Ziebland (0000-0002-6496-4859, University of Oxford)
Year2013
Volume96
Pages78-85
Publication date2013-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2013.07.023
PMID24034954
PMCIDPMC3778435
OpenAlexW1969929366
LanguageEN
Citations received28
References cited37

Informal caregiving continues to be a crucial part of health and social care provision in the developed world, but the processes by which the identity of informal caregiver is conferred, or assumed, remain unclear. In this article we draw on data from a qualitative research study which examined the experiences of family members and friends of people with multiple sclerosis (pwMS) to explore how they interpret the label 'carer'. We conducted narrative interviews with forty people throughout the United Kingdom between June 2011 and January 2012. Participants were spouses, partners, parents, children, siblings or friends of people who have had multiple sclerosis between 6 months and fifty years. We carried out thematic analysis of the interviews, informed by identity theory. Identity theory illuminated variation in peoples' perceptions of themselves as carers, suggesting that self-identification with the role and label of carer is nuanced, shifting and variable. We propose a taxonomy of caring activity including emotional support, personal care, physical care, household tasks, advocacy and activism and describe four categories, with fluid and overlapping boundaries, in which the identity of carer was apparently embraced, enforced, absorbed or rejected. Variability and fluidity in self-identification as a carer are related to apparent expectations about whether one should assume a caring role. Those who were caring from the more tangential (and less taken for granted) relationship of sibling or ex-partner were among those who apparently embraced the role. Those who were expected to assume the caring role (typically spouses) were not always comfortable with doing so. It may be difficult to gain acknowledgement from family members and others that they occupy the role of carer if people resist the label as a bureaucratisation of their personal relationships

Developmental psychology · Identity (music · Multiple sclerosis · Personal identity · Psychiatry · Self-concept · Sociology · Family Support in Illness · Intergenerational Family Dynamics and Caregiving · Medicine · Psychology · Social Psychology