When psychosis hits home: investigating growth experiences of family members

Abstract

Section A
This systematic review aimed to explore the aspects of personal growth in family members who have relatives who have experienced psychosis. A systematic search of four databases was conducted. Only papers which were qualitative and consisted of participants who were family members were included. The quality of the included literature was assessed using The CASP Tool. Fifteen studies were included, which took place in Canada, Hong Kong, Iran, Israel, the USA, Australia, Sweden, the UK and Ireland. Studies occurred between the years of 1996 and 2024. Six broad themes were identified: Identity Reinvention, Emotional and Family Resilience, Relational Growth, Coping Skills Development, Acceptance and Letting Go, Post-Traumatic Growth and Meaning. Overall, this review revealed key aspects for personal growth in family members of those with psychosis. The review has implications for clinical practice as these aspects may help to inform professionals on supporting families. Further implications and limitations are discussed in the main text.

Section B
Families play a central role in supporting individuals experiencing psychosis, yet research has predominantly focused on the burdens they face rather than their potential for growth. This study aimed to develop a model of self-perceived growth among family members of individuals with psychosis, identifying factors that support or hinder this process. Using a grounded theory approach, semi-structured interviews were conducted with 10 family members from diverse backgrounds. Data were analysed through constant comparison, leading to the development of a dynamic model of growth. The model highlights five core components: (1) the process of personal and family transformation, (2) the role of support networks, (3) the duality of struggle and strength, (4) facilitators of growth, and (5) barriers to growth. Personal growth unfolds through three overlapping phases: Emotional Turmoil and Role Shift, Navigating Challenges and Seeking Stability, and Meaning-Making and Transformation. Support from peer groups, professionals, and communities plays a critical role in fostering resilience, while barriers such as stigma, emotional exhaustion, and financial strain often impede growth. Findings suggest that caregiving is a non-linear journey marked by both hardship and empowerment. While some family members experienced stronger relationships and a deepened sense of purpose, others encountered conflict and distress. This study underscores the need for mental health services to support families not only in managing caregiving challenges but also in recognising and fostering opportunities for growth. Future research may incorporate the experiences of siblings and those who may not perceive growth through caregiving

Date of Award	2025
Original language	English