Unraveling reactionary care: the experience of mother-caregivers of adults with severe mental disorders in Catalonia

In most Mediterranean countries, people diagnosed with severe mental disorders (SMDs) are typically cared for by the mother, causing a significant burden on people in this family role. Based on a broader mental health participatory action and qualitative research carried out in Catalonia (Spain) of...

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Detalles Bibliográficos
Autores: Alegre-Agís, Elisa, García-Santesmases, Andrea, Pié Balaguer, Assumpció, Martínez Hernáez, Ángel, Bekele, Deborah, Morales Sáez, Nicolás, Serrano-Miguel, Mercedes
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/207206
Acceso en línea:https://hdl.handle.net/2445/207206
Access Level:acceso abierto
Palabra clave:Malalts mentals
Mares i fills
Antropologia mèdica
Violència contra les dones
Investigació qualitativa
Catalunya
Cuidadores
Mentally ill
Mother and child
Medical anthropology
Violence against women
Qualitative research
Catalonia
Women caregivers
Descripción
Sumario:In most Mediterranean countries, people diagnosed with severe mental disorders (SMDs) are typically cared for by the mother, causing a significant burden on people in this family role. Based on a broader mental health participatory action and qualitative research carried out in Catalonia (Spain) of 12 in-depth interviews and 3 focus groups, this article analyses the mother-caregivers' experience in the domestic space. The results show that patients and caregivers are engaged in a relationship of 'nested dependencies', which create social isolation. This produces the conditions of 'reactionary care', practices that limit the autonomy of those affected and that reproduce forms of disciplinary psychiatric institutions. We conclude that both institutional violence derived from economic rationality and that which stems from the gender mandate feed off each other into the domestic sphere. This research argues for placing care at the center of clinical practice and shows the need to consider the structural forces shaping it.