| Autor: |
Bristowe, Katherine, Timmins, Liadh, Braybrook, Debbie, Marshall, Steve, Pitman, Alexandra, Johnson, Katherine, Day, Elizabeth, Clift, Paul, Rose, Ruth, Yi, Deokhee, Yu, Peihan, Gao, Wei, Roach, Anna, Almack, Kathryn, King, Michael, Harding, Richard |
| Předmět: |
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| Zdroj: |
Palliative Medicine; Feb2023, Vol. 37 Issue 2, p221-234, 14p |
| Abstrakt: |
Background: Support from social networks is vital after the death of a partner. Lesbian, gay, bisexual and/or transgender (LGBT+) people can face disenfranchisement and isolation in bereavement. The Acceptance-Disclosure Model (of LGBT+ bereavement) posits that experiences are shaped by the extent to which individuals feel able to disclose their bereavement to others, and whether that loss is acknowledged appropriately. Aim: To explore LGBT+ specific experiences of partner bereavement; determine decision-making processes regarding disclosure of relationships/identities; and appraise the Acceptance-Disclosure Model using primary qualitative data. Design: Exploratory in-depth qualitative interview study positioned within a social constructivist paradigm. Data were analysed using inductive and deductive reflexive thematic analysis. Setting/participants: 21 LGBT+ people from across England bereaved of their civil partner/spouse. Results: Participants described LGBT+ specific stressors in bereavement: lack of recognition of their loss; inappropriate questioning; unwanted disclosure of gender history; and fears of discrimination when accessing support. Disclosure of LGBT+ identities varied across social networks. Some participants described hiding their identities and bereavement to preserve relationships, and challenging intersections between LGBT+ identities and other aspects of culture or self. These findings provide primary evidence to support the Acceptance-Disclosure Model. Conclusions: LGBT+ people face additional stressors in bereavement. Not all LGBT+ people want to talk directly about their relationships/identities. Sensitive exploration of support needs, aligned with preferences around disclosure of identities, can help foster trust. Five recommendations for inclusive practice are presented. Further research should consider whether the Acceptance-Disclosure Model has utility to explain bereavement experiences for other isolated or disenfranchised groups. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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