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Marriage patterns of adults with multiple sclerosis living in extended cares Greenspoon, Samuel Robert

Abstract

Having a serious illness can create a major threat to the marital relationship and may lead to a disruption of the family unit. In a long-term disabling illness, emotional adjustments are complicated and may cause more distress than the physical effects of the disease. This study attempts to develop a framework, by analyzing individuals with MS stories of illness and to examine some of the factors that are unique to marriage and illness (specifically multiple sclerosis). Six individuals, three males and three females between the ages of 45 to 60 years of age, who are currently married and residing in an extended care facility were interviewed using an interview schedule. Data were analyzed using grounded theory. The study was an exploratory one. Using a qualitative design, the study sought to understand the experiences of individuals with MS and the effect their disease has had on their marital relationship, particularly with regard to the factors that have contributed to the constancy of the marriage. Factors influencing the perseverance and longevity of the marital relationship were examined. The data indicated that there were four marriage patterns specific to maintaining a marriage, having a disease, and living in an extended care facility. These marriage patterns were described as: marginal, functional, companion and romantic relationships. These findings are discussed in relation to the relevant clinical intervention strategies for social work practitioners.

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