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Published in: Journal of Genetic Counseling 3/2014

01-06-2014 | Original Research

An Exploration of the Experience of Huntington’s Disease in Family Dyads: An Interpretative Phenomenological Analysis

Authors: Caroline Maxted, Jane Simpson, Stephen Weatherhead

Published in: Journal of Genetic Counseling | Issue 3/2014

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Abstract

Huntington’s disease (HD) is a hereditary, late onset, neurodegenerative disorder. Children of affected parents have a 50 % chance of inheriting HD. Research into the psychological consequences of HD for the family has focussed on individual family members, but little is known about the ways in which its impact is jointly experienced by members of these families. This is particularly important due to the hereditary nature of HD. To address this, the current study examined the experiences of dyads within affected families. Seven parent/adult child dyads were interviewed jointly about their experiences and relationships with their family and each other and interpretative phenomenological analysis was used to analyse the resultant data. Identified themes were: “A spectre hanging over us”: HD as a presence within the family, “Us against the world”: Protection, knowledge and control, and “That could be me in 50 years”: Cyclical changes in identity and role. These findings are examined in relation to previous research and indicate the need for an increased understanding of the needs of HD families. Clinical implications and suggestions for further research are discussed.
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Literature
go back to reference Brewer, H. M., Eatough, V., Smith, J. A., Stanley, C. A., Glendinning, N. W., & Quarrell, O. W. J. (2008). The impact of juvenile Huntington’s disease on the family: the case of a rare childhood condition. Journal of Health Psychology, 13(5), 5–16. doi:10.1177/1359105307084307.PubMedCrossRef Brewer, H. M., Eatough, V., Smith, J. A., Stanley, C. A., Glendinning, N. W., & Quarrell, O. W. J. (2008). The impact of juvenile Huntington’s disease on the family: the case of a rare childhood condition. Journal of Health Psychology, 13(5), 5–16. doi:10.​1177/​1359105307084307​.PubMedCrossRef
go back to reference British Society for Human Genetics (2010). Report on the genetic testing of children 2010. Birmingham: BSHG. British Society for Human Genetics (2010). Report on the genetic testing of children 2010. Birmingham: BSHG.
go back to reference Cox, S. M., & McKellin, W. (1999). ‘There’s this thing in our family’: predictive testing and the construction of risk for Huntington Disease. Sociology of Health & Illness, 21(5), 622–646. doi:10.1111/1467-9566.00176.CrossRef Cox, S. M., & McKellin, W. (1999). ‘There’s this thing in our family’: predictive testing and the construction of risk for Huntington Disease. Sociology of Health & Illness, 21(5), 622–646. doi:10.​1111/​1467-9566.​00176.CrossRef
go back to reference Dallos, R., & Draper, R. (2010). An Introduction to Family Therapy, Systemic Theory and Practice. Maidenhead: Open University Press. Dallos, R., & Draper, R. (2010). An Introduction to Family Therapy, Systemic Theory and Practice. Maidenhead: Open University Press.
go back to reference Downing, C. (2005). Negotiating responsibility: case studies of reproductive decision-making and prenatal genetic testing in families facing Huntington disease. Journal of Genetic Counselling, 14(3), 219–234. doi:10.1007/s10897-005-0619-3.CrossRef Downing, C. (2005). Negotiating responsibility: case studies of reproductive decision-making and prenatal genetic testing in families facing Huntington disease. Journal of Genetic Counselling, 14(3), 219–234. doi:10.​1007/​s10897-005-0619-3.CrossRef
go back to reference Eccles, F. J., Murray, C. M., & Simpson, J. (2011). Perceptions of cause and control in people with Parkinson’s disease. Disability and Rehabilitation, 33, 1409–1420.PubMedCrossRef Eccles, F. J., Murray, C. M., & Simpson, J. (2011). Perceptions of cause and control in people with Parkinson’s disease. Disability and Rehabilitation, 33, 1409–1420.PubMedCrossRef
go back to reference Fitzpatrick, L., Simpson, J., & Smith, A. (2010). A qualitative analysis of mindfulness-based cognitive therapy (MBCT) in Parkinson’s disease. Psychology and Psychotherapy: Theory, Research & Practice, 83, 179–92.CrossRef Fitzpatrick, L., Simpson, J., & Smith, A. (2010). A qualitative analysis of mindfulness-based cognitive therapy (MBCT) in Parkinson’s disease. Psychology and Psychotherapy: Theory, Research & Practice, 83, 179–92.CrossRef
go back to reference Hayes, S. C. (2004). Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies. Behavior Therapy, 35, 639–665. doi:10.1016/S0005-7894(04)80013-3 Hayes, S. C. (2004). Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies. Behavior Therapy, 35, 639–665. doi:10.​1016/​S0005-7894(04)80013-3
go back to reference Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common sense representation of illness danger. In S. Rachman (Ed.), Contributions to medical psychology (Vol. 2, pp. 17–30). New York: Pergamon Press. Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common sense representation of illness danger. In S. Rachman (Ed.), Contributions to medical psychology (Vol. 2, pp. 17–30). New York: Pergamon Press.
go back to reference Lowit, A., & Van Teijlingen, E. R. (2005). Avoidance as a strategy of (not) coping: qualitative interviews with carers of Huntington’s Disease patients. BMC Family Practice, 6(38), 1–9. doi:10.1186/1471-2296-6-38. Lowit, A., & Van Teijlingen, E. R. (2005). Avoidance as a strategy of (not) coping: qualitative interviews with carers of Huntington’s Disease patients. BMC Family Practice, 6(38), 1–9. doi:10.​1186/​1471-2296-6-38.
go back to reference McAllister, M., Davies, L., Payne, K., Nicholls, S., Donnai, D., & MacLeod, R. (2007). The emotional effects of genetic diseases: implications for clinical genetics. American Journal of Medical Genetics Part A, 143a, 2651–2661. doi:10.1002/ajmg.a.PubMedCrossRef McAllister, M., Davies, L., Payne, K., Nicholls, S., Donnai, D., & MacLeod, R. (2007). The emotional effects of genetic diseases: implications for clinical genetics. American Journal of Medical Genetics Part A, 143a, 2651–2661. doi:10.​1002/​ajmg.​a.PubMedCrossRef
go back to reference Mental Capacity Act 2005 (c.9) London: HMSO. Mental Capacity Act 2005 (c.9) London: HMSO.
go back to reference Molyneaux, V., Butchard, S., Simpson, J., & Murray, C. (2012). The co-construction of couplehood in dementia. Dementia: The International Journal of Social Research and Practice, 11, 483–502.CrossRef Molyneaux, V., Butchard, S., Simpson, J., & Murray, C. (2012). The co-construction of couplehood in dementia. Dementia: The International Journal of Social Research and Practice, 11, 483–502.CrossRef
go back to reference Paulsen, J. S., Ready, R. E., Hamilton, J. M., Mega, M. S., & Cummings, J. L. (2001). Neuropsychiatric aspects of Huntington’s disease. Journal of Neurological Neurosurgery and Psychiatry, 71, 310–314. doi:10.1136/jnnp.71.3.310.CrossRef Paulsen, J. S., Ready, R. E., Hamilton, J. M., Mega, M. S., & Cummings, J. L. (2001). Neuropsychiatric aspects of Huntington’s disease. Journal of Neurological Neurosurgery and Psychiatry, 71, 310–314. doi:10.​1136/​jnnp.​71.​3.​310.CrossRef
go back to reference Pearce, B. (2005). The Coordinated Management of Meaning (CMM). In W. B. Gudykunst (Ed.), Theorizing About Intercultural Communication (pp. 35–54). Thousand Oaks: Sage Publications. Pearce, B. (2005). The Coordinated Management of Meaning (CMM). In W. B. Gudykunst (Ed.), Theorizing About Intercultural Communication (pp. 35–54). Thousand Oaks: Sage Publications.
go back to reference Reeve, D. (2006). Towards a psychology of disability: The emotional effects of living in a disabling society. In D. Goodley & R. Lawthom (Eds.), Disability and psychology: Critical introductions and reflections (pp. 94–107). Basingstoke: Macmillan. Reeve, D. (2006). Towards a psychology of disability: The emotional effects of living in a disabling society. In D. Goodley & R. Lawthom (Eds.), Disability and psychology: Critical introductions and reflections (pp. 94–107). Basingstoke: Macmillan.
go back to reference Richards, F. (2004). Couples’ Experiences of predictive testing and living with the risk or reality of Huntington’s disease: a qualitative study. American Journal of Medical Genetics, 126A, 170–182. doi:10.1002/ajmg.a.20583.PubMedCrossRef Richards, F. (2004). Couples’ Experiences of predictive testing and living with the risk or reality of Huntington’s disease: a qualitative study. American Journal of Medical Genetics, 126A, 170–182. doi:10.​1002/​ajmg.​a.​20583.PubMedCrossRef
go back to reference Roscoe, L. A., Corsentino, E., Watkins, S., McCall, M., & Sanchez-Ramos, J. (2009). Wellbeing of family caregivers of persons with late-stage Huntington’s disease: lessons in stress and coping. Health Communication, 24, 239–248. doi:10.1080/10410230902804133.PubMedCrossRef Roscoe, L. A., Corsentino, E., Watkins, S., McCall, M., & Sanchez-Ramos, J. (2009). Wellbeing of family caregivers of persons with late-stage Huntington’s disease: lessons in stress and coping. Health Communication, 24, 239–248. doi:10.​1080/​1041023090280413​3.PubMedCrossRef
go back to reference Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative Phenomenological Analysis: Theory, method and Research. London: Sage. Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative Phenomenological Analysis: Theory, method and Research. London: Sage.
go back to reference Sobel, S., & Cowen, C. B. (2003). Ambiguous loss and disenfranchised grief: the impact of DNA predictive testing on the family as a system. Family Process, 42, 47–57.PubMedCrossRef Sobel, S., & Cowen, C. B. (2003). Ambiguous loss and disenfranchised grief: the impact of DNA predictive testing on the family as a system. Family Process, 42, 47–57.PubMedCrossRef
go back to reference Sparbel, K. J. H., Driessnack, M., Williams, J. K., Schutte, D. L., Tripp-Reimer, T., McGonigal-Kenney, M., et al. (2008). Experiences of teens living in the shadow of Huntington disease. Journal of Genetic Counselling, 17, 327–335. doi:10.1007/s10897-008-9151-6.CrossRef Sparbel, K. J. H., Driessnack, M., Williams, J. K., Schutte, D. L., Tripp-Reimer, T., McGonigal-Kenney, M., et al. (2008). Experiences of teens living in the shadow of Huntington disease. Journal of Genetic Counselling, 17, 327–335. doi:10.​1007/​s10897-008-9151-6.CrossRef
go back to reference Mental Capacity Act (c.9) (2005). London: HMSO. Mental Capacity Act (c.9) (2005). London: HMSO.
go back to reference Van Der Meer, L., Timman, R., Trijsburg, W., Duisterhof, M., Erdman, R., Van Elderen, T., et al. (2006). Attachment in families with Huntington’s disease. A paradigm in clinical genetics. Patient Education and Counselling, 63, 246–54. doi:10.1016/j.pec.2005.11.019.CrossRef Van Der Meer, L., Timman, R., Trijsburg, W., Duisterhof, M., Erdman, R., Van Elderen, T., et al. (2006). Attachment in families with Huntington’s disease. A paradigm in clinical genetics. Patient Education and Counselling, 63, 246–54. doi:10.​1016/​j.​pec.​2005.​11.​019.CrossRef
go back to reference Wicksell, R. K., Dahl, J., Magnusson, B., & Olsson, G. L. (2005). Using acceptance and commitment therapy in the rehabilitation of an adolescent female with chronic pain: a case example. Cognitive and Behavioral Practice, 12, 415–423. doi:10.1016/S1077-7229(05)80069-0.CrossRef Wicksell, R. K., Dahl, J., Magnusson, B., & Olsson, G. L. (2005). Using acceptance and commitment therapy in the rehabilitation of an adolescent female with chronic pain: a case example. Cognitive and Behavioral Practice, 12, 415–423. doi:10.​1016/​S1077-7229(05)80069-0.CrossRef
go back to reference Williams, J. K., Ayres, L., Specht, J., Sparbel, K., & Klimek, M. L. (2009b). Caregiving by teens for family members with Huntington Disease. Journal of Family Nursing, 15(3), 273–294. doi:10.1177/1074840709337126. Williams, J. K., Ayres, L., Specht, J., Sparbel, K., & Klimek, M. L. (2009b). Caregiving by teens for family members with Huntington Disease. Journal of Family Nursing, 15(3), 273–294. doi:10.​1177/​1074840709337126​.​
go back to reference Williams, J. K., Hamilton, R., Nehl, C., McGonigal-Kenney, M., Schutte, D. L., Sparbel, K., et al. (2007). “No One Else Sees the Difference”: Family members’ perceptions of changes in persons with preclinical Huntington disease. American Journal of Medical Genetics Part B, 144B, 636–641. doi:10.1002/ajmg.b.30479. Williams, J. K., Hamilton, R., Nehl, C., McGonigal-Kenney, M., Schutte, D. L., Sparbel, K., et al. (2007). “No One Else Sees the Difference”: Family members’ perceptions of changes in persons with preclinical Huntington disease. American Journal of Medical Genetics Part B, 144B, 636–641. doi:10.​1002/​ajmg.​b.​30479.​
Metadata
Title
An Exploration of the Experience of Huntington’s Disease in Family Dyads: An Interpretative Phenomenological Analysis
Authors
Caroline Maxted
Jane Simpson
Stephen Weatherhead
Publication date
01-06-2014
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 3/2014
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-013-9666-3

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