Skip to main content
Top
Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Research article

Ontological security and connectivity provided by pets: a study in the self-management of the everyday lives of people diagnosed with a long-term mental health condition

Authors: Helen Brooks, Kelly Rushton, Sandra Walker, Karina Lovell, Anne Rogers

Published in: BMC Psychiatry | Issue 1/2016

Login to get access

Abstract

Background

Despite evidence that connecting people to relevant wellbeing-related resources brings therapeutic benefit, there is limited understanding, in the context of mental health recovery, of the potential value and contribution of pet ownership to personal support networks for self-management. This study aimed to explore the role of pets in the support and management activities in the personal networks of people with long-term mental health problems.

Methods

Semi-structured interviews centred on ‘ego’ network mapping were conducted in two locations (in the North West and in the South of England) with 54 participants with a diagnosis of a long-term mental health problem. Interviews explored the day-to-day experience of living with a mental illness, informed by the notion of illness work undertaken by social network members within personal networks. Narratives were elicited that explored the relationship, value, utility and meaning of pets in the context of the provision of social support and management provided by other network members. Interviews were recorded, then transcribed verbatim before being analysed using a framework analysis.

Results

The majority of pets were placed in the central, most valued circle of support within the network diagrams. Pets were implicated in relational work through the provision of secure and intimate relationships not available elsewhere. Pets constituted a valuable source of illness work in managing feelings through distraction from symptoms and upsetting experiences, and provided a form of encouragement for activity. Pets were of enhanced salience where relationships with other network members were limited or difficult. Despite these benefits, pets were unanimously neither considered nor incorporated into individual mental health care plans.

Conclusions

Drawing on a conceptual framework built on Corbin and Strauss’s notion of illness ‘work’ and notions of a personal workforce of support undertaken within whole networks of individuals, this study contributes to our understanding of the role of pets in the daily management of long-term mental health problems. Pets should be considered a main rather than a marginal source of support in the management of long-term mental health problems, and this has implications for the planning and delivery of mental health services.
Appendix
Available only for authorised users
Literature
1.
go back to reference Vassilev I, et al. Social status and living with a chronic illness: an exploration of assessment and meaning attributed to work and employment. Chronic Illn. 2014;10(4):273–90.CrossRefPubMed Vassilev I, et al. Social status and living with a chronic illness: an exploration of assessment and meaning attributed to work and employment. Chronic Illn. 2014;10(4):273–90.CrossRefPubMed
2.
go back to reference Perese EF, Wolf M. Combating loneliness among persons with severe mental illness: social network interventions’ characteristics, effectiveness, and applicability. Issues Ment Health Nurs. 2005;26(6):591–609.CrossRefPubMed Perese EF, Wolf M. Combating loneliness among persons with severe mental illness: social network interventions’ characteristics, effectiveness, and applicability. Issues Ment Health Nurs. 2005;26(6):591–609.CrossRefPubMed
3.
go back to reference Giddens A. Modernity and Self-Identity: Self and Society in the Late Modern Age. Stanford: Stanford University Press; 1991. p. 264. Giddens A. Modernity and Self-Identity: Self and Society in the Late Modern Age. Stanford: Stanford University Press; 1991. p. 264.
4.
go back to reference Chan SW. Global perspective of burden of family caregivers for persons with Schizophrenia. Arch Psychiatr Nurs. 2011;23(5):339–49.CrossRef Chan SW. Global perspective of burden of family caregivers for persons with Schizophrenia. Arch Psychiatr Nurs. 2011;23(5):339–49.CrossRef
5.
go back to reference Edlund M, Backstrom M. A model of subjective quality of life for outpatients with schizophrenia and other psychoses. Qual Life Res. 2005;14(4):1157–68.CrossRef Edlund M, Backstrom M. A model of subjective quality of life for outpatients with schizophrenia and other psychoses. Qual Life Res. 2005;14(4):1157–68.CrossRef
6.
go back to reference Lucksted A, Drapalski AL. Self-stigma regarding mental illness: Definition, impact, and relationship to societal stigma. Psychiatr Rehabil J. 2015;38(2):99–102.CrossRefPubMed Lucksted A, Drapalski AL. Self-stigma regarding mental illness: Definition, impact, and relationship to societal stigma. Psychiatr Rehabil J. 2015;38(2):99–102.CrossRefPubMed
7.
go back to reference Yanos PT, et al. Change in internalized stigma and social functioning among persons diagnosed with severe mental illness. Psychiatry Res. 2012;200(2–3):1032–4.CrossRefPubMedPubMedCentral Yanos PT, et al. Change in internalized stigma and social functioning among persons diagnosed with severe mental illness. Psychiatry Res. 2012;200(2–3):1032–4.CrossRefPubMedPubMedCentral
8.
go back to reference Nasser EH, Overholser JC. Recovery from major depression: the role of support from family, friends, and spiritual beliefs. Acta Psychiatr Scand. 2005;111(2):125–32.CrossRefPubMed Nasser EH, Overholser JC. Recovery from major depression: the role of support from family, friends, and spiritual beliefs. Acta Psychiatr Scand. 2005;111(2):125–32.CrossRefPubMed
9.
go back to reference Dressler WW. Extended Family Relationships, Social Support, and Mental Health in a Southern Black Community. J Health Soc Behav. 1985;26(1):39–48.CrossRefPubMed Dressler WW. Extended Family Relationships, Social Support, and Mental Health in a Southern Black Community. J Health Soc Behav. 1985;26(1):39–48.CrossRefPubMed
10.
go back to reference Rogers A, et al. Why less may be more: a mixed methods study of the work and relatedness of ‘weak ties’ in supporting long-term condition self-management. Implement Sci. 2014;9:19.CrossRefPubMedPubMedCentral Rogers A, et al. Why less may be more: a mixed methods study of the work and relatedness of ‘weak ties’ in supporting long-term condition self-management. Implement Sci. 2014;9:19.CrossRefPubMedPubMedCentral
11.
go back to reference Wood L, et al. The pet factor—companion animals as a conduit for getting to know people, friendship formation and social support. PLoS One. 2015;10(4):e0122085.CrossRefPubMedPubMedCentral Wood L, et al. The pet factor—companion animals as a conduit for getting to know people, friendship formation and social support. PLoS One. 2015;10(4):e0122085.CrossRefPubMedPubMedCentral
12.
go back to reference Ryan S, Ziebland S. On interviewing people with pets: reflections from qualitative research on people with long-term conditions. Sociol Health Illn. 2015;37(1):67–80.CrossRefPubMed Ryan S, Ziebland S. On interviewing people with pets: reflections from qualitative research on people with long-term conditions. Sociol Health Illn. 2015;37(1):67–80.CrossRefPubMed
13.
go back to reference Wood L, Giles-Corti B, Bulsara M. The pet connection: pets as a conduit for social capital? Soc Sci Med. 2005;61(6):1159–73.CrossRefPubMed Wood L, Giles-Corti B, Bulsara M. The pet connection: pets as a conduit for social capital? Soc Sci Med. 2005;61(6):1159–73.CrossRefPubMed
14.
go back to reference Rogers A, et al. Social networks, work and network-based resources for the management of long-term conditions: a framework and study protocol for developing self-care support. Implement Sci. 2011;6:56.CrossRefPubMedPubMedCentral Rogers A, et al. Social networks, work and network-based resources for the management of long-term conditions: a framework and study protocol for developing self-care support. Implement Sci. 2011;6:56.CrossRefPubMedPubMedCentral
15.
go back to reference Abel T. Cultural capital and social inequality in health. JECH. 2008;62:e13. Abel T. Cultural capital and social inequality in health. JECH. 2008;62:e13.
16.
go back to reference Nurenberg JR, et al. Animal-assisted therapy with chronic psychiatric inpatients: equine-assisted psychotherapy and aggressive behavior. Psychiatr Serv. 2015;66(1):80–6.CrossRefPubMed Nurenberg JR, et al. Animal-assisted therapy with chronic psychiatric inpatients: equine-assisted psychotherapy and aggressive behavior. Psychiatr Serv. 2015;66(1):80–6.CrossRefPubMed
17.
go back to reference Balluerka N, et al. Influence of animal-assisted therapy (AAT) on the attachment representations of youth in residential care. Child Youth Serv Rev. 2014;42:103–9.CrossRef Balluerka N, et al. Influence of animal-assisted therapy (AAT) on the attachment representations of youth in residential care. Child Youth Serv Rev. 2014;42:103–9.CrossRef
18.
go back to reference Majic T, et al. Animal-Assisted Therapy and Agitation and Depression in Nursing Home Residents with Dementia: A Matched Case-Control Trial. Am J Geriatr Psychiatr. 2013;21(11):1052–9.CrossRef Majic T, et al. Animal-Assisted Therapy and Agitation and Depression in Nursing Home Residents with Dementia: A Matched Case-Control Trial. Am J Geriatr Psychiatr. 2013;21(11):1052–9.CrossRef
19.
go back to reference Tribet J, Boucharlat M, Myslinski M. Animal-assisted therapy for people suffering from severe dementia. Encephale. 2008;34(2):183–6.CrossRefPubMed Tribet J, Boucharlat M, Myslinski M. Animal-assisted therapy for people suffering from severe dementia. Encephale. 2008;34(2):183–6.CrossRefPubMed
20.
go back to reference White JH, et al. Animal-Assisted Therapy and Counseling Support for Women With Breast Cancer: An Exploration of Patient's Perceptions. Integ Cancer Ther. 2015;14(5):460–7.CrossRef White JH, et al. Animal-Assisted Therapy and Counseling Support for Women With Breast Cancer: An Exploration of Patient's Perceptions. Integ Cancer Ther. 2015;14(5):460–7.CrossRef
21.
go back to reference Morris K, et al. Canines and Childhood Cancer: Examining the Effects of Animal-Assisted Therapy for Children with Acute Lymphoblastic Leukemia, Their Primary Caregivers, and Therapy Dogs. J Vet Intern Med. 2013;27(3):748. Morris K, et al. Canines and Childhood Cancer: Examining the Effects of Animal-Assisted Therapy for Children with Acute Lymphoblastic Leukemia, Their Primary Caregivers, and Therapy Dogs. J Vet Intern Med. 2013;27(3):748.
22.
go back to reference Burke SL, Iannuzzi D. Animal-Assisted Therapy for Children and Adolescents with Autism Spectrum Disorders. In: Animals in Social Work: Why and How They Matter. 2014. p. 120–34. Burke SL, Iannuzzi D. Animal-Assisted Therapy for Children and Adolescents with Autism Spectrum Disorders. In: Animals in Social Work: Why and How They Matter. 2014. p. 120–34.
23.
go back to reference Fung SC. Increasing the Social Communication of a Boy With Autism Using Animal-assisted Play Therapy: A Case Report. Adv Mind Body Med. 2015;29(3):27–31.PubMed Fung SC. Increasing the Social Communication of a Boy With Autism Using Animal-assisted Play Therapy: A Case Report. Adv Mind Body Med. 2015;29(3):27–31.PubMed
24.
go back to reference Allen K. Are pets a healthy pleasure? The influence of pets on blood pressure. Curr Dir Psychol Sci. 2003;12(6):236–9.CrossRef Allen K. Are pets a healthy pleasure? The influence of pets on blood pressure. Curr Dir Psychol Sci. 2003;12(6):236–9.CrossRef
25.
go back to reference Brenna OV. Quality of life and pets. J Allergy Clin Immunol. 2011;127(1):287. author reply 287–8.CrossRefPubMed Brenna OV. Quality of life and pets. J Allergy Clin Immunol. 2011;127(1):287. author reply 287–8.CrossRefPubMed
26.
27.
go back to reference Allen K, Blascovich J, Mendes WB. Cardiovascular reactivity and the presence of pets, friends, and spouses: the truth about cats and dogs. Psychosom Med. 2002;64(5):727–39.PubMed Allen K, Blascovich J, Mendes WB. Cardiovascular reactivity and the presence of pets, friends, and spouses: the truth about cats and dogs. Psychosom Med. 2002;64(5):727–39.PubMed
28.
go back to reference Cherniack EP, Cherniack AR. The benefit of pets and animal-assisted therapy to the health of older individuals. Curr Gerontol Geriatr Res. 2014;2014:623203.CrossRefPubMedPubMedCentral Cherniack EP, Cherniack AR. The benefit of pets and animal-assisted therapy to the health of older individuals. Curr Gerontol Geriatr Res. 2014;2014:623203.CrossRefPubMedPubMedCentral
29.
go back to reference Raina P, et al. Influence of companion animals on the physical and psychological health of older people: an analysis of a one-year longitudinal study. J Am Geriatr Soc. 1999;47(3):323–9.CrossRefPubMed Raina P, et al. Influence of companion animals on the physical and psychological health of older people: an analysis of a one-year longitudinal study. J Am Geriatr Soc. 1999;47(3):323–9.CrossRefPubMed
30.
go back to reference Hall PL, Malpus Z. Pets as therapy: effects on social interaction in long-stay psychiatry. Br J Nurs. 2000;9(21):2220–5.CrossRefPubMed Hall PL, Malpus Z. Pets as therapy: effects on social interaction in long-stay psychiatry. Br J Nurs. 2000;9(21):2220–5.CrossRefPubMed
31.
go back to reference Rew L. Friends and pets as companions: strategies for coping with loneliness among homeless youth. J Child Adolesc Psychiatr Nurs. 2000;13(3):125–32.CrossRefPubMed Rew L. Friends and pets as companions: strategies for coping with loneliness among homeless youth. J Child Adolesc Psychiatr Nurs. 2000;13(3):125–32.CrossRefPubMed
32.
33.
go back to reference Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.CrossRefPubMed Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.CrossRefPubMed
34.
go back to reference Corbin J, Strauss A. Managing chronic illness at home: three lines of work. Qual Sociol. 1985;8:224–47.CrossRef Corbin J, Strauss A. Managing chronic illness at home: three lines of work. Qual Sociol. 1985;8:224–47.CrossRef
35.
go back to reference Fiori KL, Smith J, Antonucci TC. Social network types among older adults: a multidimensional approach. J Gerontol B Psychol Sci Soc Sci. 2007;62(6):P322–30.CrossRefPubMed Fiori KL, Smith J, Antonucci TC. Social network types among older adults: a multidimensional approach. J Gerontol B Psychol Sci Soc Sci. 2007;62(6):P322–30.CrossRefPubMed
36.
go back to reference Sen A. Rationality and freedom. Cambridge: Harvard University Press; 2002. Sen A. Rationality and freedom. Cambridge: Harvard University Press; 2002.
37.
go back to reference Parker VA. Connecting Relational Work and Workgroup Context in Caregiving Organizations. J Appl Behav Sci. 2002;38(3):276–97.CrossRef Parker VA. Connecting Relational Work and Workgroup Context in Caregiving Organizations. J Appl Behav Sci. 2002;38(3):276–97.CrossRef
39.
go back to reference Keddie KM. Pathological mourning after the death of a domestic pet. Br J Psychiatry. 1977;131:21–5.CrossRefPubMed Keddie KM. Pathological mourning after the death of a domestic pet. Br J Psychiatry. 1977;131:21–5.CrossRefPubMed
40.
go back to reference Brooks HL, et al. Perceptions of recovery and prognosis from long-term conditions: The relevance of hope and imagined futures. Chronic Illn. 2015;11(1):3–20.CrossRefPubMed Brooks HL, et al. Perceptions of recovery and prognosis from long-term conditions: The relevance of hope and imagined futures. Chronic Illn. 2015;11(1):3–20.CrossRefPubMed
41.
go back to reference Pilgrim D, Tomasini F. On being unreasonable in modern society: are mental health problems special? Disabil Soc. 2012;27(5):631–46.CrossRef Pilgrim D, Tomasini F. On being unreasonable in modern society: are mental health problems special? Disabil Soc. 2012;27(5):631–46.CrossRef
42.
go back to reference Sarris J, et al. Lifestyle medicine for depression. BMC Psychiatry. 2014;14(1):1–13.CrossRef Sarris J, et al. Lifestyle medicine for depression. BMC Psychiatry. 2014;14(1):1–13.CrossRef
43.
go back to reference Egger GJ, Binns AF, Rossner SR. The emergence of “lifestyle medicine” as a structured approach for management of chronic disease. Med J Aust. 2009;190:143–5.PubMed Egger GJ, Binns AF, Rossner SR. The emergence of “lifestyle medicine” as a structured approach for management of chronic disease. Med J Aust. 2009;190:143–5.PubMed
45.
go back to reference Grundy AC, et al. Bringing meaning to user involvement in mental health care planning: a qualitative exploration of service user perspectives. J Psychiatr Ment Health Nurs. 2016;23:12–21.CrossRefPubMed Grundy AC, et al. Bringing meaning to user involvement in mental health care planning: a qualitative exploration of service user perspectives. J Psychiatr Ment Health Nurs. 2016;23:12–21.CrossRefPubMed
46.
go back to reference Richards DA, et al. Developing a U.K. protocol for collaborative care: a qualitative study. Gen Hosp Psychiatry. 2006;28(4):296–305.CrossRefPubMed Richards DA, et al. Developing a U.K. protocol for collaborative care: a qualitative study. Gen Hosp Psychiatry. 2006;28(4):296–305.CrossRefPubMed
Metadata
Title
Ontological security and connectivity provided by pets: a study in the self-management of the everyday lives of people diagnosed with a long-term mental health condition
Authors
Helen Brooks
Kelly Rushton
Sandra Walker
Karina Lovell
Anne Rogers
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-1111-3

Other articles of this Issue 1/2016

BMC Psychiatry 1/2016 Go to the issue