title: Waiting to return to normal: an exploration of family systems intervention in childhood cancer.
abstract: The illness suffering of families in childhood cancer is characterized in part by a loss of family normalcy. Hermeneutic phenomenology and family process research methods were used to analyze videotaped family intervention sessions and post-intervention family/clinician interviews. Within this article, some of the findings from the larger doctoral study that focused on the illness suffering of family members and relational, family systems intervention based on the Illness Beliefs Model are described. Although the larger study included findings of family interventions that addressed several aspects of the illness suffering experienced, this article details specific findings related to the theme of the loss of family normalcy and a longing to return home. Family systems intervention practices which facilitated a lessening of illness suffering included the following: offering new interpretations of suffering within a reflecting team, articulating family strength, sensitively acknowledging the illness suffering, and eliciting the experiences of family members in a shared therapeutic conversation.
authors: University of Manitoba, Winnipeg, Canada The Children's Hospital Research Institute of Manitoba, Winnipeg, Canada christina.west@umanitoba.ca.
authors: Christina H
authors: CH
authors: West
authors: University of Calgary, Alberta, Canada.
authors: Janice M
authors: JM
authors: Bell
authors: University of Manitoba, Winnipeg, Canada The Children's Hospital Research Institute of Manitoba, Winnipeg, Canada.
authors: Roberta L
authors: RL
authors: Woodgate
authors: University of Calgary, Alberta, Canada.
authors: Nancy J
authors: NJ
authors: Moules
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D003142:Communication; D005195:Family Relations / Q000523:psychology*; D005260:Female; D006262:Health; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D013315:Stress, Psychological / Q000628:therapy*
keywords: Family Systems Nursing; Illness Beliefs Model; childhood cancer; family process research methodology; family-level psychosocial intervention; hermeneutic phenomenology; qualitative research