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LGBT+ partner bereavement and appraisal of the Acceptance-Disclosure Model of LGBT+ bereavement: A qualitative interview study

Katherine Bristowe Orcid Logo, Liadh Timmins Orcid Logo, Debbie Braybrook Orcid Logo, Steve Marshall Orcid Logo, Alexandra Pitman, Katherine Johnson, Elizabeth Day, Paul Clift, Ruth Rose, Deokhee Yi Orcid Logo, Peihan Yu, Wei Gao, Anna Roach, Kathryn Almack, Michael King, Richard Harding Orcid Logo

Palliative Medicine, Volume: 37, Issue: 2, Pages: 221 - 234

Swansea University Author: Liadh Timmins Orcid Logo

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DOI (Published version): 10.1177/02692163221138620

Abstract

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 t...

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Published in: Palliative Medicine
ISSN: 0269-2163 1477-030X
Published: SAGE Publications 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa63780
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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. 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spelling v2 63780 2023-07-06 LGBT+ partner bereavement and appraisal of the Acceptance-Disclosure Model of LGBT+ bereavement: A qualitative interview study 7f227f6f0fc0400bae2893d252d2f5ec 0000-0001-7984-4748 Liadh Timmins Liadh Timmins true false 2023-07-06 HPS 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. Journal Article Palliative Medicine 37 2 221 234 SAGE Publications 0269-2163 1477-030X Bereavement, LGBT, spouses, sexual and gender minority, qualitative research 1 2 2023 2023-02-01 10.1177/02692163221138620 http://dx.doi.org/10.1177/02692163221138620 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University Other The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: This work was supported by the Marie Curie Research Grants Scheme grant reference MCRGS–07–16–45. 2023-08-16T11:54:05.0621536 2023-07-06T11:01:14.1917278 Faculty of Medicine, Health and Life Sciences School of Psychology Katherine Bristowe 0000-0003-1809-217x 1 Liadh Timmins 0000-0001-7984-4748 2 Debbie Braybrook 0000-0001-9253-4955 3 Steve Marshall 0000-0002-3728-7389 4 Alexandra Pitman 5 Katherine Johnson 6 Elizabeth Day 7 Paul Clift 8 Ruth Rose 9 Deokhee Yi 0000-0003-4894-1689 10 Peihan Yu 11 Wei Gao 12 Anna Roach 13 Kathryn Almack 14 Michael King 15 Richard Harding 0000-0001-9653-8689 16 63780__28279__8d4b47b437cf43c1af18ebcd667e8a4f.pdf 63780.VOR.pdf 2023-08-09T11:06:44.4291018 Output 474309 application/pdf Version of Record true © The Author(s) 2022. Distributed under the terms of a Creative Commons Attribution 4.0 License (CC BY 4.0). true eng https://creativecommons.org/licenses/by/4.0/
title LGBT+ partner bereavement and appraisal of the Acceptance-Disclosure Model of LGBT+ bereavement: A qualitative interview study
spellingShingle LGBT+ partner bereavement and appraisal of the Acceptance-Disclosure Model of LGBT+ bereavement: A qualitative interview study
Liadh Timmins
title_short LGBT+ partner bereavement and appraisal of the Acceptance-Disclosure Model of LGBT+ bereavement: A qualitative interview study
title_full LGBT+ partner bereavement and appraisal of the Acceptance-Disclosure Model of LGBT+ bereavement: A qualitative interview study
title_fullStr LGBT+ partner bereavement and appraisal of the Acceptance-Disclosure Model of LGBT+ bereavement: A qualitative interview study
title_full_unstemmed LGBT+ partner bereavement and appraisal of the Acceptance-Disclosure Model of LGBT+ bereavement: A qualitative interview study
title_sort LGBT+ partner bereavement and appraisal of the Acceptance-Disclosure Model of LGBT+ bereavement: A qualitative interview study
author_id_str_mv 7f227f6f0fc0400bae2893d252d2f5ec
author_id_fullname_str_mv 7f227f6f0fc0400bae2893d252d2f5ec_***_Liadh Timmins
author Liadh Timmins
author2 Katherine Bristowe
Liadh Timmins
Debbie Braybrook
Steve Marshall
Alexandra Pitman
Katherine Johnson
Elizabeth Day
Paul Clift
Ruth Rose
Deokhee Yi
Peihan Yu
Wei Gao
Anna Roach
Kathryn Almack
Michael King
Richard Harding
format Journal article
container_title Palliative Medicine
container_volume 37
container_issue 2
container_start_page 221
publishDate 2023
institution Swansea University
issn 0269-2163
1477-030X
doi_str_mv 10.1177/02692163221138620
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
url http://dx.doi.org/10.1177/02692163221138620
document_store_str 1
active_str 0
description 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.
published_date 2023-02-01T11:54:06Z
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