Living With Depression in the Family: A Narrative Inquiry Methodology for Seeking Meaning Through Stories

Abstract

Depression is a cause of disability globally and affects not only the person living with the condition, but the whole family. How people construct meaning to ‘live well’ and make sense of the reality of living with a person diagnosed with depression were explored through narrative inquiry and stories. The purpose of this article is to justify the use of narrative inquiry methodology to explore how people make meaning and find ways to live well and live with a family member who lives with depression. An interpretivist epistemological perspective, with the ontological principles of critical realism, and a social constructionist approach were chosen to guide the methodological framework. This was because how people construct the stories about their experiences will influence how those stories are told and what meaning is given to them. Eight people who live with a family member diagnosed with depression told their stories for this study. A realist approach to data analysis was taken, transcribed data were re-storied with redundancies removed, and member checked for accuracy. Using McCormack’s and Chases’ Lenses, the data revealed the strengths and challenges individuals faced when living with a family member with depression. Narrative Inquiry was an appropriate methodology to reveal how participants made sense of and constructed meaning about living well when living with a family member who lives with depression. Through the cyclical nature of depressive illness, participants navigated the fluctuations and uncertainties to find ways to live well and live with their family member. The research has the potential to adopt aspects of a family strengths-based and family systems approach into clinical practice, which would be valuable in supporting families living with depression and other mental health conditions.