It is estimated that 35-40% of people hospitalized for psychiatric dis
abilities are discharged to live with spouses. This article reviews th
e literature on spouse burden. It also examines 18 spouse responses to
a larger national survey of resilience in close relatives of people w
ith mental illness, Personal resilience, particularly personal contrib
utions of spouses, was more evident than family or consumer resilience
Eighty-three percent of spouses attested to a process of adaptation a
nd recovery, with personal qualities most often cited as factors in po
sitive changes. More rigorous research is recommended Suggestions for
clinical and nonclinical interventions are discussed.