SPOUSES VIEW DURING THEIR PARTNERS ILLNESS AND TREATMENT

Nine spouses of people who had suffered from acute leukemia or highly malignant lymphoma were Interviewed about their everyday life experien ces throughout their partner's illness and treatment, and concerning t heir view of the professional care provided. the transcribed texts wer e subjected to phenomenological-hermeneutic analysis. The spouses felt they were in a situation of overall severe crisis (i.e., experiencing feelings of distress, restrictions, and limited or lack of port). The analysis revealed three family types: the couple acting as a unit, th e couple acting independently on equal terms, and the couple acting se parately with the spouse in a subordinate position. The spouses' evalu ation of the entire experience varied according to the family type and the spouses' personal resources, which influenced the availability an d utilization of their social network as well as the support of health -care staff Contentment was related to the couple acting as a unit or the couple acting independently on equal terms and taking control over the situation, actively asking for support and requiring the staff to meet their needs. Discontentment was related to subordination of the spouse to the partner or to health-care staff and failure of the coupl e to obtain support between them or from others. Empowering the spouse s may mean helping them develop their skills, providing them I vith op portunities and authority, and assisting them in gaining access to res ources based on know,ledge of the family type, the con,sent of the par tner, and the spouse's freedom to make choices. This may well lead to increased efficiency and have positive effects for the patient, for th e spouse, and for them both as a couple.