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Relational Resilience: Intimate and Romantic Relationship Experiences of Women with Serious Mental Illness

  • Lauren Mizock (a1), Kat La Mar (a1), Lynne DeMartini (a1) and Janette Stringer (a1)
  • Please note a correction has been issued for this article.


The present qualitative study was conducted with 20 women with serious mental illness (SMI) in order to better characterise their romantic and intimate relationship experiences. Grounded theory methodology directed the identification of intimate and romantic relationships themes for women with SMI, which included the following: function matching, pathologising problems, symptom interference, dating deal breakers, sexual foreclosure, dating deprioritised, and relational resilience strategies. Clinical implications and future research directions are discussed.


Corresponding author

Address for correspondence: Lauren Mizock, Fielding Graduate University, 2020 De La Vina St, Santa Barbara, CA 93105, USA. Email:


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Aschbrenner, K., Mueser, K., Bartels, S., Carpenter-Song, E., Pratt, S., Barre, L., … Kinney, A. (2015). The other 23 hours: A qualitative study of fitness provider perspectives on social support for health promotion for adults with mental illness. Health & Social Work, 40, 9199.
Bonfils, K.A., Firmin, R.L., Salyers, M.P., & Wright, E.R. (2015). Sexuality and intimacy among people living with serious mental illnesses: Factors contributing to sexual activity. Psychiatric Rehabilitation Journal, 38, 249255.
Borba, C.P.C., DePadilla, L., McCarty, F.A., von Esenwein, S.A., Druss, B.G., & Sterk, C.E. (2012). A qualitative study examining the perceived barriers and facilitators to medical healthcare services among women with a serious mental illness. Women's Health Issues, 22, e217e224.
Boucher, M., Groleau, D., & Whitley, R. (2016). Recovery and severe mental illness: The role of romantic relationships, intimacy, and sexuality. Psychiatric Rehabilitation Journal, 39, 180.
Brown, A., Lubman, D.I., & Paxton, S.J. (2011). Reducing sexually-transmitted infection risk in young people with first-episode psychosis. International Journal of Mental Health Nursing, 20, 1220.
Campbell, J.C. (2002). Health consequences of intimate partner violence. The Lancet, 359, 13311336.
Charmaz, K. (2011). A Constructivist grounded theory analysis of losing and regaining a valued self. In Wertz, F.J., Charmaz, K., McMullen, L.M., Josselson, R., Anderson, R., & McSpadden, E. (Eds.), Five ways of doing qualitative analysis: Phenomenological psychology, grounded theory, discourse analysis, narrative research, and intuitive inquiry (pp. 165204). New York, NY: Guilford Press.
Cogan, J.C. (1998). The consumer as expert: Women with serious mental illness and their relationship-based needs. Psychiatric Rehabilitation Journal, 22, 142154.
Corbin, J., & Strauss, A. (2008). Basics of qualitative research (3rd Edition). Los Angeles, CA: Sage.
Corrigan, P.W., & Shapiro, J.R. (2010). Measuring the impact of programs that challenge the public stigma of mental illness. Clinical Psychology Review, 30, 907922.
de Jager, J., van Greevenbroek, R., Nugter, A., & van Os, J. (2018) Sexual expression and its determinants in people diagnosed with psychotic disorders. Community Mental Health Journal, 54, 10821088.
Edwards, D.J., Dattilio, F.M., & Bromley, D.B. (2004). Developing evidence-based practice: The role of case-based research. Professional Psychology: Research and Practice, 35, 589597.
Estroff, S.E., Zimmer, C., Lachicotte, W.S., & Benoit, J. (1994). The influence of social networks and social support on violence by persons with serious mental illness. Psychiatric Services, 45, 669679.
Friedman, S.H., Loue, S., Goldman Heaphy, E.L., & Mendez, N. (2011). Intimate partner violence victimization and perpetration by Puerto Rican women with severe mental illnesses. Community Mental Health Journal, 47, 156163.
Glaser, B.G. & Strauss, A. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago, IL: Transaction Publishers.
Goodman, L.A., Rosenberg, S.D., Mueser, K.T., & Drake, R.E. (1997). Physical and sexual assault history in women with serious mental illness: Prevalence, correlates, treatment, and future research directions. Schizophrenia Bulletin, 23, 685696.
Goodman, L.A., Salyers, M.P., Mueser, K.T., Rosenberg, S.D., Swartz, M., Essock, S.M., … Swanson, J. (2001). Recent victimization in women and men with severe mental illness: prevalence and correlates. Journal of Traumatic Stress, 14, 615632.
Heydarian, N. (2016). Developing theory with the grounded-theory approach and thematicanalysis. Observer, 29, 3839.
Huguelet, P., Mohr, S., Miserez, C., Castellano, P., Lutz, C., Boucherie, M., …, Demicheli, F.B. (2015). An exploration of sexual desire and sexual activities of women with psychosis. Community Mental Health Journal, 51, 229238.
Johnson, D.L. (1997). Overview of severe mental illness. Clinical Psychology Review, 17, 247257.
Khalifeh, H., Moran, P., Borschmann, R., Dean, K., Hart, C., Hogg, J., … Howard, L.M. (2015). Domestic and sexual violence against patients with severe mental illness. Psychological Medicine, 45, 875886.
Link, B.G., Struening, E., Cullen, F.T., Shrout, P.E., & Dohrenwend, B.P. (1989). A modified labeling theory approach to mental disorders: An empirical assessment. American Sociological Review, 54, 400423.
Linz, S.J., & Sturm, B.A. (2013). The phenomenon of social isolation in the severely mentally ill. Perspectives in Psychiatric Care, 49, 243254.
McCann, E. (2010a). The sexual and relationship needs of people who experience psychosis: Quantitative findings of a UK study. Journal of Psychiatric and Mental Health Nursing, 17, 295303.
McCann, E. (2010b). Investigating mental health service user views regarding sexual and relationship issues. Journal of Psychiatric and Mental Health Nursing, 17, 251259.
MacDonald, E., Sauer, K., Howie, L., & Albiston, D. (2005). What happens to social relationships in early psychosis? A phenomenological study of young people's experiences. Journal of Mental Health, 14, 129143.
Manuel, J.I., Hinterland, K., Conover, S., & Herman, D.B. (2012). ‘I hope I can make it out there’: Perceptions of women with severe mental illness on the transition from hospital to community. Community Mental Health Journal, 48, 302308.
Mason, M. (2010). Sample size and saturation in PhD studies using qualitative interviews. Forum: Qualitative Social Research, 11, Article No. 8.
Matevosyan, N.R. (2010). Evaluation of perceived sexual functioning in women with serious mental illnesses. Sexuality and Disability, 28, 233243.
Miklowitz, D.J. (2002). The bipolar disorder survival guide: What you and your family need to know. New York, NY: Guilford Press.
Mizock, L., & Russinova, Z. (2015). Intersectional stigma and the acceptance process of women with serious mental illness. Women & Therapy, 38, 1430.
Mowbray, C.T., Bybee, D., Hollingsworth, L., Goodkind, S., & Oyserman, D. (2005). Living arrangements and social support: Effects on the well-being of mothers with mental illness. Social Work Research, 29, 4155.
Morrow, S.L. (2005). Quality and trustworthiness in qualitative research in counseling psychology. Journal of Counseling Psychology, 52, 250260.
National Institute of Mental Health [NIMH]. (2016). Prevalence of serious mental illness. Retrieved from
Padgett, D.K., Henwood, B., Abrams, C., & Drake, R.E. (2008). Social relationships among persons who have experienced serious mental illness, substance abuse, and homelessness: Implications for recovery. American Journal of Orthopsychiatry, 78, 333339.
Perry, B.L., & Wright, E.R. (2006). The sexual partnerships of people with serious mental illness. Journal of Sex Research, 43, 174181.
Pickens, J. (1999). Social networks for women with serious mental illness. Journal of Psychosocial Nursing & Mental Health Services, 37, 3038.
Pico-Alfonso, M.A., Garcia-Linares, M.I., Celda-Navarro, N., Blasco-Ros, C., Echeburúa, E., & Martinez, M. (2006). The impact of physical, psychological, and sexual intimate male partner violence on women's mental health: Depressive symptoms, posttraumatic stress disorder, state anxiety, and suicide. Journal of Women's Health, 15, 599611.
Polkinghorne, D.E. (2007). Validity issues in narrative research. Qualitative Inquiry, 13, 471486.
Post, L.L. (1994). Sexual side effects of psychiatric medication in women: A clinical review. Jefferson Journal of Psychiatry, 12, 7481.
Pratt, S.I., Bartels, S.J., Mueser, K.T., & Forester, B. (2008). Helping older people experience success: An integrated model of psychosocial rehabilitation and health care management for older people with serious mental illness. American Journal of Psychiatric Rehabilitation, 11, 4160.
Ramalho, R., Adams, P, Huggard, P. & Hoare, K. (2015). Literature review and constructivist grounded theory methodology. Forum: Qualitative Social Research, 16, Article no. 19.
Riessman, C.K. (1993). Narrative analysis. Newbury Park, CA: Sage.
Ritsher, J.E., Coursey, R.D., & Farrell, E.W. (1997). A survey on issues in the lives of women with severe mental illness. Psychiatric Services, 48, 12731282.
Rogers, E.S., Anthony, W., & Lyass, A. (2004). The Nature and dimensions of social support among individuals with severe mental illnesses. Community Mental Health Journal, 40, 437450.
Scheyett, A.M., & McCarthy, E. (2006). Women and men with mental illnesses: Voicing different service needs. Affilia, 21, 407418.
Schön, U.K. (2010). Recovery from severe mental illness, a gender perspective. Scandinavian Journal of Caring Sciences, 24, 557564.
Seeman, M.V. (2015). Sexual minority women in treatment for serious mental illness: A literature review. Journal of Gay & Lesbian Mental Health, 19, 303319.
Shefer, G., Henderson, C., Howard, L.M., Murray, J., & Thornicroft, G. (2014). Diagnostic overshadowing and other challenges involved in the diagnostic process of patients with mental illness who present in emergency departments with physical symptoms–a qualitative study. PLoS One, 9, e111682.
Suddaby, R. (2006). From the editors: What grounded theory is not. Academy of Management Journal, 49, 633642.
Swanson, J.W., Swartz, M.S., Essock, S.M., Osher, F.C., Wagner, H.R., Goodman, L.A., … Meador, K.G. (2002). The social–environmental context of violent behavior in persons treated for severe mental illness. American Journal of Public Health, 92, 15231531.
Trevillion, K., Oram, S., Feder, G., & Howard, L.M. (2012). Experiences of domestic violence and mental disorders: a systematic review and meta-analysis. PLOS One, 7, e51740.
Virtzberg-Rofè, D., Rofè, T., & Rudnick, A. (2014). Free online dating site for people with mental illness. Psychiatric Services, 65, 1178.
World Health Organization (WHO]). (2000). Women's mental health: An evidence based review. Retrieved from
Wright, E.R., Wright, D.E., Perry, B.L., & Foote-Ardah, C.E. (2007). Stigma and the sexual isolation of people with serious mental illness. Social Problems, 54, 7898.
Yanos, P.T., West, M.L., Gonzales, L., Smith, S.M., Roe, D., & Lysaker, P.H. (2012). Change in internalized stigma and social functioning among persons diagnosed with severe mental illness. Psychiatry Research, 200, 10321034.
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Journal of Relationships Research
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