Skip to main content
Log in

How Middle-Aged Siblings of Adults with Intellectual Disability Experience their Roles: a Qualitative Analysis

  • ORIGINAL ARTICLE
  • Published:
Journal of Developmental and Physical Disabilities Aims and scope Submit manuscript

Abstract

In many aging families, siblings provide important support to adult brothers or sisters with an intellectual disability. However, this presents new challenges that are affected by past relationships and roles, as well as by the current situation and changes brought on by aging. This study aims to explore the ways in which middle aged typical siblings of adults with intellectual disability shape and perceive their role within the aging family. An interpretive phenomenological analysis was used. Data collection was performed through in-depth, semi-structured interviews with 17 middle aged siblings of adults with intellectual disabilities, followed by a thematic content analysis. Four themes were identified: (1) Sibling multiple roles along the life course; (2) The sibling’s role in the changing alignment of aging families living with disabilities; (3) A retrospective examination of the sibling’s responsibility; and (4) What does the future hold for siblings? Middle aged siblings in the aging family cope with multiple roles, which may elevate caregiving loads. At this point of their life, middle aged siblings come to acknowledge the complexity of their experience that involves love, compassion, stress, and burden at the same time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Anderson, S., Keating, N., & Wilson, D. (2017). Reconciling marriage and care after stroke. Canadian Journal on Aging/La Revue canadienne du vieillissement, 36(3), 386–401.

    Google Scholar 

  • American Psychological Association. (2014) Retrieved from https://www.apa.org/about/gr/issues/cyf/caregiving-facts.aspx (ret. 2/2014).

  • Arnold, C. K., & Heller, T. (2018). Caregiving experiences and outcomes: Wellness of adult siblings of people with intellectual disabilities. Current Developmental Disorders Reports, 5(3), 143–149.

    Google Scholar 

  • Atchley, R. C. (1989). A continuity theory of normal aging. The Gerontologist, 29(2), 183–190.

    PubMed  Google Scholar 

  • Band-Winterstein, T., & Avieli, H. (2019). Women coping with a Partner's dementia-related violence: A qualitative study. Journal of Nursing Scholarship, 51(4), 365–496.

    Google Scholar 

  • Barnes, C. (2013). Understanding the social model of disability: Past, present and future. In Routledge Handbook of Disability Studies (pp. 26-43). Routledge.

  • Benderix, Y., & Sivberg, B. (2007). Siblings' experiences of having a brother or sister with autism and mental retardation: A case study of 14 siblings from five families. Journal of Pediatric Nursing, 22(5), 410–418.

    PubMed  Google Scholar 

  • Bigby, C. (1998). Parental substitutes: The role of siblings in the lives of older people with intellectual disability. Journal of Gerontological Social Work, 29(1), 3–21.

    Google Scholar 

  • Bigby, C., Webber, R., & Bowers, B. (2015). Sibling roles in the lives of older group home residents with intellectual disability: Working with staff to safeguard wellbeing. Australian Social Work, 68(4), 453–468.

    Google Scholar 

  • Blacher, J., Baker, B. L., & Berkovits, L. D. (2013). Family perspectives on child intellectual disability: Views from the sunny side of the street. The Oxford handbook of positive psychology and disability, 166–181.

  • Broderick, A., Mehta-Parekh, H., & Reid, D. K. (2005). Differentiating instruction for disabled students in inclusive classrooms. Theory Into Practice, 44(3), 194–202.

    Google Scholar 

  • Burke, P. (2008). Disability and impairment: Working with children and families. Jessica Kingsley Publishers.

  • Burke, P. (2009). Brothers and sisters of disabled children: The experience of disability by association. British Journal of Social Work, 40(6), 1681–1699.

    Google Scholar 

  • Burke, M. M., Arnold, C. K., & Owen, A. L. (2015). Sibling advocacy: Perspectives about advocacy from siblings of adults with intellectual and developmental disabilities. Inclusion, 3(3), 162–175.

    Google Scholar 

  • Carlson, J. A. (2010). Avoiding traps in member checking. The Qualitative Report, 15(5), 1102–1113.

    Google Scholar 

  • Cassidy, E., Reynolds, F., Naylor, S., & De Souza, L. (2011). Using interpretative phenomenological analysis to inform physiotherapy practice: An introduction with reference to the lived experience of cerebellar ataxia. Physiotherapy Theory and Practice, 27(4), 263–277.

    PubMed  Google Scholar 

  • Chen, F. P., & Greenberg, J. S. (2004). A positive aspect of caregiving: The influence of social support on caregiving gains for family members of relatives with schizophrenia. Community Mental Health Journal, 40(5), 423–435.

    PubMed  Google Scholar 

  • Cook, P. S. (2018). Continuity, change and possibility in older age: Identity and aging-as-discovery. Journal of Sociology, 1440783318766147.

  • Coyle, C. E., Kramer, J., & Mutchler, J. E. (2014). Aging together: Sibling carers of adults with intellectual and developmental disabilities. Journal of Policy and Practice in Intellectual Disabilities, 11(4), 302–312.

    Google Scholar 

  • Davidson, C. (2009). Transcription: Imperatives for qualitative research. International Journal of Qualitative Methods, 8(2), 35–52.

    Google Scholar 

  • Davys, D. (2013). Siblings of adults who have a learning disability: Personal wishes, reality and parental expectations for future support (Doctoral dissertation, Mancheter Metropolitan University).

  • Davys, D., Mitchell, D., & Haigh, C. (2010). Futures planning, parental expectations and sibling concern for people who have a learning disability. Journal of Intellectual Disabilities, 14(3), 167–183.

    PubMed  Google Scholar 

  • Davys, D., Mitchell, D., & Haigh, C. (2016). Adult siblings consider the future: Emergent themes. Journal of Applied Research in Intellectual Disabilities, 29(3), 220–230.

    PubMed  Google Scholar 

  • Dew, A., Balandin, S., & Llewellyn, G. (2008). The psychosocial impact on siblings of people with lifelong physical disability: A review of the literature. Journal of Developmental and Physical Disabilities, 20(5), 485–507.

    Google Scholar 

  • Dickson-Swift, V., James, E. L., Kippen, S., & Liamputtong, P. (2007). Doing sensitive research: What challenges do qualitative researchers face? Qualitative Research, 7, 327–353.

    Google Scholar 

  • Dolberg, P., & Ayalon, L. (2017). Subjective meanings and identification with middle age. The International Journal of Aging and Human Development, 0091415017721932.

  • Egan, J., & Walsh, P. N. (2001). Sources of stress among adult siblings of Irish people with intellectual disability. The Irish Journal of Psychology, 22(1), 28–38.

    Google Scholar 

  • Elder Jr, G. H. (1994). Time, human agency, and social change: Perspectives on the life course. Social Psychology Quarterly, 4–15.

  • Elder Jr., G. H. (1998). The life course as developmental theory. Child Development, 69(1), 1–12.

    PubMed  Google Scholar 

  • Elder, G. H., & Giele, J. Z. (Eds.). (2009). The craft of life course research. Guilford Press.

  • Elliott, V. F. (2018). Thinking about the coding process in qualitative data analysis. Qualitative Report, 23(11).

  • Esbensen, A. J., Seltzer, M. M., & Krauss, M. W. (2012). Life course perspectives in intellectual disability research: The case of family. The Oxford handbook of intellectual disability and development, 380.

  • Findler, L., & Vardi, A. (2009). Psychological growth among siblings of children with and without intellectual disabilities. American Journal on Intellectual and Developmental Disabilities, 47, 1–12.

    Google Scholar 

  • Fleary, S. A., & Heffer, R. W. (2013). Impact of growing up with a chronically ill sibling on well siblings' late adolescent functioning. ISRN family medicine, 2013.

  • Gibbons, H. M., & Gibbons, C. M. (2016). Siblings with disabilities: A duoethnography on the intersections between a sibling relationship and disability. Disability & Society, 31(6), 820–837.

    Google Scholar 

  • Harland, P., & Cuskelly, M. (2000). The responsibilities of adult siblings of adults with dual sensory impairments. International Journal of Disability, Development and Education, 47(3), 293–307.

    Google Scholar 

  • Heller, T., & Arnold, C. K. (2010). Siblings of adults with developmental disabilities: Psychosocial outcomes, relationships, and future planning. Journal of Policy and Practice in Intellectual Disabilities, 7, 16–25.

    Google Scholar 

  • Heller, T., & Kramer, J. (2009). Involvement of adult siblings of persons with developmental disabilities in future planning. Intellectual and Developmental Disabilities, 47(3), 208–219.

    PubMed  Google Scholar 

  • Hodapp, R. M., Urbano, R. C., & Burke, M. M. (2010). Adult female and male siblings of persons with disabilities: Findings from a national survey. Intellectual and Developmental Disabilities, 48(1), 52–62.

    PubMed  Google Scholar 

  • Hodapp, R. M., Sanderson, K. A., Meskis, S. A., & Casale, E. G. (2017). Adult siblings of persons with intellectual disabilities: Past, present, and future. In international review of research in developmental disabilities (Vol. 53, pp. 163-202). Academic press.

  • Holl, E., & Morano, C. L. (2014). Supporting the next generation of caregivers: Service use and needs of adult siblings of individuals with intellectual disability. Inclusion, 2(1), 2–16.

    Google Scholar 

  • Hooper, L. M. (2007). The application of attachment theory and family systems theory to the phenomena of parentification. The Family Journal, 15(3), 217–223.

    Google Scholar 

  • Hooper, L. M., Doehler, K., Wallace, S. A., & Hannah, N. J. (2011). The Parentification inventory: Development, validation, and cross-validation. The American Journal of Family Therapy, 39(3), 226–241.

    Google Scholar 

  • Kavanaugh, K., & Ayres, L. (1998). “Not as bad as it could have been”: Assessing and mitigating harm during research interviews on sensitive topics. Research in Nursing & Health, 21(1), 91–97.

    Google Scholar 

  • Knox, M., & Bigby, C. (2007). Moving towards midlife care as negotiated family business: Accounts of people with intellectual disabilities and their families “just getting along with their lives together”. International Journal of Disability, Development and Education, 54(3), 287–304.

    Google Scholar 

  • Kramer, J., Hall, A., & Heller, T. (2013). Reciprocity and social capital in sibling relationships of people with disabilities. Mental Retardation, 51(6), 482–495.

    Google Scholar 

  • Lamorey, S. (1999). Parentification of siblings of children with disability or chronic disease. In N. D. Chase (Ed.), Burdened children: Theory, research and treatment of parentification (pp. 75–91). Thousand Oaks: Sage.

    Google Scholar 

  • Lee, C. E., & Burke, M. M. (2018). Caregiving roles of siblings of adults with intellectual and developmental disabilities: A systematic review. Journal of Policy and Practice in Intellectual Disabilities, 15(3), 237–246.

    Google Scholar 

  • Lee, C. E., Burke, M. M., Arnold, C. K., & Owen, A. (2018). Perceptions of non-caregiving roles among siblings of adults with intellectual and developmental disabilities. Research and Practice in Intellectual and Developmental Disabilities, 5(2), 118–127.

    Google Scholar 

  • Liamputtong, P. (2007). Researching the vulnerable: A guide to sensitive research methods. Sage.

  • Lincoln, Y. S., & Guba, E. G. (2013). The constructivist credo. Left Coast Press.

  • Macmillan, R., & Copher, R. (2005). Families in the life course: Interdependency of roles, role configurations, and pathways. Journal of Marriage and Family, 67(4), 858–879.

    Google Scholar 

  • McCarron, M., Lombard-Vance, R., Murphy, E., May, P., Webb, N., Sheaf, G., et al. (2019). Effect of deinstitutionalisation on quality of life for adults with intellectual disabilities: A systematic review. BMJ Open, 9(4), e025735.

    PubMed  PubMed Central  Google Scholar 

  • Meltzer, A., & Kramer, J. (2016). Siblinghood through disability studies perspectives: Diversifying discourse and knowledge about siblings with and without disabilities. Disability & Society, 31(1), 17–32.

    Google Scholar 

  • Miller, K. I., Shoemaker, M. M., Willyard, J., & Addison, P. (2008). Providing care for elderly parents: A structurational approach to family caregiver identity. Journal of Family Communication, 8(1), 19–43.

    Google Scholar 

  • Morse, J. M. (1995). The significance of saturation [editorial]. Qualitative Health Research, 5, 147–148.

    Google Scholar 

  • Morse, J. M. (2000). Determining sample size. Qualitative Health Research, 10, 3–5.

    Google Scholar 

  • Oliver, M. (2013). The social model of disability: Thirty years on. Disability & society, 28(7), 1024–1026.

    Google Scholar 

  • Orsmond, G. I., & Seltzer, M. M. (2007). Siblings of individuals with autism spectrum disorders across the life course. Mental Retardation and Developmental Disabilities Research Reviews, 13(4), 313–320.

    PubMed  Google Scholar 

  • Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Pervin, E. (2018). My Brother, My Self: An Autoethnography of Siblinghood and Disability. York University: Toronto, Ontario

  • Pietkiewicz, I., & Smith, J. A. (2014). A practical guide to using interpretative phenomenological analysis in qualitative research psychology. Psychological Journal, 20(1), 7–14.

    Google Scholar 

  • Punch, K. F. (2013). Introduction to social research: Quantitative and qualitative approaches. London: Sage.

    Google Scholar 

  • Reyes, V. (2018). Three models of transparency in ethnographic research: Naming places, naming people, and sharing data. Ethnography, 19(2), 204–226.

    Google Scholar 

  • Rimmerman, A., & Ralf, R. (2001). Involvement with and role perception toward an adult sibling with and without mental. Journal of Rehabilitation, 67, 2.

    Google Scholar 

  • Roper, S. O., Allred, D. W., Mandleco, B., Freeborn, D., & Dyches, T. (2014). Caregiver burden and sibling relationships in families raising children with disabilities and typically developing children. Families, systems, & health, 32(2), 241.

    Google Scholar 

  • Rossetti, Z., & Hall, S. (2015). Adult sibling relationships with brothers and sisters with severe disabilities. Research and Practice for Persons with Severe Disabilities, 40(2), 120–137.

    Google Scholar 

  • Ryan, G. W., & Bernard, H. R. (2003). Techniques to identify themes. Field Methods, 15(1), 85–109.

    Google Scholar 

  • Seltzer, M. M., Greenberg, J. S., Orsmond, G. I., & Lounds, J. (2005). Life course studies of siblings of individuals with developmental disabilities. Mental Retardation, 43(5), 354–359.

    PubMed  Google Scholar 

  • Shivers, C. (2017). The sibling experience: More than my Brother’s keeper. In intellectual and developmental disabilities (pp. 116-128). Routledge.

  • Singleton, J., & Darcy, S. (2013). ‘Cultural life’, disability, inclusion and citizenship: Moving beyond leisure in isolation. Annals of Leisure Research, 16, 183–192.

    Google Scholar 

  • Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. London: Sage.

    Google Scholar 

  • Smith, J., Jarman, M., & Osborne, M. (1999). Doing interpretative phenomenological analysis. In M. Murray & K. Chamberlain (Eds.), Qualitative Health Psychology (pp. 218–240). London: Sage.

    Google Scholar 

  • Stoneman, Z. (2005). Siblings of children with disabilities: Research themes. Mental Retardation, 43, 339–350.

    PubMed  Google Scholar 

  • Stoneman, Z., & Brody, G. H. (1993). Sibling relations in the family context. Paul H. Brookes Publishing.

  • Tufford, L., & Newman, P. (2012). Bracketing in qualitative research. Qualitative Social Work, 11(1), 80–96.

    Google Scholar 

  • Tutelman, P. R., Drake, E. K., & Urquhart, R. (2019). “It could have been me”: An interpretive phenomenological analysis of health care Providers' experiences caring for adolescents and young adults with terminal cancer. Journal of Adolescent and Young Adult Oncology, 8(5), 1–6.

    Google Scholar 

  • Wall, C., Glenn, S., Mitchinson, S., & Poole, H. (2004). Using a reflective diary to develop bracketing skills during a phenomenological investigation. Nurse Researcher, 11(4).

  • Watson, S. L., Hayes, S. A., & Radford-Paz, E. (2011). Diagnose me please!: A review of research about the journey and initial impact of parents seeking a diagnosis of developmental disability for their child. International review of research in developmental disabilities, 41, 31–72.

    Google Scholar 

  • Widmer, E. D., Kempf, N., Sapin, M., & Galli-Carminati, G. (2013). Family beyond parents? An exploration of family configurations and psychological adjustment in young adults with intellectual disabilities. Research in Developmental Disabilities, 34(1), 207–217.

    PubMed  Google Scholar 

  • Wofford, J. R., & Carlson, R. G. (2017). A literature review and case study on the strengths and struggles of typically developing siblings of persons with disabilities. The Family Journal, 25(4), 398–406.

    Google Scholar 

Download references

Acknowledgements

The author would like to acknowledge the important contribution of Prof. Tova Band Winterstein and Dr. Tal Araten Bergman to this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hila Avieli.

Ethics declarations

Conflicting Interests

The authors declare that they have no potential conflict of interest.

Ethical Approval

The study has been approved by the ethics committee of the University of Haifa, Israel. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research ethics committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Avieli, H. How Middle-Aged Siblings of Adults with Intellectual Disability Experience their Roles: a Qualitative Analysis. J Dev Phys Disabil 32, 633–651 (2020). https://doi.org/10.1007/s10882-019-09710-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10882-019-09710-3

Keywords

Navigation