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This study examined how stigma and dialectical tensions affect information sharing by gay men. One specific area that was investigated is the use of interpersonal boundary spanning techniques in managing information related to being gay. The research used a qualitative, interpretive method to gather and analyze data from eleven in-depth interviews. An interview schedule was developed based on the critical incident technique in order to focus the interviews on specific events and direct observation. The questions in the interview covered individuals experiences with sharing their sexual orientation with someone else for the first time, times when they have specifically chosen to share or not share their orientation, boundaries that exist between the GLBT community and the larger community in which it resides, and techniques used when sharing general information about being gay. The data was analyzed for relational themes described by Owen (1984) as those that emerge through recurrence, repetition, and forcefulness. The themes that emerged were how stigma affects coming out both initially and continuously, managing stigma and dialectical tension, and techniques used in interpersonal boundary spanning. Two major contributions emerged: the relationship between stigma and intrapersonal dialectical tensions, and interpersonal boundary spanning. Stigma can change how easy it is to manage intrapersonal dialectical tensions, such as a normal-different tension. Interpersonal boundary spanning can help the stigmatized individual to demonstrate his normality, and interpersonal boundary spanning helps to reduce stereotyping and negative perception of the stigmatized group.

Mental illness is a pervasive health epidemic in the United States and worldwide, and available data suggest that mentally ill adults are statistically more likely to be parents than non-parents. The prevalence and continued growth of parental mental illness means that millions of children in the United States have a parent with some form of mental health issues. This dissertation contributes to and extends existing literature on children of mentally ill parents by exploring 15 adult children’s subjective perspectives on how they navigate the tension-wrought experience of having a mentally ill parent, and how this has implications for the management of their identity, relational, and instrumental goals. Examined through the lens of relational dialectics theory (Baxter & Montgomery, 1996) and a multiple goals perspective, analysis revealed that adult children of mentally ill parents confront conflicting, contradictory forces in making sense of their parent’s illness and the role that it plays in their lives. Specifically, adult children reported feeling a strong sense of interdependence with their parent and a desire to have a closer relationship with them, but simultaneously expressed a strong need and desire for disconnection and maintenance of a life separate from their parent’s challenges. Additionally, adult children noted conflicting goals with regard to privacy management about their parent’s illness, acknowledging that an underlying, but pervasive societal stigma surrounding mental health keeps them from freely disclosing to others about their parent’s illness, but indicating that a certain strategic degree of openness was required in order to meet certain instrumental and relational goals. Finally, participants revealed many fears and anxieties that they had about the future as a result of the unstable nature of their parent’s mental illness, while at the same time expressing a sense of acceptance and stability with the predictably unpredictable nature of their lives. After presenting an analysis of the data, the implications of the findings for children of mentally ill parents are explored, including, but not limited to, how the results of this exploratory study could be integrated into therapeutic and support interventions for families of those struggling with mental health issues. Finally, the limitations of the study are addressed.

This research examines the social construction of hope in a community mental health system of care. Groopman (2004) defines hope as the elevating feeling we experience when we see a path to a better future. A year-long ethnographic study of a children's mental health system of care team found that members of the mental health care team construct hope for themselves and for the family they're helping by cycling through the dialectical tensions of hegemony and equality, marginalization and normalization, relating and othering, empowerment and disempowerment, and control and emotionality. They reconcile these tensions in dialogic moments of empathy toward the family and other team members, engagement of all team members in the process, creation of a human connection within the team, vulnerability to each other, creation of possibilities for themselves and for each other, social support, and blended voices.

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