The process of accepting illness in the lives of young men with depression: possibilities for social work interventions

Abstract

The aim of this study is to explore how young men living with depression understand and experience the acceptance of their illness. A phenomenological qualitative research strategy was chosen in order to give voice to men’s lived experiences. The research focused on two questions: How do young men with depression experience and describe the process of accepting their illness? What makes this process unique for men? Data were collected through semi-structured interviews and the “Journey of Life” method, which combined visual and verbal narratives.

The analysis revealed that self-knowledge and self-reflection – both of which foster personal awareness – are essential for accepting the illness. Participants highlighted the importance of recognizing and examining their use of alcohol, expressions of aggression, and experiences of anger as key elements in understanding and managing depression. According to their accounts, the acceptance process involves three main stages: getting to know the illness, coming to terms with it, and developing a relationship with it. Support from various professional – family doctors, psychiatrists, psychologists, and social workers – was also identified as crucial. Many participants traced the beginnings of their acceptance process back to childhood experiences, which helped them lessen feelings of personal guilt associated with the illness. Overall, illness acceptance was described as a continuous and effortful journey, often compared to “climbing a mountain” or riding a “roller coaster,” reflecting its challenging and uneven nature.