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The dynamic of familial care

Izzy Saunders

Mixed-media

My creative piece is inspired by a GP session where we spoke to a patient with osteoporosis and her daughter, who was the patient’s main caregiver. This encounter challenged my preconceptions of what it means to be a carer, and I left the session feeling moved by their compassionate and resilient relationship. 

I was particularly impacted when I asked the daughter how their relationship had changed since her mother’s diagnosis. Expecting to hear about the more negative experiences given everything they had been through, it took me by surprise when instead she poignantly answered; ‘We have become even closer, we are like best friends’. This inspired me to explore the contradiction between the joys of caring for someone you love and the challenges and pressures of being a carer in a world which provides little support.  

The tree I created out of silver wire is reflective of the mother and daughter’s developing relationship, but could also be viewed as the illness or the disability – the grounding object bonding them both together. I chose to create a tree as it is suggestive of resilience and growth, qualities the daughter and mother embodied. The daughter shared the challenges of being a carer, with frequent feelings of guilt, burnout and anger. Similarly, the mother, after experiencing several falls, often felt hopeless and frustrated. There were also more complex relations at play – the shifting of familial roles, the religious and cultural expectations, all of which took time for the mother and daughter to adjust to. It was clear that they relied on one another for support and over the years had developed coping strategies. I feel the tree symbolically reflects their strength and I was incredibly inspired by their determination and the way in which the daughter advocated for her mother whilst respecting her autonomy.  

The daughter also spoke about how she had missed many life opportunities because of the physical and mental demands of her caring role. For this reason, I chose to include subtle blue threads interwoven in the tree’s roots; Combining the same materials for both the tree and the person, I wanted to emphasise the merging of identities and the way the daughter’s life has become engrossed around her caring duties. The blue figure is intentionally ambiguous to reflect the universal experience of carers, but also to convey the lack of understanding and support carers receive from wider society, often rendering them voiceless, invisible and isolated.  

This patient encounter also encouraged me to further reflect on my attitudes towards carers in my own life. It inspired me to have more open conversations with my parents, who are both primary carers for my twin brother who is disabled. It also made me question the label of ‘carer’; as often is the case with unpaid carers, they are first and foremost a mother, a father, a sister, a brother, a friend, a neighbour. Similarly, the daughter did not claim this label, instead believing that she was just doing what any daughter would do. Her commitment affirmed the importance of continuing to humanise carers and value them as individuals, which I hope will enable me to better support and uplift carers in the future.  

Highly Commended for the Year One Effective Consulting Creative Prize, 2021