Studies have shown that the quality of the relationship between siblings has great significance for the mentally ill sibling’s overall quality of life. Sibling relationships may be particularly important because few adults with severe mental illness have children. As parents grow older, adult children are expected to support their sibling with mental illness when their parents are no longer able to do so. The sibling relationship has the potential to be one of the most significant relationships for adults with schizophrenia. The aim of this paper is to present a case study of a sister’s experiences and needs in her contact with psychiatric care. This single case study was designed and the informant was recruited because of her value in maximizing what we can learn about being a sibling to a person with mental illness. Data were collected through four indepth, semistructured, repeated interviews during a two-year period, and were interpreted and analyzed through content analysis. Three major topics were discussed: 1) Anna’s brother’s time with formal psychiatric care; 2) Anna’s feelings and emotions; and 3) Anna’s view of her contact with psychiatric care. The findings indicated a sibling’s need for attention, support, and understanding from the formal caregivers. Participation in our study was one of the first opportunities she had to talk about her relationship with formal psychiatric care. An open dialogue may help siblings to manage their situations.
 Tuck, I., du Mont, P., Evans, G. and Shupe, J. (1997) The experience of caring for an adult child with schizophrenia. Archives of Psychiatric Nursing, 11, 118-125. doi:10.1016/S0883-9417(97)80034-9
 George, R.D. and Howell, C.C. (1996) Clients with schizophrenia and their care-givers’ perceptions of frequent psychiatric rehospitalizations. Issues in Mental Health Nursing, 17, 573-583. doi:10.3109/01612849609006534
 Sj?blom, L.M., Wiberg, L., Pejlert, A. and Asplund, K. (2008) How family members of a person suffering from mental illness experience psychiatric care. International Journal of Psychiatric Nursing Research, 13, 1-13.
 Greenberg, J.S., Kim, H.W. and Greenley, J.R. (1997) Factors associated with subjective burden in siblings of adults with severe mental illness. American Journal of Orthopsychiatry, 67, 231-241. doi:10.1037/h0080226
 Smith, M.J. and Green-berg, J.S. (2007) The effect of the quality of sibling relationships on the life situation of adults with schizophrenia. Psychiatric Services, 58, 1222 1224. doi:10.1176/appi.ps.58.9.1222
 Beeman, S. (1995) Maximizing credibility and account ability in qualitative data collection and data analysis: A social work research case example. Journal of Sociology and Social Welfare, 22, 99-114.
 Graneheim, U.H. and Lundman, B. (2004) Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trust-worthiness. Nurse Education Today, 24, 105-112. doi:10.1016/j.nedt.2003.10.001
 King, G.A., Cathers, T., Polgar, J.M., MacKinnon, E. and Havens, S. (2000) Success in life for older adolescents with cerebral palsy. Qualit-ative Health Research, 10, 734 749. doi:10.1177/104973200129118796
 St?lberg, G., Ekerwald, H. and Hultman, C.M. (2004) At issue: Siblings of patients with schizophrenia: Sibling bond, coping patterns, and fear of possible schizophrenia heredity. Schizophrenia Bulletin, 30, 445-458. doi:10.1093/oxfordjournals.schbul.a007091
 Veltman, A., Cameron, J. and Stewart, D.E. (2002) The experience of pro-viding care to relatives with chronic mental illness. Journal of Nervous and Mental Disease, 190, 108-114. doi:10.1097/00005053-200202000-00008
 Kaas, M.J., Lee, S. and Peitzman, C. (2003) Barriers to collaboration between mental health professionals and families in the care of persons with serious mental illness. Issues in Mental Health Nursing, 24, 741-756.
 Barnable, A., Gaudine, A., Bennett, L. and Meadus, R. (2006) Having a sibling with schizophrenia: A phenomenological study. Research and Theory for Nursing Practice: An International Journal, 20, 247-264. doi:10.1891/rtnp.20.3.247
 H?fner, H., Maurer, K., Ruhr-mann, S., Bechdolf, A., Klo sterk?tter, J., Wagner, M., Maier, W., Bottlender, R., M?l ler, H.J., Gaebel, W. and W?lwer, W. (2004) Early detection and secondary prevention of psychosis: Facts and visions. European Archives of Psychiatry and Clinical Neuroscience, 254, 117-128. doi:10.1007/s00406-004-0508-z
 Nechmad, A., Fenning, S., Ternochiano, S., Treves, I., Fennig-Naisberg, S. and Levkovich, S. (2000) Siblings of schizophrenic patients—A review. Israel Journal of Psychiatry and Related Sciences, 37, 3-11.
 Syrèn, S. (2010) Det outsagda och oh?rsammade lidandet. Tillvaron f?r personer med l?ngvarig psykossjukdom och deras n?rst?ende (in Swedish). Doktorsavhandling, Lin naeus University Dissertation Nr 6/2010. Linnaeus University Press, Sm?land.
 Montero, I., Hernandez, I., Asencio, A., Bellver, F., La Cruz, M. and Masanet, M.J. (2005) Do all people with schizophrenia receive the same benefit from different family intervention programs? Psychiatric Research, 133, 187-195. doi:10.1016/j.psychres.2002.12.001
 Cardno, A.G., Rijsdijk, F.V., Sham, P.C., Murray, R.M. and McGuffin, P.A. (2002) Twin study of genetic relationships between psychotic symptoms. American Journal of Psychiatry, 159, 539-545. doi:10.1176/appi.ajp.159.4.539
 Kinsella, K.B., Anderson, R.A. and Anderson, W.T. (1996) Coping skills, strengths, and needs as perceived by adult offspring and siblings of people with mental illness: A retrospective study. Psychiatric Rehabilitation Journal, 20, 24-32.
 Stein, C.H. and Wemmerus, V.A. (2001) Searching for a normal life: Personal accounts of adults with schizophrenia, their parents and well-siblings. American Journal of Community Psychology, 29, 725-746. doi:10.1023/A:1010465117848
 Lakeman, R. (2008) Family and carer participation in mental health care: Perspectives of consumers and carers in hospital and home care settings. Journal of Mental Health Nursing, 15, 203-211. doi:10.1111/j.1365-2850.2007.01213.x