All discussions were tape-recorded and transcribed by an independent medical secretary. Results Patients enjoyed the open discussions, relieving any tension with humour. Many patients used sea-faring analogies to express concepts. Day Care support was spiritually enriching. Patients suffer stigmatisation in interpersonal relationships, with friends no longer visiting through fear or embarrassment.
Patients wish to protect the family they love and therefore hide their own distress.
Patients are aware of their family's need for support. Spirituality extended far beyond the boundaries of religious practices. Music, both religious and non-religious, expressed spirituality, particularly children singing. Many patients felt anger towards God. Many made disparaging comments about the church and ministers of religion, who had been punitive.