# “My safe haven turned into a terror zone”: A qualitative study of family members’ experiences of violence by brain tumor patients

## TL;DR

This study explores the emotional and psychological impact on family members who experience violence from loved ones with brain tumors causing behavioral changes.

## Contribution

The study provides new insights into the unique challenges faced by families when the perpetrator of violence has brain tumor-related behavioral changes.

## Key findings

- Family members experienced intense suffering, loneliness, and social isolation due to the violence.
- Homes became places of fear and unpredictability, shifting from safe havens to zones of terror.
- Participants often felt guilt and shame, especially when the patient's death was perceived as the only escape.

## Abstract

Knowledge is lacking regarding how the experience of being exposed to violence is affected when the perpetrator suffers from behavioral and personality changes (BPC) due to a brain tumor. This study is part of the Swedish national research project BRAVE - Brain Tumor
Related
Aggression and
Violence
Exposure. The aim was to explore experiences of family members exposed to violence by a person suffering from BPC associated with a brain tumor.

Individual interviews were conducted with 25 family members who have been exposed to violence by patients with primary brain tumor. The interviews were analyzed using qualitative content analysis.

The participants reported various forms of violence and expressed intense suffering, loneliness and social isolation. The homes sometimes shifted from being a safe place to being a place marked by fear and unpredictability. In adapting to violence, what initially seemed unreasonable, gradually became “the new normal”. Different strategies to minimize risks and damage were described. Self-blame and shame were often associated with an inability to love the patient “in sickness and in health”, despite the violent actions by the patient. When the death of the perpetrator was viewed as the only means of escape, participants also expressed feelings of guilt and shame.

Our study highlights extensive suffering, vulnerability, loneliness and isolation among family members exposed to violence by brain tumor patients. An intervention that provides appropriate support for brain tumor patients, family members and staff who encounter them is urgently needed.