Burn Injuries
Relationships with family and friends
This section covers:
- Relationships with parents and siblings
- Parenting approaches
- Friendships
For the people we spoke to, there could be impacts from having a burn on their relationships with immediate family and friends. These impacts varied and could depend on whether the person was burnt as a child or an adult or was a parent to a child with a burn.
Many expressed their appreciation to their families and friends and saw them as a key source of support following a burn injury and during the recovery.
Relationships with parents and siblings
A burn injury can impact on the whole family, in both practical and emotional ways. Some people spoke about their family dynamic changing after the burn injury. This included practical roles and tasks, as Sarah found: “our whole family dynamic changed completely from how we were before… It was very difficult to step back from all of the things that I do [and for someone else to do them instead]”. Saffron explained how, as soon as she was discharged from hospital, her Mum effectively became her “part-time nurse”.
Natasha, Clare and India, who were all burnt as children, reflected that the impact of their burns on their parents had been devastating. This included their parents feeling “guilty”, helpless, or carrying a lot of blame about their burns.
As India has grown older, she has learnt a lot more about how her burn injury affected her parents. She feels incredibly grateful for the support of her family.
As India has grown older, she has learnt a lot more about how her burn injury affected her parents. She feels incredibly grateful for the support of her family.
I think my parents, I mean, I don’t know how much it changed the way they raised me, but I think there’s always kind of been a bit of a separation between the way they deal with, like, my burn injury and the way they deal with something else. So, like, if I was naughty my parents would tell me off but in respect to my burn injury, they’d always be really nice, so it's like, the way they treat that is different, like if it’s to do with my burn injury, you know, they’ll kind of do anything. It’s like “I won’t drive you to that party but if I need to drive you to hospital for your appointment, I’ll drive you.” So, I think there’s been a bit of a separation between the burn injury and everything, like the rest of raising me. So, I don’t think it’s impacted my relationship with them, but I think as I’ve gotten older, I think when I was younger my parents didn’t talk about it really at all, other than going to like going to hospital appointments and stuff, or talk about how it affected them. And now I’m older I think I’m learning a lot more about how it affected them, and it is quite like, heart-breaking because obviously, when I was younger I didn’t understand how much impact it had on them. So, I think as I’ve gotten older, like grown, I’ve always respected them for how much they’ve helped me, but I think as I’ve gotten older, it’s really grown in my respect of them dealing with that.
But I think, for them, it was really stressful because you worry about the worst for your child. Every parent wants the best for their child. So, I think they definitely worried a lot about me but, as a result, they’ve been insanely supportive and always very understanding and gone above and beyond. So, that’s been really helpful, and I actually think that parents of burn victims don’t really, or burns survivors don’t get enough credit because, really, they have to deal with so much. Like, watching your child go through that, I can’t even imagine what that’s like. And I just have so much respect for those people because ultimately, I think I’ve spoken to some people, and they’ve told me, you know “You’re so well-adjusted, I’ve met other people in your situation, you’re so well-adjusted” and I think actually your family can make such a massive difference to that or if you don’t have as good as a relationship with your family, any sort of support network you can find. But for me, having my parents definitely sort of helped me, and my brothers as well, definitely helped me, you know, live as best a life as I can. But I owe so much of that to them.
Some of the people we spoke to who were children when burnt had siblings. India thinks her brothers might have found it “challenging” having a sister that “went through a very intense accident” when they were only young themselves: “I was three, my brothers were five and seven… Naturally, that child who’s got the injury is going to get a little bit more attention”. Claire and Saffron recalled some sibling rows and name-calling related to their burn injuries.
Saffron felt that her brother, who was born shortly after her accident, had “a different start than I did”. She added that he didn’t get to join in with social activities that were only for children with burns.
Saffron felt that her brother, who was born shortly after her accident, had “a different start than I did”. She added that he didn’t get to join in with social activities that were only for children with burns.
So, there was a lot of responsibility on my mum to care for me, just being discharged from hospital, and also a newborn baby. And I just think over the years of, you know, from a psychological point of view I think that would have had an impact in itself and that’s no-one’s fault, that’s just a circumstance and I think we’ve all, obviously, tried to do our best with that and cope with that. But I do think he had, because of that, a different start than I did. I was the firstborn child, and it was just me, Mum and Dad, so with no extra stress like that.
Going back to my brother, I also think another thing was the fact, obviously, how much support I’ve received and the opportunities that I’ve had because of that and, obviously, he wasn’t given them same opportunities. So, I went annually on the national burns camps, and I’ve really thrived at them, and I made friends, and I had a brilliant time because of it. And, although we would have gone on family holidays, I just think that’s always something that I’ve done that he didn’t have the experience of having. Which is why it’s good that now they do, do family weekends. Not everyone, obviously, can go on them but it’s good that people get the opportunity to mingle, so that’s, you know, mums mingling with other mums and dads etc and siblings mixing with other siblings and kind of getting to see what it’s all about and getting support they need as well.
A few of the people we spoke with shared that it was important to talk about what had happened as a family. India said this can be “therapeutic”. Kate’s dad had told her that watching Kate receive treatment was “one of the hardest things he’s done”, and this was “a weird concept” for her as she saw him as the “big, strong Dad”. You can read more about the emotional impact for parents of having children with burn injuries here. However, Charlotte said that her burns weren’t talked about within the family much, and she sometimes felt like she wasn’t ‘allowed’ to talk about it.
For people who were burnt as children, their immediate family could be an important influence on the way they saw themselves and their burns going forwards. Kate appreciated that her parents never made a big deal of her having burns. India says she “owes so much” to her parents and brothers for their support, helping her “live as best a life as I can”.
Tara’s parents would always ask whether a treatment was for function or appearance, and to weigh up the potential risks or downsides. She thinks this was very influential on her approach.
Tara’s parents would always ask whether a treatment was for function or appearance, and to weigh up the potential risks or downsides. She thinks this was very influential on her approach.
I think my parents took a very different approach to what a lot of parents do, I think, in that they were very much focusing on function and they were like ‘No, we don’t want any extra stuff’, you know, looking on aesthetics, whatever, they were like ‘Let’s just sort out function, what’s going to help her move better, what’s going to help her feel better’ that sort of thing. So, actually, there’s probably a lot of procedures that my parents bypassed throughout the years because they were like ‘Is that going to improve her, you know, ability to live, to move, to just do life? No. Mm, she can decide that when she’s an adult.’ So, I think, you know, I think their thing was, do the surgeries that were necessary, do the surgeries that would help but not do unnecessary surgery. And I think I’ve kind of carried that through to my adult life that, actually, I focus very much on what’s going to help me with movement, what’s going to help me with the tightness that I feel, instead of ‘Oh that bit’s a bit redder than the other, let’s do some surgery on it’.
Parenting approaches
Having a burn injury themselves could affect how some people parented their children. Charlotte said she felt she was a “more anxious” parent because of her burn. She told us she tries to find a “balance” between keeping her children protected and not allowing her burn to affect how her children experience the world. Claire felt that her burn had influenced her cooking preferences as an adult, opting for an air fryer instead of frying foods.
Charlotte and her partner have conversations about their parenting approach, which includes thinking about risks and the importance of mental health within the family.
Charlotte and her partner have conversations about their parenting approach, which includes thinking about risks and the importance of mental health within the family.
So definitely a lot more anxious. And because something that significant happened to me as a child, my worst-case scenario. You know, when you're younger, you just think, you know, there's nothing worse that can happen to me than to go through that burn again, you know. And then you have kids and you think, yes, it would be for my child to go through that. So yeah, so for me, it's just been trying to get their health, a healthier balance of trying to keep them protected, but also actually knowing that okay, what happened to me was awful, but it shouldn't affect the way my kids see the world. So that's, again, that's a work in progress. That's something that we, me and my partner, sort of talk about a lot, and it's just something that will keep re-correcting I think as we do it.
So probably in some ways it may have been good for us in parenting because it’s made us much more aware of mental health. So, it’s kind of like we know what we don’t want our kids to experience, but it’s also helped us to try and learn a little bit more about how things affect them. And... and, yeah, and what we need to do.
Haydn thinks his approach to parenting has stayed the same regardless of his burn injury. Reflecting on telling his children what had happened, he also said it was important that “they could see that I was calm about it”.
A few people who were young adults when burnt, like Tom, also reflected on how their relationship with their parents had changed. Tom thinks that his parents have become more anxious about him since his accident. In turn, he thinks he has become more aware of his parents having worries and struggles of their own.
Friendships
Many of the people we spoke to told us that their friendships were very important to them as they recovered from their burn and tried to cope with the challenges they faced afterwards. People saw their friends as a source of support if ever they wanted to talk. India, Frazer and Charlotte described having a close-knit “circle” of good friends around them.
For some people who were burnt as adults, existing friendships continued to be important and, in some ways, were strengthened. Frazer told us that his friends were “essential” whilst he was recovering from his burn, making him feel “safe and welcome”, and they were “understanding” about how he was feeling.
It was important to Haydn that his friends treated him the same as they did before he was burnt.
It was important to Haydn that his friends treated him the same as they did before he was burnt.
I think the important thing was that the friends were themselves with me and treated me in the way that they would normally treat me. If they’d normally laugh at me for something, then fine, carry on doing that for this. If you’d normally be sort of a really understanding and thoughtful person then, if you laugh at me now then it’s going to seem a bit wrong. But as long as you’re consistent with how you’ve been with me before, I think that was what was important.
Helen Y was also burnt as an adult. She told us about the time that a friend brought her a home cooked meal whilst she was recovering after her burn and she appreciated knowing that others took the time to think of her.
Small acts of thoughtfulness by friends were important to Helen Y when she was recovering.
Small acts of thoughtfulness by friends were important to Helen Y when she was recovering.
And there was one particular, and then friends, equally, you know, calling and, once again, didn’t always want to talk to them, but it was lovely to think of them supporting me. And even remote friends. So, I know that, for example, not a close friend at all, but the mother of one of my son’s friends, brought round a shepherd’s pie, which was lovely. And another friend that I haven’t seen for, maybe, I haven’t seen for maybe five years, sent me a card saying, “Heard what’s happened to you, really sorry to hear it, sending my love.” And that was really lovely, thinking “Gosh, all these people I haven’t seen or heard from for ages are thinking about me.” And that made a big, big difference. And it’s, that’s another way that it’s changed me now, I think. Because I know how much that meant to me and so every time, I hear about somebody I know, even somebody I know I haven’t spoken to for seven years, if something awful has happened to them, like they’ve lost a partner or, they’ve had an accident, I always get in touch in some way. Usually not by ringing them, to feel that they have to speak to me, but via digital media or via a card or via something, because I know how much that meant to me – huge amount.
Some of the people who were burnt as children also spoke about the importance of maintaining friendships with people they had known before the burn. Speaking of one friend in particular, Saffron told us it was “good to have someone who’s been there throughout on a friendship basis”. When Sabrina was burnt, all of her friends at school were made aware of what had happened and that she would have a visible injury. She thinks this preparation with her peers was why none of her friendships were impacted.
Saffron’s best friend has been there for her since before the burn.
Saffron’s best friend has been there for her since before the burn.
I’ve just kind of been lucky that, I guess again, they’ve always known and grown up with me. When I was burnt I was in Year One and I had a really close friend who’s still my best friend.
On reflection, maybe it built our friendship stronger, because I went back to school and I’d missed so much of it, but I felt like I still had her, so I didn’t lose that close friendship that I had. And then, from that, we just, because we’re still friends and we’ve got a friendship group so, I guess, I’ve always had a close friend and then, from that, we’ve kind of made friends with loads of other people.
She’s kind of been there throughout the whole of my recovery and I guess she’s always, you know, so if I go in for laser or something I’d speak to her about it just as much as I’d speak with my burn friends that I’ve met through other things like that. So, it is good to have someone who’s been there throughout on a friendship basis as well.
India said she has a “good support system” and her friends will always “have her back”.
India said she has a “good support system” and her friends will always “have her back”.
So, I’ve always been someone who, as I said, I’ve been quite outgoing, and I’ve always been able to find quite a good group of friends around me and everywhere I’ve kind of gone I’ve always tried to make a little circle of people who I know kind of have my back and are there for me and supportive. And I think that having that has always meant that I’ve never really dealt with that much bullying or that kind of, you know, I’ve never really been horribly bullied or anything like that and I think that’s because I’ve been lucky enough to have a really good group of friends around me.
But, yeah, generally having a good friendship group and that support system is always good just, you know, for the minor things but also if something, if I have to have a surgery, like my friends have always been very good at making sure I’m ok and checking up on me and that kind of thing.
A few people talked about meeting people and making new friendships. Charlotte sometimes felt nervous meeting new people and thinks that she is not as outgoing because of the impact of her burn on her appearance. India described finding it hard as a teenager when her friends struggled with “body image issues”, which left her feeling insecure about her appearance too. You can read more here about experiences of appearance, body image and self-esteem.
Copyright © 2024 University of Oxford. All rights reserved.