The uneven triad: a qualitative study of perspectives of relatives, patients, and professionals on (not) involving relatives in mental health

Our study uncovers varying perspectives both on involving relatives and on collaboration within the triad. Recovery-oriented approaches do not always align with patients' and relatives' intentions and values. Although relatives want to be involved, they often feel unheard and unseen by professionals. Relatives' roles -especially the intermediary role- are surprisingly underrepresented in the recovery-oriented literature. This study reveals several tensions between the three perspectives, culminating in a so-called uneven triad. We conclude that although the concept of involving relatives is highly advocated in recovery-based approaches, actual practice is lagging behind.