The Daughters Who Carry the Decision
Giving voice to women who carried the end-of-life decision to withdrawal life support for their mothers
What does it mean to live with the decision to withdraw life sustaining therapy for the one who gave you life?
I am currently seeking participants for a confidential doctoral research study exploring the experiences of midlife women who made the decision to withdraw life sustaining therapies for their mothers after a sudden, unexpected life-threatening situation
This research forms part of my Doctorate in Existential Psychotherapy and Counselling and received full ethical approval from Middlesex University and the New School of Psychotherapy and Counselling.
Why this research matters
Many women unexpectedly become responsible for end-of-life decisions for their loved ones. Daughters, in particular, may face the profound task of making life-and-death decisions for their mothers. Yet little research explores the emotional, physical, and existential realities of this experience from their perspective. Although women make up the majority of end-of-life surrogates (Hayes et al., 2015; Wiegand, 2006), the personal impact and deeper meanings of carrying such responsibility remain underexplored.
This study aims to:
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Give voice to women’s lived experiences as end-of-life surrogates
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Explore the emotional, physical, embodied, and relational impacts of making such profound decisions
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Understand the deeper meanings that may emerge after deciding to end the life of the person who gave them life
Who can participate
This study focuses on the experiences of cisgender daughters and their biological mothers, exploring particular existential and relational dynamics within that relationship.
Due to this specific focus, you may be eligible if:
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You are a cisgender woman aged 40–65
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You currently reside in the UK or the US
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Your mother's health event was sudden, unexpected, and occurred more than one year ago
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You participated in a family consultation with medical staff where it was agreed to withdraw mechanical ventilation (life support) from your biological mother, after which your mother passed away
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You are emotionally stable to participate (e.g. have accessed support such as bereavement counselling or pastoral care)
Frequently Asked Questions
What is this study about?
This research explores the experiences of women who made the decision to withdraw life support from their mothers after a sudden, unexpected illness or injury. It aims to better understand the emotional, physical, and existential impacts of this profound experience.
How long does the interview take?
The interview lasts around 60–90 minutes, and there’s time afterwards to talk about how you’re feeling.
Do I have to travel?
Interviews can be held in person or online, depending on what feels safest and most comfortable for you. If we meet in person, I’ll arrange a private space close to your home and reimburse reasonable travel costs.
Will I be paid for taking part?
There is no payment for participating, but reasonable travel expenses for in-person interviews will be reimbursed.
What happens before the interview?
We’ll first have a brief phone call to answer your questions, confirm you meet the study criteria, and explain the consent process. You’ll also be asked to complete a short wellbeing questionnaire.
Will the interview be recorded?
Yes, with your permission, the interview will be audio recorded to ensure accurate transcription. The recording will be deleted after it’s transcribed and anonymised.
Will anyone know what I said?
No. Everything you share will be kept strictly confidential and anonymised. Your identity will not appear in any publications, presentations, or reports.
Can I change my mind after agreeing to take part?
Absolutely. You can withdraw from the study at any time up to two weeks after your interview, and all your data will be securely destroyed.
Will this be used for therapy or diagnosis?
No. This research is separate from therapy and is purely for academic and research purposes. It’s about understanding your experiences, not diagnosing or treating anything.
Will I see the results of the study?
Yes, if you’d like to. I’ll offer participants a copy of the final research when it’s complete.
What are the possible benefits of taking part?
You might find it helpful to talk about your experience, knowing that your story could help others in similar situations and contribute to new research on this topic.
Could talking about this be upsetting?
Yes, some questions might bring up difficult feelings or memories. You can pause or stop the interview at any time. Afterward, I’ll provide you with a debriefing sheet with details for professional support services.
How will my data be stored?
Your data will be anonymised and securely stored on an encrypted USB drive and backed up on a secure server. Paper records will be kept in a locked filing cabinet. All data will be confidentially destroyed after 10 years.
Has this study been approved by an ethics committee?
Yes. This research has been reviewed and approved by the NSPC Ethics Sub-committee and Middlesex University Psychology Department Ethics Committee.
Who do I contact if I have questions or complaints?
If you have questions about the study, contact me at MB2252@live.mdx.ac.uk or 07588 446786. If you have concerns about the research or wish to make a complaint, you can contact my supervisor, Dr. Charlotte Harkness charlottekharkness@gmail.com or call 020 4534 3030.
How to participate
If you would like to participate in my research study, please complete the confidential form below. Alternatively, you're welcome to contact me directly by email. I respond to all enquiries within 48 hours. I will email you to arrange a convenient time to talk and answer any questions you may have.
All information you provide will be kept private and used only for this study. Only Marcie will have access to your details. By submitting the form, you agree to be contacted by email about the study.
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