Family Wellness. Family A group of persons united by ties of marriage, blood or adoption; consisting...
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Transcript of Family Wellness. Family A group of persons united by ties of marriage, blood or adoption; consisting...
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Family Wellness
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FamilyA group of persons united by ties of marriage,
blood or adoption; consisting of a single household; interacting and communicating with each other in their respective roles of husband and wife, mother and father, son and daughter, brother and sister, creating and maintaining a common culture (Burges and Locke 1960)
A small social system made up of individuals related to each other by reason of strong reciprocal affections and loyalties and comprising a permanent household (Berman)
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FamilySemi-closed system of actors occupying
interrelated positions defined by society of which the family system is a part as unique to that system with respect to role content of the positions and to the ideas of kinship relatedness. (Rogers)
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Types of FamiliesNuclear- typically consists of a married man
and women and their childrenExtended- linked together by virtue of kinship
bond between parents and children and/or between siblings. Includes 3 generations- the family of procreation merges with the family of origin; can be unilateral or bilateral
Blended- includes stepparents and stepchildren
Communal- group of individuals who are formed for specific ideological or societal purposes.
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The Family Systems TheoryMinuchin (1978)Family is a continuous interlocking human
relationship, organized in such a way that when there is a change in one family member, the other family members are affected
Based on the following concepts:1.The family is more than a collection of individuals2.Families have repeating interaction patterns that
regulate member behavior3.An individual’s symptoms may have a function
within the family4.The ability of adapt to change is the hallmark of
healthy family functioning5.There are no victims or victimizers in families
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Family StructureHierarchy- how power of authority is
distributed in the familyBoundaries- rules defining who participates
in the subsystem and how they participateCoalition- relationship between atleast 3
people, where two people collude against the other
Alliance- positive relationship between any two members of a system
Role selection- unconscious assignment of roles to each family member
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Family ProcessEnmeshment- occurs when boundaries
are diffuseDisengagement- characterized by
boundaries that are too rigidTriangulation- occurs when a third
person is drawn into a two-pair system so as to diffuse anxiety or conflict
Family patterns- ordered sequence of interaction that typify how families function
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The Family Life CycleUnattached young adultNewly married coupleFamily with young childrenFamily with adolescentsLaunching familyFamily in later life
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Family influence on health and impact on illnessGenetic influenceCrucial in child developmentInfectious disease spreads in the
familyFamily factors affect morbidity and
mortalityThe family is important in recovery
from illness
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Tools for Family assessment
A. Family GenogramB. Family APGARC. Family Circle TechniqueD. SCREEME. Minuchin’s Family MapF. Family Lifeline
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Family GenogramUses:1.Quick overview of the interrelationships
between family members2.As a way of looking at the family medical
and psychosocial problems3.Tool for understanding the
multigenerational family systems
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Family APGARFive item questionnaire designed to elicit the
patient’s perception of the current state of his family relationships
Adaptation-capability of the family to utilize and share inherent resources
Partnership-sharing of decision makingGrowth- physical and emotional growthAffection- how emotions like love, anger,
hatred are shared between membersResolve- refers to how time, space and
money are shared
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Family Circle Technique SCREEM
Brief, graphic method for disclosing, gathering, and discussing family dynamics as discussed by one or more family members
Social CulturalReligiousEconomicEducationalMedical factors
affecting health
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Family Health Care PlanProcess which encompasses diagnostic,
preventive, curative, and rehabilitative approach for whole family