Skip to content Skip to sidebar Skip to footer

Most Sociologists Are Confident That the Family Will Survive as a Social Institution

Family Theory

Family theories focus on the dynamic interactions among family members, describing changes in typical patterns of parent–child relationships, and the characteristics of family interactions that enhance or disrupt development.

From: Encyclopedia of Adolescence , 2011

Adolescence, Theories of

B.K. Newman , P.R. Newman , in Encyclopedia of Boyhood, 2011

Telescopic

Family unit theories focus on the dynamic interactions amid family unit members, describing changes in typical patterns of parent–kid relationships, and the characteristics of family interactions that enhance or disrupt evolution. From an evolutionary perspective, families have evolved equally the social context to support human development. Human infants accept few innate reflexes, just they have a wealth of sensory and motor capacities to appoint in social interactions, and an enormous capacity to larn. Families have evolved as contexts inside which infants and children are protected from harm, nurtured, educated, and socialized into their cultures.

Read full chapter

URL:

https://www.sciencedirect.com/scientific discipline/article/pii/B978012373951300003X

Family and Culture

James Georgas , in Encyclopedia of Applied Psychology, 2004

ii Family Theories

Family unit theories accept been developed in sociology, cultural anthropology, psychology, psychiatry, and cross-cultural psychology. The starting time family theories were developed in the 19th century. A form of social Darwinism theorized that the structure and function of family unit adjusted, equally a social organism, to the surroundings. Marxist theory employed the concept of economical determinism to explicate how economic resource determined social power, which in turn determined class struggle. The concept of social power was extended to explain authorization and power structures of the begetter and mother. Durkheim's theory explained the being and the changes in family structure and part in terms of the family's functional role in the preservation of society. Functionalism analyzed the office of family unit as office of a greater whole, in which an equilibrium with other social institutions was established. This was substantially a systems theory, in contrast to the biological or economical determinism of social Darwinism and Marxist theory.

Ane of the most influential theories of family in the 2d half of the 20th century was Parsons' structural−functional perspective, in which society was viewed every bit an organism striving to resist alter and to maintain itself in a country of equilibrium. Structure refers to the members of the family (parents, child, and kin), and function refers to how families satisfy physical and psychological needs for survival and maintenance. According to Parsons, the adaptation of the family unit to the industrial revolution required a nuclear family construction that could carry out societal functions and satisfy the physical and psychological needs of family members. However, in its urban setting, the nuclear family is fragmented from its kinship network, leading to psychological isolation. Distancing itself from the extended family results in loss of its productive, political, and religious functions. Social mobility, specially in the highly mobile U.S. culture, was made possible by the breaking of family unit ties.

However, most sociologists, anthropologists, and psychologists today disagree with Parsons' depiction of the nuclear family as isolated from its kin. Evidence from studies of family unit networks indicates that ties are maintained between members of the nuclear family unit and kin at different generational levels in the United states and many European countries. Many ethnic groups in the United states maintain fairly close family and kinship ties, whereas others practise non. Cross-cultural studies accept indicated that at that place are not polar opposites of no family ties versus close family ties but, rather, unlike degrees of family ties. In countries such every bit the Usa, Sweden, and U.k. there are looser ties betwixt the nuclear family and kin, whereas the ties are closer in countries such as China, India, and Greece.

Family theories based on systemic concepts have also been developed (Parson's theory is also a systems theory). Family system theory has been developed within general systems theory, and its basic concepts apply to physics, biology, and social sciences, amidst other sciences. The family is a system within larger suprasystems of society and attempts to maintain equilibrium past adapting to demands and to changes in the larger organization. The focus is on communication processes between family members and on recurring family transactional patterns. Family system theory was developed in the fields of clinical psychology and psychiatry equally a psychotherapeutic method. This has resulted in the construction of models of family performance and techniques of psychotherapy directed toward the family. Ecological theories of family trace the relationships between environment, social institutions, the family, and psychological variables. The human environmental theory of Bronfenbrenner is basically a family systems model. I of the earliest ecological models is that of cultural anthropologists John and Beatrice Whiting and Irvin Child and their many collaborators in their six-civilization written report. Their basic hypothesis was that kid training throughout the earth is in many important aspects identical and that there are universal aspects of beliefs but also differences from civilisation to culture. Half dozen cultures were studied in item: those of Raira, Okinawa; Tarong, the Philippines; Khalapur, Republic of india; Nyansongo, Kenya; Juztlahuraca, Mexico; and Orchard Town, United states of america. The elements of the model were the surroundings (climate, flora, fauna, and terrain), history of the settlements, maintenance systems (subsistence patterns, ways of production, settlement patterns, social structure, etc.), the child's learning environment (caretakers and teachers, mothers' workload, etc.), psychological variables (behavioral styles, skills and abilities, values, conflicts, and defenses), innate needs, and projective expressive systems or elements of the civilization (religion, magic behavior, ritual and ceremony, etc.) (Fig. 1). Cultural features such equally the economy, social construction, settlement pattern, and household and family organization were constitute to exist related to behavior. For instance, the complexity of the socioeconomic organisation and the composition of the household were predictive of social beliefs of the system. This is a classic cultural anthropological model for cross-cultural studies of family.

FIGURE 1. A model for psychocultural research. From Whiting and Whiting (1975).

Other family theories employed include feminist theory, symbolic interactionism, family development, phenomenology, family ability, and commutation theory.

Read full chapter

URL:

https://www.sciencedirect.com/scientific discipline/article/pii/B0126574103004128

Sociocultural and Individual Differences

Nadine J. Kaslow , ... Monica R. Loundy , in Comprehensive Clinical Psychology, 1998

10.08.1 Introduction

Family theory and therapy and the multicultural perspective offer complementary views on assessment and intervention ( Gushue & Sciarra, 1995). Both approaches share the assumption that the individuals must exist understood within their larger familial and socio-cultural context (Gushue & Sciarra, 1995). Thus, a comprehensive cess and intervention should attend to the complex interactions among the individual, the family unit, and the culture beyond the family life cycle (Carter & McGoldrick, 1989; Szapocznik & Kurtines, 1993).

Family theorists and therapists increasingly accept underscored the importance of the cultural context in which family therapy is conducted (due east.1000., Falicov, 1983; Ho, 1987; McGoldrick, Giordano,&Pearce, 1996; McGoldrick, Pearce, & Giordano, 1982). They have come to capeesh therapeutic models equally reflecting the civilization within which they are adult and proficient. Family unit theorists have become attuned to the part of culture and values in the conceptualization of interactive processes. Consistent with this, family therapists have become more cognizant of the impact of culture, values, and theoretical stance on the assessment and intervention process and outcome. These changes in perspective have led more family unit theorists and therapists to view each private as a fellow member of a family unit arrangement that exists within a context of cultural diversity (Szapocznik & Kurtines, 1993).

Afterward defining terms and concepts (e.g., civilisation, family) key to a discussion of a cultural perspective on families across the life bicycle, a detailed presentation of cultural characteristics of families across the family life cycle is offered. Adapting the work of Carter and McGoldrick (1989), data is provided on cultural group differences across the major family unit life cycle stages. The aforementioned sections lay the groundwork for a discussion of culturally sensitive family assessment and intervention across the family life bike. The theoretical underpinnings of family therapy from a culturally informed perspective are reviewed and culturally sensitive family assessment and intervention approaches in the U.s. are delineated. Hopefully, the data provided will inform psychologists well-nigh means to adjust and modify current practices to enhance the cultural fit betwixt the cess and intervention approach and the family. Additionally, given the considerable intra- and intercultural variation in family patterns, it is our goal to present information that will help psychologists better treat families with whom they share a common cultural heritage and families from a different cultural background than their own.

We hope the reader volition bear in listen the post-obit caveats regarding our presentation. First, at that place is a lack of clarity in the literature regarding the stardom between culture and ethnicity. We use the term culture to refer broadly to values, attitudes, and behaviors that characterize groupings of people who are influenced by their civilisation of origin, religion, race, and socioeconomic status (SES). Second, the cultural characterizations presented are not meant as stereotypes of specific groups. Instead, the depictions reflect generalizations regarding common family patterns associated with a given cultural group (Falicov, 1983). These generalizations crave validation at the level of the individual family. Third, and in a related vein, this affiliate incorporates an intercultural perspective in which the definitions of what is advisable or normal family unit structure, values, communication patterns, and interactional processes are seen every bit varying across different cultures. Although this chapter does non nourish to private differences betwixt families within a given culture (intracultural perspective), nosotros want to underscore the importance of attention to the unique characteristics of each family, which are often affected by such variables as the phase of acculturation, the phase of ethnic identity, and each members' pick of a primary language(south) both within the family unit system and in the larger customs (Gushue & Sciarra, 1995). Quaternary, due to space considerations, only a limited number of examples of some family cultures are provided. For in-depth reviews of families from specific cultures, and for coverage of a greater breadth of families, the reader is referred to McGoldrick, Pearce, & Giordano, (1982) and McGoldrick, Giordano,&Pearce, (1996). Fifth, information technology is not our intention to suggest that culture is the only or principal factor that impacts the family life wheel. Culture is one variable that interacts with multiple factors in influencing a family unit's presentation and effective assessment and intervention approaches. The salience of cultural issues differs across families, every bit does the significance of cultural factors in assessment and intervention. Thus, information technology behoves clinicians and researchers to incorporate culture as a fundamental, albeit not sole, element in their piece of work with families.

Read full chapter

URL:

https://world wide web.sciencedirect.com/science/article/pii/B0080427073001097

Family Theory: Feminist–Economist Critique

H. Hartmann , in International Encyclopedia of the Social & Behavioral Sciences, 2001

The critique from feminist economics of economic family theory has largely been directed at the version adult in neoclassical economics, often referred to as the 'new habitation economics,' though Marxist economic approaches to the family have also come up in for their share of the criticism. Feminist economic science challenges virtually every aspect of neoclassical economics. Beginning, feminist economics challenges the express office accorded the family of household, noting that caring labor is a large part of social reproduction. Second, the neoclassical economic science model assumes choice by individuals of different relative productivities exercising their individual preferences, but it fails to explain why domestic labor is most often performed past women. Information technology offers no convincing explanation of why this would exist so. 3rd, it is hard to see whose utility is existence maximized, since nothing in economic theory suggests that two adults often take identical utility functions. An instance of a feminist model is used to demonstrate how the traditions of neoclassical, institutional, and Marxist economics are all challenged and incorporated in changed forms.

Read full chapter

URL:

https://world wide web.sciencedirect.com/science/article/pii/B0080430767021690

Feminist Theory

R. Tong , in International Encyclopedia of the Social & Behavioral Sciences, 2001

See also:

Beauvoir, Simone de (1908–86); Disquisitional Race Theory; Family Theory: Feminist–Economist Critique; Feminist Epistemology; Feminist Ethics; Feminist Legal Theory; Feminist Movements; Feminist Political Ecology; Feminist Theology; Feminist Theory and Women of Color; Feminist Theory: Ecofeminist and Cultural Feminist; Feminist Theory: Liberal; Feminist Theory: Marxist and Socialist; Feminist Theory: Postmodern; Feminist Theory: Psychoanalytic; Feminist Theory: Radical Lesbian; Gay/Lesbian Movements; Gender and Feminist Studies; Gender and Feminist Studies in Economic science; Gender and Feminist Studies in Geography; Gender and Feminist Studies in History; Gender and Feminist Studies in Political Science; Gender and Feminist Studies in Psychology; Gender and Feminist Studies in Sociology; Gender, Feminism, and Sexuality in Archaeological Studies; Multicultural Feminism: Cultural Concerns; Political Thought, History of; Queer Theory; Social Movements and Gender; Theory: Sociological

Read full affiliate

URL:

https://www.sciencedirect.com/science/article/pii/B0080430767039450

Depression and Depressive Disorders

Grand. Flynn , Thou.D. Rudolph , in Encyclopedia of Adolescence, 2011

Family environment

In addition to inherent genetic overlap among family unit members, the family environment represents an area of psychosocial run a risk for depression. Family theories highlight a multitude of relational processes occurring within the context of families that have the potential to place adolescents at take a chance for depression. Beginning in infancy, an attachment relationship forms between parents and offspring that is theorized to contribute to youths' mental representations of the cocky and others. These internal schemas are after thought to be carried forward across evolution; consistent with this notion, enquiry indicates that an insecure zipper style disrupts socioemotional functioning and places adolescents at risk for depressive disorders. Family unit chance as well can be transmitted through specific patterns of parenting. Specifically, parenting styles that are characterized by low levels of warmth, autonomy granting, and support, and loftier levels of control, hostility, and conflict are associated with depressive disorders during adolescence. Finally, both episodic and chronic stressors in the context of the family confer vulnerability to boyish depression. Directly, events such as physical abuse, emotional maltreatment, and neglect and, indirectly, the modeling of dysregulated emotional displays, negative cognitive styles, or maladaptive interpersonal tendencies represent experiences in the family setting that create risk for depressive disorders across development. In sum, beyond the transmission of genetic vulnerability, numerous types of family unit arduousness contribute to hazard for the emergence of adolescent depressive disorders.

Read full chapter

URL:

https://world wide web.sciencedirect.com/scientific discipline/commodity/pii/B9780123739513001083

Family unit Planning Programs: Development and Outcomes

Thou. Potts , in International Encyclopedia of the Social & Behavioral Sciences, 2001

See also:

Economic Evolution and Women; Family Planning Programs: Feminist Perspectives; Family unit Planning Programs: Quality of Intendance; Family Size Preferences; Family Theory: Economics of Childbearing; Family Theory: Part of Irresolute Values; Fertility Control: Overview; Fertility: Institutional and Political Approaches; Fertility Transition: Cultural Explanations; Fertility Transition: Economic Explanations; HIV and Fertility; Land Rights and Gender; Bloodshed and the HIV/AIDS Epidemic; Population Dynamics: Momentum of Population Growth; Population, Economical Evolution, and Poverty; Population Policies, Politics of; Population Policy: International; Poverty and Gender in Developing Nations; Reproductive Rights in Developing Nations; Rural Industrialization in Developing Nations and Gender.

Read full chapter

URL:

https://world wide web.sciencedirect.com/science/article/pii/B0080430767021847

Family Systems (The Relational Contexts of Individual Symptoms)

Corinne Datchi-Phillips , in The Initial Psychotherapy Interview, 2011

The Family unit as a Biopsychosocial System

All schools of family therapy share a common epistemology or set of assumptions and rules that define how and what kind of knowledge it is possible to form about reality. The epistemology of family theories and therapies is grounded in a systemic paradigm that frames and connects the key concepts family therapists apply to understand human behaviors. This paradigm developed from the integration of two theoretical frameworks, general systems theory (Bertalanffy, 1968) and cybernetics or the science of self-correcting systems (Wiener, 1948). General systems theory and cybernetics originate from the disciplines of mathematics, physics, and engineering, and from the written report of the structure and operations of mechanical devices and biological organisms (Broderick, 1993; Guttman, 1991; Nichols, 2006). From a systemic and cybernetic perspective, the family is an open up, cocky-regulating, social system that continuously interacts with the environment and whose individual parts are interrelated. Systems thinking gives emphasis to the dynamic interdependence of individual, interpersonal, and environmental factors that shape behaviors, and offers a view of the family that stresses the complex, reciprocal, and interactive processes and relational patterns in which individual members are embedded (Stanton, 2009). Reciprocity is a central concept of the family systems prototype together with the notion of wholeness, open systems, cocky-governance, and morphogenesis or adaptation, which will inform my conceptualization of Scott'south difficulties.

From a systemic perspective, the family unit is a biopsychosocial system of interconnected individuals whose relations to one another are defined past recurring patterns. To understand the family system, ane cannot study individual behaviors as divide units of analysis and and so combine the units in society to provide clues into how the family functions. Systemic thinking is guided by the concept of nonsummativity and the idea that the properties of the family as a whole are different from those of its constituent members (Broderick, 1993; Nichols, 2006; Stanton, 2009). It gives emphasis to the interactions of individual family members and to the repetitive patterns that emerge from these interactions. These patterns say something well-nigh the structure or arrangement of the family, that is, the relational processes that govern individual behavior in a rule-like and circular fashion. Indeed, systemic thinking requires a conceptual shift from linear causality (i.due east., A caused B to do X) to an understanding of individual action as reciprocal and nonsequential. Family unit members mutually influence each other according to the patterns or rules of the family system's organization.

The family is an open cybernetic or self-regulating arrangement that continuously engages, with its environment and within itself, in a process of reciprocal exchange necessary for its connected existence. This process of reciprocal exchange involves the menstruum of data and other essential resources across the boundaries of the different systems and subsystems that environment or compose the family unit (e.thou., parent/child, community, workplace, cultural groups, guild). The integrity of the family in the context of reciprocal, interactive, and dynamic networks of relationships is a function of both stability and change (Becvar & Becvar, 1982): Families must be able to adapt to variable situations such equally the normative and less-normative circumstances of marriage, illness, or unemployment, at the same time as they maintain the system of the family as a system. Similar all systems, the family unit regulates itself past means of feedback mechanisms. Feedback is information or events that originate from within or outside the family, that constitute deviations from the system's interactive patterns or organization, and that phone call for the family'due south corrective response by either restoring the status quo or making adjustments. Cybernetic theory describes ii types of feedback mechanism: Negative feedback indicates difference from the system's dominion-like organization, and calls for the system's return to its original state, whereas positive feedback promotes deviations from the ways things are now in the family. From a cybernetic perspective, modify occurs at two levels. (1) First-lodge change corresponds to variations in behaviors; nonetheless, the basic rules that govern the family system remain the same. (2) Second-social club change is a artistic process of adaptation whereby the family arrangement reorganizes itself and moves beyond its existing structure to identify creative solutions to problems. For example, teenage behaviors that defy parental authority (e.m., rejection of directives) call into question the balance between dependence and independence that defines the relationship betwixt parents and younger children. They constitute a departure from the way things were when children were younger. Parents and adolescents may reply to these behaviors past negotiating the rules of the household and by creating opportunities for the teenager to make decisions. This represents 2d-social club change, that is, alter in the relational organisation of the family unit: The family engages in a new set of behaviors (negotiating rather than directing, following, or rebelling) and the adolescent has more ability in the family relationships. Family unit systems therapies are formal processes of 2nd-order change: Therapists intervene to promote families' ability to adapt to various events, normative and nonnormative, past thinking beyond the rules of the system (Becvar & Becvar, 2006; Stanton, 2009).

Last, information technology is of import to note that the family systems arroyo has integrated systemic and cybernetic principles with constructivist concepts that explain how cognitive and communicative processes participate in family unit operation (Nichols, 2006; Stanton, 2009). Constructivism is a theory of knowledge which posits that individuals' perception of reality is a personal construction determined partly by each individual's belief systems, personal experience, emotional states, and information-processing abilities (Carr, 2006). While systemic and cybernetic principles emphasize the family's behaviors and interactions, constructivism calls attending to the family's perceptions and beliefs nigh their feel; it focuses on the family's interpretation of their problems with a view to constructing new meanings that open up the door to new solutions and to new sets of interactions.

Read full chapter

URL:

https://www.sciencedirect.com/science/article/pii/B9780123851468000122

Respect for the Patient's Family and Significant Relationships

Amy Haddad PhD, RN , ... Ruth Purtilo PhD, FAPTA , in Wellness Professional and Patient Interaction (Ninth Edition), 2019

Family Structure and Part

Family structure and part have important influences on health. Family structure involves the characteristics that make a family unique. This includes family composition and household roles. According to the latest U.S. Census, the average household size was 2.58. Of the households, 33% included people under 18 years, and 25% included people 65 years and over. Multigenerational family households (three generations of relatives or more living together) are on the rising, equally are single partner households. 7

To work with families, you likewise must understand how families office. An individual's concrete and emotional health and cognitive/social functioning is strongly influenced past how well the family unit functions. 8,9 There are numerous family theories describing how families operate and how they respond to events both internal and external. About wellness professionals use a combination of family unit theories in their piece of work with families, but all have in common the fact that the focus of health care shifts from the private member who is ill, injured, or disabled to the family unit as a unit of care. In this chapter, we focus on a particular method of viewing the family—the family health system approach. 10 According to this arroyo, intendance is directed toward five processes: (1) interactive, (2) developmental, (three) coping, (4) integrity, and (5) wellness. The Case Report of Ian volition aid testify how the family health organization model applies to a particular child and his family unit.

Instance Study

Ian is a low-birth-weight infant with brusk bowel syndrome (SBS). SBS is characterized by maldigestion, malabsorption, dehydration, electrolyte abnormalities, and both macronutrient and micronutrient deficiencies. Owing to new multidisciplinary approaches and advances in medical and surgical treatments, the SBS survival rate has improved from an boilerplate of 70%, to as loftier as 90% in recent studies. 11 Ian will require long-term parenteral diet (PN); that is, he volition not exist able to take food orally and will exist dependent on intravenous solution to provide the bulk of his nutritional needs. Ian is the first child of Dylan and Adrianna Chapel, both in their early 30s. After a stay in the neonatal intensive care unit, Ian was sent home with his parents, who have provided care since that time with the help of a home care bureau and a nutritional support visitor. The Chapels practise not have other family members nearby. Most of Ian's care falls to them.

Ian is at present an active ii-year-one-time. Mrs. Chapel is the primary caregiver during the day and virtually evenings. She works weekends every bit a nursing banana at a local assisted living center to supplement their family income. Mr. Chapel works equally a paralegal in a law business firm and attends law school at nighttime. The Chapels' insurance coverage is through a group plan at the police force firm where Mr. Chapel works.

Assume y'all are assigned to piece of work with the Chapel family during an on-site educational experience with the home intendance agency providing chief intendance. The goal of your interaction with Ian and his family is to help promote family accommodation to his chronic condition (SBS) and empower the Chapels to develop and maintain healthy lifestyles. By reviewing the v processes listed earlier, you can get a film of the family unit'southward operation and possible areas for intervention.

Interactive Process

The interactive process of the family is composed of communication, family relationship, and social supports. x In your assessment of the interactive process of the Chapel family, you will explore the types of communication patterns they use; the effect of Ian'south illness on the advice of the family both internally and externally; the types of relationships within the family unit; and the quality, timing, amount, and nature of social support they receive. Open advice should be encouraged. 1 aspect of intendance could be to assist the Chapels in mobilizing the informational and emotional support they need to cope with Ian'south disease. Considering the Chapels practice non have family back up in the immediate community, they may have to rely on informal support systems, such as friends and co-workers, and formal support systems, such as respite care agencies, to aid them in the care of their child. Possibly there are other children who have SBS or who must rely on parenteral nutrition in the community. The caregivers of such children may accept or could form a support group to help troubleshoot common bug and offering advice.

Developmental Procedure

Assessment of the developmental process includes the family developmental stage and private developmental stages. The Chapels, as a family, are in the second stage of family unit development as described by Duvall in his classic work. 12 Phase II of the family life bike involves integrating an infant into the family unit unit, accommodating to new parenting roles, and maintaining the marital bond. Ian is moving from infancy to condign a toddler, and soon he will exist increasingly interested in his environment and want to explore it. Ian volition become increasingly mobile and develop linguistic communication during this phase. (You lot will be introduced to bones development needs of toddlers later in Chapter 11). All of this is influenced by the presence of his chronic condition.

It is advisable for y'all as a member of the interprofessional care squad to assess how well developmental tasks are being accomplished. You will brainwash the Chapels in the developmental milestones Ian should achieve and the tasks involved. For case, Ian needs liberty of mobility to explore objects in his environs and acquire to walk, then his nutritional solution could exist placed in a haversack to allow him to move more freely. Children with SBS as well may require frequent visits to the bathroom throughout the day when the fourth dimension comes for toilet training. To decrease the Chapels' frustrations, you could plan for this adjacent developmental milestone and work with them to plan a structured routine that is consistently implemented and results in success for all involved, specially the child. In that location is some evidence that about x% to 15% of children with SBS will experience neurological or developmental delays. 13 Thus you will also want to watch for possible developmental delays to programme for early on therapeutic interventions.

Coping Process

Coping has been identified as trouble-solving, adaptation to stress and crisis, and management of resources. 10 Coping helps us lower our anxiety and then that nosotros can meet the demands of the day. Each person has a unlike coping style when dealing with dubiety. Coping styles can exist both problem focused and emotion focused. In general, coping styles depend on what a person is like as a person and his or her function in the family. 14 The uncertainty of illness presents a diverseness of stressors for families. In your work with the Chapels, you should assess their ability to handle stress and the impact that Ian'due south disease has on everyday activities while reinforcing a coping style fitting for them.

Reflections

Which of these questions would most help yous show respect for the Chapels' predicament?

How practise the Chapels conceptualize and manage Ian'south diagnosis as a family unit? What significant does information technology have?

Has Ian'south illness acquired a change in the family unit'southward life plans? For instance, did Mrs. Chapel program on returning to full-time work outside the home after the nascency of her son?

If the family planned on Mrs. Chapel returning to piece of work, tin the family unit conform to the loss of income, or are back up services available to let Ian to be cared for during the day so that Mrs. Chapel can work?

Were the Chapels intending to take several children? Have Ian's care needs changed their family planning?

What else do you want to know to care for the Chapel family unit?

Overall, you lot would want to assess how the family deals with crises in general. You tin can back up the Chapels' coping processes by:

1.

offering advice on the progression of the illness,

2.

discussing the normal feelings of frustration and guilt that accompany the care of a chronically ill or disabled family unit member, and

three.

offer resources to help the family unit cope more than finer, such equally respite intendance and other support groups.

The Chapels volition as well have to cope with fiscal stressors. Even with the best health insurance, there are lifetime limits on coverage; in addition, in that location are many out-of-pocket expenses related to the care of a child with this diagnosis. Although most children experience small bowel adaptation over time and can be weaned from parenteral nutrition, some children suffer liver dysfunction, and many require extensive intestinal rehabilitation, including intestinal lengthening procedures and transplantation. 11,fifteen Thus the Chapels may exist facing years of out-of-pocket expenses and expensive hospital stays, procedures, and medications. This kind of financial pressure can exist stressful for whatever family unit.

Integrity Procedure

The integrity process of family unit life involves family unit values, rituals, history, and identity. 10 These aspects of the family process greatly affect its behavior. Family rituals, one facet of the integrity process, provide a useful framework for assessing threats to a family'south integrity. Family rituals include celebrations and traditions such every bit activities surrounding birthdays, religious holidays, or bedtime routines for children (Fig. 8.i). Suggestions for evaluating family unit rituals include cess of the following: 16

Does the family underuse rituals? Families who do not gloat or marking family changes such as birthdays, deaths, anniversaries, and then forth may be left without some of the benefits that accompany rituals, such every bit bringing the family together or marking changes in life and family roles.

Does the family follow rigid patterns of rituals? In families who are inflexible, things are always done the aforementioned way, at the same time, and with the same people. Families who are rigid may take difficulty responding to changes that disrupt routines and rituals occasioned by disease and injury.

Are family rituals skewed? A family with skewed rituals tends to emphasize but one aspect of family life (e.g., religion) and ignore others. For instance, a family unit might spend all its time celebrating with the father'southward side of the family on religious holidays and ignore the different rituals cherished by the patterns practiced on the mother'due south side.

Has the ritual process been interrupted? For case, a child born with a concrete or cognitive impairment or congenital condition may threaten family identity and permanently disrupt family rituals. In the case of the Chapels, they take elected to stay home for traditional family holidays because nigh all holidays involve a focus on food. For the foreseeable future, Ian cannot tolerate most food orally, so the Chapels should consider what this interruption in ritual ways to their life together and may take to develop other rituals at holiday time that do not focus so prominently on food.

Are the rituals hollow? Rituals performed just for the sake of performing them accept lost their life and may be stressful for the family rather than a source of joy and force.

In improver to changes in ritual that occur over time in families, many office changes too occur, particularly when chronic illness or impairment is involved. For example, Mrs. Chapel has become the master caregiver. She may or may not have expected to have on this role. Essential interventions include helping the Chapels redefine major family unit roles and maintain their new responsibilities.

Wellness Process

The final process of family experience is related to health. This process includes health status, wellness beliefs and practices, and lifestyle practices. 10 Assessing a family's definition of health and how they define the health of the individual members is a key step in this process.

Reflections

Also the responsibilities involved in caring for a child who requires parenteral feedings, what do the Chapels do to maintain their ain wellness?

How do the Chapels deal with wellness problems? To whom do they plow?

Interventions in the health process include didactics, encouragement, and counseling regarding the short- and long-term aspects of Ian'south care. The state of affairs of Ian and his parents illustrates the family unit health organisation as one useful arroyo to the intendance of patients and families. The family health system applies to all families, whatever the composition and stage of familial evolution. You are encouraged to explore other models of working with a family and their effectiveness in achieving optimal family health. Regardless of the model y'all choose, it is clear that family relationships are an important consideration in understanding the conduct of any patient and for developing an effective mode for respectful interaction with that patient.

Read total chapter

URL:

https://www.sciencedirect.com/scientific discipline/commodity/pii/B9780323533621000086

valleeequitiardead.blogspot.com

Source: https://www.sciencedirect.com/topics/medicine-and-dentistry/family-theory

Postar um comentário for "Most Sociologists Are Confident That the Family Will Survive as a Social Institution"