Ariane V.

Eviota

The 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 member is affected

 1.

Family is more than a collection of individuals Families have repeating interaction patterns that regulate member behavior An individuals symptoms may have a function within the family

2.

3.

4. The ability to adapt to change is the hallmark of healthy family functioning 5. There are no victims and victimizers in the families.

 It It

is a normal process of family development involves a sequence of stressful changes

Events

can be related to clinical events and health maintenance to analyze and predict how illness will affect family psychodynamics and give psychosocial support

Allows

 1.

Unattached Young Adult

The young adult separates from the family of origin without fleeing to a substitute emotional refuge Formulates personal goals in developing as an individual, including forming a new family

Problems usually center on either young adults or their parents not recognizing the need for a shift to a less dependent form of relating

transition stage of the couple from their family of origin and their lives as individual to the life of a couple

 1.

The couple meets or marries shortly after a significant loss or both partners wish to distance from family of origin

2.One

3.

The family backgrounds of each spouse are significantly different ( religion,education,social class,ethnicity,age,etc.)

 4.

The couple has incompatible sibling constellations The couple resides either extremely close to or at a great distance from either family of origin

5.

6.

The couple is dependent on either extended family financially, physically, or emotionally.

7. The couple marries before age 20 or after age 30. 8. The couple marries after an acquaintanceship of less than 6 months or after more than 3 years of engagement.
9. The wedding occurs without family or friends present.

10. The wife becomes pregnant before or within the first marriage ( Christiansen, 1963; Bacon, 1974). 11. Either spouse has a poor relationship with his or her siblings or parents. 12. Either spouse considers his or her childhood adolescence as an unhappy time. 13.Marital patterns in either extended family were unstable

This stage starts with pregnancy for the first child to the emergence of adolescents. The coming of children defines a new family status as the wife becomes the mother and the husband the father.

Factors also add to the difficulty of adjusting to marriage in our time. To mention only a few: changing family patterns as a result of the changing role of women, the frequent marriage of partners from widely different cultural backgrounds and the increasing physical distances between family members.

This stage starts when the first child reaches adolescent age. The three hallmarks are:

a) changes in the balance of responsibility along with overfunctioning and underfunctioning; b) marked shifts in intensity of relationships; and c) surge of exchange with the community at large

This stage begins when the first child leaves home. During this stage, the parents must develop adult type relationships between the grown-up children and themselves.

This stage begins with the departure of the last child and continues through retirement of one or both of the couple and end when both are dead.

For each stage of the Family Life cycle, there is a first and second order change as well as medical and psychosocial problems arising.
First order changes involve increments of mastery and adaptation. It includes the need to do. Second order changes involve transformation of individuals state and meaning. It includes the need to be.

There is a change in the attribute of the family system as well as the change in role and identity occurring between stages.

Especially important are multigenerational family emotional processes centering on connection and disconnection ( Bowens theory. )
Problems are most likely to appear when there is an interruption or dislocation in the family life cycle (e.g.: death, divorce, chronic illness, migration), or when a family is unable to tolerate launching a child or including new members.

Family Life Cycle

Emotional Process of Transition

First Order Changes

Second Order Changes

Unattached young adult

Accepting parent- Extend social offspring contact outside separation the home

Differentiation of self into the family of origin Development of intimate peer relationship Establishment of self in work

Newly married couple

Commitment to the new system

Establishing a home base of his own

Formation of marital system

Realignment if Establishing a relationships mutually satisfying with extended system for getting families and spending money Establishing a mutually acceptable patterns of accountability

Establishing continuity of mutually satisfying sexual relationship

Establishing a system of intellectual and emotional communication

Establishing a workable relationships with relatives Establishing a way of interacting with friends

Facing the responsibility of children and planning for their coming

Family with young children

Supplying adequate space, facilities and equipment for their expanding family Meeting predictable and unexpected costs of family life Sharing responsibilities within the extended family and between members of the growing family

Accepting marital system to make space for children

Taking on parenting role

Realignment of relationship with extended family

Maintaining mutually satisfying sexual relationship

Creating and maintaining effective communication system within the family

Cultivating the full potentials of relationship with relatives

Tapping resources Facing dilemmas and reworking philosophies

Family with Increasing adolescents flexibility to boundaries to include children independence

Providing facilities for widely different needs

Shifting of parent-child relationships to permit the adolescent to Working out move in and out money matters of the system in the family Sharing the tasks of responsibilities of family living Refocus on midlife, marital and career issues

Putting the Beginning the marriage shift towards relationship into concern for the focus older generation Keeping the communication system open

Maintaining contacts with the extended family Growing into the world as a family

Reworking and maintaining a philosophy of life

Launching family Accepting multitude of entries and exits into the family system

Adjusting to Realignment of physiological marital system changes of middles as a dyad age

Discovering new satisfaction in relation with spouse Development of adult to adult relationship between grown up children and their parents Realignment of relationships to include in-laws and grandchildren Dealing with disabilities and death of parents and grandparents

Setting up a comfortable home for themselves

Helping their adolescent children to free themselves and become responsible adults

Reexamining their living arrangements with their own parents Adjusting to the reality of their own work situation Assuring security for their later years Participating community life in

Reaffirming the value of life that have real meaning Sexual relationship with spouse

Family in Later Accepting the Adjusting to life shifting of physiologic generational changes of later goals life

Maintaining couple functioning and interest in the face of physiologic decline, exploration of new familial and social options Support for more central role of the middle generation

Reexamining their living arrangements Participating in group activities

Making room in the system for the wisdom and experience of the elderly generation without overfunctioning them

Maintaining contact with the younger generations

Dealing with the toss of spouse, siblings, peers and preparation for own death

Family Life Cycle

Medical Problems of children

Psychosocial Problems of children

Medical Problems of parents

Psychosocial Problems of parents

Unattached young adult

Sexually transmitted diseases Unwanted pregnancy

Psychosomat ic problems Depression secondary to adjustment to life away from home

Peer group pressure Fiancee pressure

Newly married couple

Early pregnancy

Depression due to forced early marriage

Infertility

Demands of the new role Adjustment problems in work

Gynecologic problems

Emotional problems relating to new role as a spouse Family young children Accidents Learning deficiencies Child abuse and neglect STD
Sexual inadequacies Job-related problems Spouse abuse

Mental retardation

OB-Gyne problems

Poisoning
Communication problems Financial difficulties Problems on child rearing

Family with Drug and adolescents substance abuse

Acne

Sexual experiment ation

Homosexua lity Conflict with parents

Premenopa usal symptoms

Alcoholism and other vices

Midlife crisis

Extramarital affairs Insecurities

Menstrual problems

Allergies and other skin diseases

Juvenile delinquency
Child prostitution Suicidal tendencies