Family Wellness. Family A group of persons united by ties of marriage, blood or adoption; consisting of a single household; interacting and communicating.

Family Wellness

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)

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)

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.

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

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

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

The Family Life CycleUnattached young adultNewly married coupleFamily with young childrenFamily with adolescentsLaunching familyFamily in later life

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

Tools for Family assessment

A. Family GenogramB. Family APGARC. Family Circle TechniqueD. SCREEME. Minuchin’s Family MapF. Family Lifeline

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

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

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

Family Health Care PlanProcess which encompasses diagnostic,

preventive, curative, and rehabilitative approach for whole family