THE FAMILY

THE FAMILY

THE FAMILYBasic Concepts on the FamilyBurgess and Locke (1960) defined the family as a group of persons united by ties of marriage, blood or adoption; consisting a single household; interacting and communicating with each other in their respective social roles of husband and wife, mother and father, son and daughter, brother and sister and creating and maintaining a common culture

Basic Concepts on the FamilyBerman defines the family as a small social system made up of individuals related to each other by reason of strong reciprocal affections and loyalties and comprising a permanent householdBasic Concepts on the FamilyRogers considers the family as a semi-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 the role content of the positions and to the ideas of kinship relatednessThe Filipino FamilyCHARACTERISTICS:Closely knitBilaterally extendedStrong family orientationAuthority is based on seniority / ageExternally patriarchal, internally matriarchalHigh value on education of membersPredominantly Catholic (80%) of populationChild-centeredAverage number of members is 5 (NEDA statistics)Environmental stresses: economic, political, urbanization and industrialization/ urbanization, health problemsThe Family as a Very Special UnitLifelong involvementShared attributesGenetics physical and psychologicalDevelopmental shared home, lifestyle and social activitiesSense of belongingSecurity / defense against a potentially hostile environmentcompanionshipThe Family as a Very Special UnitSocietal expectationsSense of responsibility towards membersSense of responsibility towards othersBasis of affection/careBuilt-in problemsGeneration gapDependence of membersEmotional attachment/involvementThe family endures inspite of problemsResource utilizationAuthorityIndividual sense of responsibilityFAMILY STRENGTHSThe ability to provide for the familys needsPHYSICAL: Space management, nutritionally balanced meals, familys general health statusEMOTIONAL: Helping family members recognize and develop their capacity for sensitivity to each others needsSPIRITUAL & CULTURAL: Sharing of basic beliefs and cultural values

FAMILY STRENGTHSChild-rearing practices and discipline:The capability of both parents to respect each others views and decisions on child-rearing practicesIf a single parent, the capacity of the single parent to be consistent and effective in raising the child or childrenFAMILY STRENGTHSCommunication:The ability to communicate and express a wide range of emotions and feelings both verbally and non-verballyFAMILY STRENGTHSSupport, Security & Encouragement:The capacity of the family to provide its members with feelings of security and encouragementBalance in the pattern of family activities

FAMILY STRENGTHSGrowth-producing relationshipsThe familys ability to maintain and build friendships and relationships in the neighborhoodFAMILY STRENGTHSResponsible community relationshipsThe capacity of family members to assume responsibility through participation in social, cultural or community activitiesFAMILY STRENGTHSSelf-help & Accepting HelpFamily members ability to seek and accept help when they think they need itFAMILY STRENGTHSFlexibility of family functions and rolesFamily members ability to fill in for one another during times of illness or when neededFAMILY STRENGTHSCrisis as a means of growthFamily members ability to unite and become supportive during a crisis or traumatic experienceFAMILY STRENGTHSFamily unity, Loyalty, and intra-family cooperation:Family members ability to recognize and use family traditions and rituals that promotes unity and prideFAMILY HEALTH CARETaking care of all individuals in the family on a one by one basisDealing with the family as object of managementInfluencing family members to change factors affecting each individuals healthFAMILY AS THE UNIT OF CAREThe Family as the social context for health careTransmission of infectious/communicable diseasesHealth behavior requirements in the unitResource utilization/source of supportHealth and illness definitionsHealth decisions/ approaches and strategiesFAMILY AS THE UNIT OF CAREThe patients problem is the familys problemDoherty and McCubbin, 1985: Important ways in which the family plays a role in the health of its membersHealth promotion/maintenance and illness/injury preventionCoping with stressful life eventsFamily based health and illness appraisalFamily interaction and level of functioning in response to specific illnessHelp seeking or deciding on the issue of seeking medical supportFamily adaptation/coping with illness including care giving strict adherence to prescribe treatment and lifestyle modification

FAMILY AS THE UNIT OF CAREThe family is the greatest ally in the patients treatment90% of cases are ambulatory/out-patient consultations with home confinement/prescriptionsPresence of the family in the interview/consultationFamilys influence on the patients and physicians personality, values, beliefs and experiences

Types of FamiliesNuclearExtendedSingle-parent BlendedCommunal NUCLEARThe basic unit from which all other forms evolve, the nuclear family typically consists of a married man and woman and their childrenThe household is economically independent, subsisting on the occupational earnings of the husband or fatherEXTENDEDThis type of family is linked together by virtue of kinship bond between parents and children and/or between siblingIt includes three generationsthe family of procreation merges with the family of origincould either be unilaterally or bilaterally extended

SINGLE PARENT FAMILYChildren