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Results for “Family dynamics”

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PubMed2003

Couples' views of the effects of natural family planning on marital dynamics.

PURPOSE: Natural Family Planning (NFP) requires periodic abstinence and partner cooperation to prevent pregnancy. The aim of this study was to learn about the effects of modern NFP methods on marital relationships. DESIGN: Descriptive survey. METHODS: Questionnaires were mailed to 1,400 randomly selected couples known to use NFP and residing in the United States of America; 334 couples (24%) responded. Content analysis was used to identify meanings and themes. Numeric analyses were used to determine frequencies. FINDINGS: Nearly two-thirds of the qualitative comments were positive. Four themes were identified in the positive responses: relationship enhancements, knowledge improvements, spirituality enrichments, and method successes. Three negative themes were identified: strained sexual interactions, worsened relationships, and method problems. Although about one-fourth of the comments indicated that NFP presented challenges, the majority (74%) found it beneficial, often resulting in stronger bonds, better communication, and improved knowledge. CONCLUSIONS: NFP had more positive than negative effects and its use warrants further consideration.

Adult↗
PubMed1989

Adolescent ego development: relationship to family cohesion and adaptability.

Adolescence has been a focus of research for several decades. Recently, a portion of this body of research has addressed the relationship between adolescent development and family functioning. The intent of much of this research has been the attempt to determine how family dynamics influence the developmental processes of adolescents. Adolescents' perceptions of family cohesion and adaptability, as well as their levels of satisfaction with those perceptions, have been correlated with ego development within a sample of middle adolescents. Adaptability and cohesion were found to be significantly related to ego development, but interactions among the two variables, as well as with family structure were important.

Adaptation, Psychological↗
PubMed2004

Current and future applications of genetics in primary care medicine.

Individualized medical treatment and prevention based on one's genetic makeup are promises likely to be fulfilled over decades. Already family history is taking a more prominent role in preventive care. Primary care clinicians and geneticists will increasingly collaborate to diagnose and manage genetic conditions: both single-gene disorders and multifactorial diseases such as infections,cancers, cardiovascular disease and mental illness. This will require society, with primary care clinicians in the forefront, to implement means for efficient family history-taking; maintaining private, personally accessible genetic health records; safeguarding people from genetic discrimination; distributing access to scarce genetic specialists and expensive technologies; rectifying lay misconceptions about inheritance; managing emotional responses and family dynamics related to genetic diagnosis; and motivating people at increased familial risk to take preventive action.

Genetic Services↗
PubMed2026

Exploring the experiences, views, and needs of family members of emergency response workers: a systematic review and meta-synthesis.

Background: Emergency responders, including firefighters, police officers, and paramedics, face workplace challenges that may harm their well-being. They typically rely on family members for support, which may have damaging effects on the family system. While the experiences of emergency responders are well established, their families' subsequent struggles are less well explored.Objective: This review explores the experiences, views, and needs of family members, through determining the mental health and well-being issues that they face, and establishing ways in which family members could be supported.Method: We searched five databases (MEDLINE, Embase, PsychINFO, Scopus, and ProQuest) for qualitative papers exploring experiences of family members of emergency responders. Seventeen studies met the inclusion criteria, and data were meta-synthesized using thematic analysis.Results: Six themes and two subthemes were identified from the meta-synthesis. 'Experiences of emotional strain' reflected worry over safety and coping with volatile moods. 'Increased responsibilities' involved safeguarding emergency responders' well-being and managing household duties, at the expense of family members' own needs. Families felt 'devoted yet invisible', with sacrifices overlooked by both emergency responders and society. 'Impacts on the family dynamic' included relational detachment and frustration. 'Support for emergency responder families' from fellow emergency responder families was valued, but organizational support was limited. 'Media portrayal and societal perceptions' varied, as police families faced hostility, while firefighter and paramedic families garnered respect, particularly during the COVID-19 pandemic.Conclusions: This review highlights that family members play a central role in maintaining the well-being of emergency responders, yet simultaneously face hardships associated with their family member's work and feel undervalued despite their support. This lack of recognition extends to limited professional support. There is a critical need for targeted mental health interventions to support family members, alongside family support measures from emergency responder organizations to assist with the practical difficulties faced by families.

Humans↗
PubMed2006

Facilitating family resilience with childhood illness and disability.

PURPOSE OF REVIEW: The present review describes the clinical utility of a research-informed Family Systems-Illness model and a family resilience framework in helping families meet the challenges of child and adolescent illness, disability, and loss. Together they provide a psychosocial map to guide families through the illness experience over time and to facilitate effective coping and adaptation, thereby enhancing the quality of life for children and their families. Key processes and intervention guidelines of this strengths-oriented, collaborative approach are outlined, with attention to multigenerational, life cycle, and socio-cultural influences. RECENT FINDINGS: A growing body of research on resilience finds that family resources are significant influences in positive adaptation to adversity, such as a major health problem. Research also demonstrates the impact of serious illness on families across the life cycle and the relationship of family dynamics to illness behavior, adherence, and disease course. SUMMARY: The Family Resilience and Family Systems-Illness models offer a framework for collaborative practice to foster optimal coping and adaptation to chronic child and adolescent illness or disability.

Adaptation, Psychological↗
PubMed2000

Using a standardized family to teach clinical skills to medical students.

BACKGROUND: The use of standardized patients has been an accepted instructional methodology in medical education for many years. A logical evolution of this methodology is the creation of a standardized patient family. DESCRIPTION: This article describes one such standardized family, the Jones family, and how the family is used to teach interpersonal skills, interviewing, communication, counseling, and history-taking skills to medical students. EVALUATION: After several years of using the Jones family, we have found that more comprehensive scripts need to be developed, that recruitment and retention of standardized patients for a year long program does not seem to be a problem, and that the value added by a standardized family greatly enhances the educational experience for students. A standardized family seems a logical educational vehicle for teaching continuity of care, confidentiality, contextual placement of medical information within family dynamics, cultural beliefs, community orientation, and generalism. CONCLUSION: A standardized family is a viable instructional methodology that deserves greater use in medical education.

Adolescent↗
PubMed1990

Beyond relationship: the current challenge in clinical practice.

Clinical social workers in health settings have used time and relationship and the understanding of individual and family dynamics, biophysiology, and larger systems issues to assist patients and families in resolving health related problems. The current economic crisis is limiting time and focus and necessitating revisions in intervention techniques. Clinicians experience this as a threat to their identity as a caring profession and to their ability to support patient autonomy within the health care environment. Effective adaptation requires a different use of self, expanded diagnostic skills, greater use of networking and systems interventions, and more sophisticated clinical techniques. Often, engagement, assessment and intervention have to occur within the same session. To accomplish this shift in practice, there has to be strong clinical leadership and a conscious focus on adapting clinical models to meet the current economic restrictions.

Continuity of Patient Care↗
PubMed1989

Prevent elder abuse--using a family systems approach.

1. Family stressors occur when the adult child is caregiver for an elderly parent, particularly when care is intensive or protracted. Under certain circumstances of high risk, severe and unresolved strains in intergenerational relationships can develop into elder abuse. 2. Elder abuse is a non-accidental act or omission that causes physical, psychological, or financial harm to an older person. 3. Using a family systems perspective, an original validated instrument is presented that evaluates the risk of elder abuse in the home (REAH). Using this instrument, the nurse can construct two profiles of 1) the older person, including personal data and dependency needs, and 2) the caregiver, including personal data and family dynamics. 4. The instrument provides a simple method for recognizing family strains and noting changes over time within the family system. Appropriate interventions and referrals can be initiated that may avert the crisis of elder abuse.

Aged↗
PubMed1999

Screening, early identification, and office-based intervention with children and youth living in substance-abusing families.

All health care professionals with clinical responsibility for the care of children and adolescents must be able to recognize, as early as possible, associated health problems or concerns in children of substance-abusing parents, and to be able to assist these children and families in seeking treatment and promoting health. Health care providers can have a tremendous influence on families of substance-abusing parents because of their understanding of family dynamics and their close long-standing relationship with the family. Information about family alcohol and other drug use should be obtained as part of routine history-taking and when there are indications of family dysfunction, child behavior or emotional problems, school difficulties, and recurring episodes of apparent accidental trauma, and in the setting of recurrent or multiple vague somatic complaints by the child or adolescent. In many instances, family problems with alcohol or drug use are not blatant; rather, their identification requires a deliberate and skilled screening effort. Combining the principles of anticipatory guidance, screening, and early identification, with the acknowledgment that families should be included in the process, leads to a clear conclusion that screening for children affected by parental substance abuse must occur at all ages across infancy, childhood, and adolescence. Health care providers need to be trained in the identification and management of children and youth exposed to parental addiction. Such training must begin during undergraduate education in the health professions and be reinforced by role-modeling among health professions faculty as well as practicing providers.

Adolescent↗
PubMed1995

[Cancer of the larynx].

Cancer of the larynx and total laryngectomies have devastating consequences on the patient and his/her family. During a specialized field placement in family nursing care, the author used the Calgary Family Assessment Model to better understand the relationship between the disease, the surgical procedure and the resulting family dynamics. She found that nursing interventions not only helped the family regain a sense of balance but facilitated the patient's adjustment process.

Clinical Nursing Research↗
PubMed2004

Rosemary Kennedy: the importance of a historical footnote.

In most accounts of the Kennedy family, Rosemary, John F. Kennedy's eldest sister, has been discussed only in passing. In fact, there is much in Rosemary 's story that is instructive in regard to the effort families take to cope with disability, the impact of the social environment on such efforts, and the impact of a disabled member on the family as a whole. Rosemary's presence within the Kennedy home may have been a much more important component of the family' rise to prominence than most scholars appear to believe. This article describes Rosemary's place within the family, attempts by her parents and siblings to cope with and obfuscate her condition, and her possible impact on family dynamics.

Persons with Disabilities↗
PubMed1987

Family characteristics and long-term consequences associated with sexual abuse.

As opposed to father-daughter incest, little attention has been paid to the long-term consequences and family dynamics associated with child sexual abuse of females perpetrated by extended family members or extrafamilial contacts. Female undergraduates (n = 586) completed questionnaires on family history, sexual experiences, and current functioning. Results confirmed other research suggesting that father-daughter incest is associated with a traditional patriarchal family structure. However, sexual abuse overall, regardless of perpetrator, was associated with certain uniform family characteristics. Moreover, sexual abuse had certain long-term consequences, regardless of perpetrator. These results suggest the importance of attention to family characteristics in all cases of child sexual abuse.

Adolescent↗
PubMed1979

Evaluating a course in family and community health care.

Described in this paper is an evaluation of the impact of a course in family and community health care on health associate students in the Johns Hopkins University. A simple before-after design was used. Students were observed interviewing an actor (simulated patient) and rated on their ability to obtain information about the "patient's" family situation. Results showed a significant increase in family orientation from pretest to posttest. The positive changes seemed to occur in the areas of family structure and family events, with no significant change being observed in the area of family dynamics. The investigator concluded that a clinical course can increase the family orientation of health associate students as evidenced in their clinical (history-taking) behavior.

Attitude↗
PubMed1999

The psychosocial meanings of living related kidney organ donation: recipient and donor perspectives--literature review.

There is a shortage of information about the psychosocial influences that impact family decision making for a living related donor kidney transplant. This article reviews research findings related to the psychosocial meanings of donation. potential recipient's decisions about the kidney donor, and families' roles and expectations. The social meaning of organ donation as a "gift" and family dynamics involved in decision making are addressed. The findings show that families make decisions about kidney donation in different ways. Emotional responses of potential kidney recipients include ambivalence, passivity, and denial of the severity of their illness. Emotional responses of potential family donors range from unrestrained willingness to ambivalence and concerns of coercion. Improved accuracy of health assessment and awareness of the importance of psychosocial perspectives is needed. Assessment questions addressing the fears and concerns of potential recipient and donor are suggested.

Attitude to Health↗
PubMed1988

Functional assessment of families with a diabetic person.

Recent studies have revealed that family functioning affects diabetic control, compliance behavior, and treatment of obesity, all of which are issues important to the care of the NIDDM patient. By assessing a few important family dynamics and intervening where appropriate, primary care physicians cannot only improve family functioning, but the health of their patients as well. Family therapy may be necessary when families are resistant to practitioner interventions.

Diabetes Mellitus, Type 1↗
PubMed1982

The family circle method for integrating family systems concepts in family medicine.

The family circle method is a process that allows individuals to draw a schematic diagram of their family system. It is closely allied with family systems theory and family medicine philosophy. The method is readily understandable with brief instructions. Individuals can create a family circle drawing in as little as two or three minutes. Once instructions are given, the presence of the physician is not required during the drawing. Family circle drawings will often illustrate, in graphic form, patterns of closeness and distance, of power and decision making, of family alliances and boundaries. The drawings provide at a glance an overview of the family system as seen by the person who does the drawing. The drawings are a rich source of information concerning family dynamics and are useful for setting goals for changes in the family system.

Adolescent↗
PubMed1994

[The utilization of health services and the motives for consultation as indicators of family dysfunction].

OBJECTIVE: To analyse the relationship between the reasons for seeking care on demand and use of the health services on the one hand and disturbances in the family dynamic, on the other, with an attempt to determine indicators of family dysfunction. DESIGN: Crossover descriptive study where the sample was obtained by systematic sampling. The family APGAR test was applied to the whole sample, along with an analysis of the use of services and the reasons for attendance. SETTING: Almanjayar Health Centre during the first 6 months of 1992. PATIENTS: 356 patients over 18. MEASUREMENTS AND MAIN RESULTS: We confirmed that the likelihood of belonging to a dysfunctional family was 77%, with a risk of 6.5 for hyper and normal users. Regarding reasons for seeking care, those who attended because of ill-defined signs and symptoms are 6.21 times more likely to present a family dysfunction than the rest of those interviewed. Patients with ill-defined symptoms or psychiatric disorders who are hyper-users are 7.20 times more likely to present some family dysfunction. CONCLUSIONS: It will be useful to carry out a study of family function among hyper-users, those who attend because of ill-defined signs and symptoms and people with mental health problems.

Adolescent↗
PubMed1997

[A case of folie à trois].

We examined a case of a family of induced insanity (folie à trois) which is characterized by its delusion of jealousy, and reported about the establishment and disappearance process of the delusion. We examined the background of the fact that the family members shared the same delusion and the family dynamics. We concluded that induced insanity is an extended expression of family illness which appears in the process in which the family expresses its problematic theme and tries to cope with it.

Adult↗