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FAMILY IN RELATION TO HEALTH & ILLNESS

Why study the family: disease transmission +


health behaviour+ resource utilization + source
of support + health decisions
FAMILY LIFE CYCLE: devt + predictable,
chronologically oriented sequence of events +
sequence of stressful changes that requires
compensating or reciprocal readjustments
to maintain viability + related to clinical
events and to health maintenance of the
family
STAGES:
Family in
Later Life

Unattach
ed Young
Adult

NEWLY MARRIED COUPLE: transition stage:


individual to couple
Second Order: formation of marital system +
realignment of relationship with extended
families and friends to include spouse
First Order: establish a home + system for
getting & spending money + mutually satisfying
sexual relationship + intellectual and emotional
communication
Medical Problems: early pregnancy + STD +
job related PE + gyne problems + infertility

Newlymarried
Couple

Launchin
g Family

employment, suitable life partner, parental


expectation (Depression)
Social problems: Peer pressure (vices)
+ pressure for marriage and premarital sex

Emotional and Social: depression due to


forced early marriage + jealousy to job, friends
and previous fiance + problems relating to new
role as a spouse + relating to in- laws,
friends, peer and money
FAMILY WITH YOUNG CHILDREN: pregnancy
for the first child to emergence of adolescents

Family w/
Adolescen
ts

Family w/
Young
Children

LEVELS OF ORDERS OF CHANGE


FIRST ORDER: need to do something new +
master & adaptation + tasks that must be
accomplished + do not involve changes in main
structure of family
SECOND ORDER: need to be something new
+ transformation of individuals status & meaning
+ change in very basic attributes + change in
role & identity + occur in between stages of cycle
UNATTACHED YOUNG ADULTS: formulate
personal goals in devt as an individual
key principle: accepting parent-offspring
separation
first order: extend social contact outside home
+ job employment + living accomodation
second order: differentiation of self + intimate
peer relationship + establishment of self in work
medical problems: episodic problems + STD +
Unwanted pregnancy + pre-employment check
up
Emotional problems: new job, role and peer
group (Psychosomatic) + adjustment to life
away from home, difficulty in finding

Second Order: make space for children +


parenting role + realignment of relationship with
extended family to include parenting and
grandparenting roles
First Order: adequate space, facilities and
equipment + meeting predictable &
unpredictable costs of family life with small
children + sharing responsibilities +
maintaining mutually satisfactory sexual
relationship + effective communication +
relationship with extended family + tapping
resources outside of the family
Problems faced by parents:
Medical episodic medical problems,
family planning
Emotional and Social peer pressure ,
extra marital affairs, sexual inadequacies,
problems in child rearing, in laws problems,
financial problems
Problems faced by children:
Medical episodic medical problems,
mental retardation, poisoning
Emotional and Social learning
deficiencies, child abuse and neglect