Chapter 3 Flashcards
Calgary Family Assessment Model
3 components: structure, development, function
Structure
Considers family as a unit with care giving function and all members contributing to assessment process
Development
Focuses on stages of family life cycle. Discussion of stressors and explores the shift in roles between family members
Function
Considers routines, roles and responsibilities of all family members. Allows exploration of beliefs, attitudes and values
Structure components
Internal
External
Context
Developmental Components
Stages
Tasks
Achievements
Functional Components
Instrumental
Exressive
Family composition
Structure Internal
Family: group of individuals
bound by: strong emotional ties, sense of belonging, passion, involved in lives
There are
five critical attributes to the concept of family:
There are
five critical attributes to the concept of family:
1. The family is a system or unit.
2. Its members may or may not be related and may or may not live
together.
3. The unit may or may not contain children.
4. There is commitment and attachment among unit members that include
future obligation.
5. The unit’s caregiving functions consist of protection, nourishment, and
socialization of its members.
Gender
Structure Internal
Set of beliefs about/expectations of male/female behaviour
Parental roles in health care
Assessment N.B. when beliefs create family tension
Rank order
Structure Internal
Position in family re: age/gender
Distance in age
Timing of birth in family history
Organizing but not fixed influence
Subsystems
Structure Internal
Subsystems is a term used to discuss or mark the family system’s level of
differentiation; a family carries out its functions through its subsystems.
Levels of differentiation
Dyads +
Generation
Sex
Interest
Function
Each member belongs to several
Differ with households
Generational boundaries
Larger systems
Structure External
Work
School
Health/services
Internet
Significance, quality of these relationships
Context
Ethnicity
Race
Social class
Religion and/or spirituality
Environment
Environment
Structure Context
Community, neighbourhood, home
Space, privacy, resources, services
Family development
This family’s unique path
Shaped by events and trends
Each member has their own story
Family Life Cycle
“Typical” paths
Influenced by comings and goings
Caution with overapplying or emphasizing smooth transition
Stages
Process of transition (key principles)
Tasks (second order change)
Single young adults
Single YA: Leaving home
Key Principle
Emotional process of transition
Accepting financial and emotional responsibility for self
Second order changes
Differentiation of self
Develop intimate peer relationships
Establish work and financial independence
The new couple
The new couple
Key Principle
Emotional process of transition
Commitment to the new system
The new couple: Second order change
Formation of marital system
Realignment of relationships to include spouse
Families with young children
Families with young children
Key Principle
Emotional process of transition
Accepting new members into system
Families with young children: Second order change
Adjust marital system to make space
Joining in child rearing, financial, household tasks
Realign extended family relationships to include parent, grandparent roles
Families with adolescents
Families with adolescents
Key Principle
Emotional process of transition
Increase flexibility of family boundaries to include children’s independence, grandparents frailites
Families with adolescents: Second order change
Shift parent/child relationship to permit moving in/out of system
Refocus on midlife marital/career
Shift toward joint caring for older generation
Launching and moving on
Launching and moving on
Key Principle
Emotional process of transition
Accepting exits from/entries into family system
Launching and moving on: Second order change
Renegotiation of marital dyad
Development of adult to adult relationships
Realign relationships: in-laws, grandchildren
Dealing with disability/death of parents
Families in later life
Families in later life
Key Principle
Emotional process of transition
Accepting shifting generational roles
Families in later life: Second order change
Maintaining function in face of decline
Exploring new options family/social roles
Support more central role middle generation
Make room for wisdom/experience
Dealing with loss, life review
