Chapter 3

Question 1

Calgary Family Assessment Model

Answer 1

3 components: structure, development, function

Question 2

Structure

Answer 2

Considers family as a unit with care giving function and all members contributing to assessment process

Question 3

Development

Answer 3

Focuses on stages of family life cycle. Discussion of stressors and explores the shift in roles between family members

Question 4

Function

Answer 4

Considers routines, roles and responsibilities of all family members. Allows exploration of beliefs, attitudes and values

Question 5

Structure components

Answer 5

Internal
External
Context

Question 6

Developmental Components

Answer 6

Stages
Tasks
Achievements

Question 7

Functional Components

Answer 7

Instrumental
Exressive

Question 8

Family composition

Answer 8

Structure Internal

Family: group of individuals
bound by: strong emotional ties, sense of belonging, passion, involved in lives

Question 9

There are
five critical attributes to the concept of family:

Answer 9

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.

Question 10

Gender

Answer 10

Structure Internal

Set of beliefs about/expectations of male/female behaviour
Parental roles in health care
Assessment N.B. when beliefs create family tension

Question 11

Rank order

Answer 11

Structure Internal

Position in family re: age/gender
Distance in age
Timing of birth in family history
Organizing but not fixed influence

Question 12

Subsystems

Answer 12

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

Question 13

Larger systems

Answer 13

Structure External

Work
School
Health/services
Internet
Significance, quality of these relationships

Question 14

Context

Answer 14

Ethnicity
Race
Social class
Religion and/or spirituality
Environment

Question 15

Environment

Answer 15

Structure Context

Community, neighbourhood, home
Space, privacy, resources, services

Question 16

Family development

Answer 16

This family’s unique path
Shaped by events and trends
Each member has their own story

Question 17

Family Life Cycle

Answer 17

“Typical” paths
Influenced by comings and goings
Caution with overapplying or emphasizing smooth transition
Stages
Process of transition (key principles)
Tasks (second order change)

Question 18

Single young adults

Answer 18

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

Question 19

The new couple

Answer 19

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

Question 20

Families with young children

Answer 20

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

Question 21

Families with adolescents

Answer 21

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

Question 22

Launching and moving on

Answer 22

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

Question 23

Families in later life

Answer 23

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