FAMILY AS A SYSTEM Flashcards
Family Oriented Primary Care Core principles
treats the patient within the context of their family and social environment
holistic care
Family Oriented Primary Care core principles
provides ongoing care overtime, focusing on long term relationships
continuity of care
Family Oriented Primary Care core principles
involves the family in decision making and respects their roles and perspectives
family oriented approach
Family Oriented Primary Care core principles
ensures that care is well-coordinated among various providers and services
coordination of care
What does it mean to say a family is a system
family members rely on each other for emotional, financial, and social support. changes in one member’s situation can impact the family
interdependence
What does it mean to say a family is a system
families have established roles and rules that govern interactions and expectations
these roles influence behavior and relationships
rules and roles
What does it mean to say a family is a system
families have boundaries both physical and emotional that define interactions and protect against external influences
families also adapt to changes and stressors
boundaries and adaptability
What does it mean to say a family is a system
families often have common goals and values that guide their behavior and decision making processes
shared goals and values
APGAR
capability of the family to utilize and share inherent resources
I am satisfied that I can turn my family for help when something is troubling me
adaptation
APGAR
measures the satisfaction attained in solving problems by communication
i am satisfied with my family talks on things
partnership
APGAR
i am satisfied that my family accepts my wishes and supports the wishes to take on new activities
refers to freedom of changes both physical and emotional growth
growth
APGAR
i am satisfied that my family expresses affection
it is the intimacy and emotional interaction in the family
affection
APGAR scoring
______ - highly functional
______ - moderately dysfunctional
______ - severely dysfunctional
8-10
4-7
0-3
ASSESSMENT TOOL
Used to assess resources of difficult and non compliant patients
assess the family as to its capacity to participate in provision of health care or to cope with crisis
family screem
ASSESSMENT TOOL
_______ are visual representations of a family’s connection to its external world
useful in conducting family, social, and community related assessments to identify and understand the quality of relationships
know the areas of deprivation where resources may need to be mobilized or strengthened
family eco map
SYMBOLS USED IN FAMILY MAPPING
1 bold line, 1 regular line
functional
SYMBOLS USED IN FAMILY MAPPING
bold line is between 2 regular lines
enmeshed/ overinvolvement
SYMBOLS USED IN FAMILY MAPPING
dotted lines
clear boundaries
SYMBOLS USED IN FAMILY MAPPING
1 bold line
rigid boundaries
SYMBOLS USED IN FAMILY MAPPING
1 broken line
diffuse boundaries
Family assessment tool
_______ is a simple, practical, and cost effective tool for assessing family functions that can be administered individualy or in group test
members of the family are given the opportunity to express oneself and consequently reveal innate difficulties within the family system
draw a family test
FAMILY PROCESS
characterizes a system in which members have few interpersonal boundaries limited autonomy and a high degree of emotional reactivity
enmeshment
FAMILY PROCESS
characterizes a family system in which members are emotionally distant and unresponsive to each other
disengagement
FAMILY PROCESS
refers to a specific behavior that can come up within a two person conflict
triangulation
FAMILY PROCESS
refer to the recurring behaviors, interactions and relational dynamics that characterize how family members relate to one another over time
family process
FAMILY PROCESS
demonstrate how family members from different generation can come together to influence outcomes and navigate family challenges
intergenerational coalition
BOWEN 8 INTERLOCKING CONCEPTS
refers to the ability of an individual to maintain a separate identity while remaining emotionally connected to the family
higher levels of differentiation allow individuals to think and act more independently while lower levels result in greater emotional re
differentiation of self
BOWEN 8 INTERLOCKING CONCEPTS
A triangle is a three person relationship system that helps manage tension and stabilize interactions
triangles CAN stabilize a relationship but can also perpetuate problems by involving a 3rd party
emotional triangles
BOWEN 8 INTERLOCKING CONCEPTS
describes the level of emotional “stuck-togetherness” or fusion in the family
nuclear family emotional system
BOWEN 8 INTERLOCKING CONCEPTS
process of involves parents projecting their own anxieties and emotional issues to their own children
it can lead to children developing similar emotional problems and emotional issues onto their children
family projective process
BOWEN 8 INTERLOCKING CONCEPTS
emotional cutoff occurs when individuals distance themselves from family members to manage anxiety or unresolved emotional issues
emotional cutoff
BOWEN 8 INTERLOCKING CONCEPTS
concept explores how family patterns, roles, and behaviors are passed down from one generation to the next
emphasizes how unresolved issues and relationship patterns are transmitted across generations
multigenerational transmission process
BOWEN 8 INTERLOCKING CONCEPTS
this concept examines how broader societal and cultural influences impact family dynamics and emotional processes
societal emotional process
BOWEN 8 INTERLOCKING CONCEPTS
birth order and sibling position in a family can influence personality and behavior
sibling position
