Love and Marriage HB Flashcards
What is one of the most important contexts for influencing positive and negative health behaviors?
family
What can you use a patients family for?
using family dynamic to improve patient compliance and outcomes
Is marrriage correlated with better or worse wellbeing? Why?
better (less mortality, less morbidity)
may be a protective factor
Engage in less risky behavior when married, social support
Does marriage effect men and women differently? How?
yes
men-> better health
women-> depends on quality of marriage
What is Gottman’s love lab?
it was a research project where couples spend the weekend in a camera rigged apartment to study communication patterns and physiologic patterns and was able to predict with 95% accuracy whether or not a couple would divorce.
What are the four horsemen of the apocalypse?
the four behaviors that are predictive of divorce
1) crticism -> attacking your partner’s personality or character rather than a specific behavior, usually with blame.
2) contempt-> communication with the intent to insult and psychologically abuse your partner
3) defensiveness-> being defensive, playing the victim, denying responsibility, making excuses, cross complaining and repeating yourself
4) stonewalling-> withdrawing from a discussion, most frequently seen in men
What should you do other than criticism?
complain
What is this:
attacking your partner’s personality or character rather than a specific behavior, usually with blame.
criticsm
What is this:
communication with the intent to insult and psychologically abuse your partner
contempt
What is this:
being defensive, playing the victim, denying responsibility, making excuses, cross complaining and repeating yourself
defensiveness
What is this:
withdrawing from a discussion most frequently seen in men.
stonewalling
Is arguing bad for a relationship?
No, it his how you argue that matters
What is the magic number for arguing?
5; use 5 positive behaviors
i.e. humor, affection, acknowledging the partners point of view….. etc.
When you fight fair, a happy couple will be able to do what?
exit the argument gracefully
backing down, gossip, use humor, and return to argument later when you are in a better frame of mind
Should you go to bed angry?
Yes, just sleep on your anger to soften it and wake up later and talk about it
Is affect important?
Affect means passion, so be passionate but no too passionate
What is a good way to treat differences?
acceptance
Gottman did a same-sex couple love lab and what did he conclude?
that relationship satisfaction and quality were the same for gay and lesbian and heterosexual couples
ALSO found there were same amounts of rate of divorce
What did Kurdeks same sex couple research find?
gay relationships operate on the same principles as heterosexual couples. And have the same satisfaction in couples.
T or F.
Children in gay and lesbian families have not been found to have more behavioral problems than children of heterosexual partners.
T
T or F.
Children in gay and lesbian families do not experience negative effects simply due to their parents’ sexual orientation
T
T or F
Children in gay and lesbian families are no more likely than children in heterosexual families to be gay or lesbian themselves
T
Medical students who are unmarried are less stressed and more happy than married students. T or F?
F
married students are less stressed and more happy
Is it true that the long hours worked by physicians leads to dissatisfaction in marriage and divorce?
no it is not, found that couples really appreciated the time they had together
Are divorce rates higher among physicians?
no, it is 29%
general pop is 57-59%
What doctor specialities have the lowest rate of divorce?
peds, internal, family, pathology
What doctor specialties have the highest rate of divorce?
psychiatry
just around general pop divorce rate
Who marries more physicians, female physicians or male physicians?
female physicians marry more physicians (44%)
male physicians marry 22% of other physicians
What was surprising about dual physicians marriage?
there was dominant gender roles, women did more wifely duties and male did more working
What happens to a couple when they have children?
40-70% of couples experienced a drop in marital quality
Marital conflict increased by a factor of 9
Partners were at high risk of depression
Partners feel overwhelmed by housework and childcare
Fathers withdraw into work
Sharp decrease in marital conversation and sex
BUT joy and pleasure with the baby increased
What happens after kids?
parents feel unappreciated
increased intensity and frequency in conflict
decrease in sexual desire in mom (for 1st year)
Change in identity
society of women crowd out new dads
babies withdraw emotionally from fathers who are unhappy with their partner and this can be tragic.
Will babies withdraw from unhappy moms?
no
Are parents happier than nonparents?
surprisingly yes
How do you maintain satisfaction in transition to parenting (i.e. how do happy couples have kids)?
realized that we're all in the same soup delight in responding to the baby cool down your conflicts savor each other by building a strong friendship heat up your sex life add warm fathering to the mix create an enriching legacy
nearly 1/3rd of all marriages fail within the first (blank) years and between one-half to 2/3rds end in divorce.
5 years
What is the percentage of couples divorcing?
what about for a second marriage?
67%
77%
What are the 2 high-risk critical periods for divorce in the lifespan?
first 7 years
midlife (when couples have teenagers)
How do parents respond to divorce?
vacillate between relief and depression
high risks of mental illness and mortalitiy from disease
How do children respond to divorce?
makes them depressed, academically poor, behavioral problems, health problems
(but depends on how the divorce ended)
What is this:
Sexual and/or secret emotional relationship with someone other than one’s spouse/partner
infidelity
How many Americans report extramarital sexual encounters and who do it more, male or female?
1/4
male
What are the four major forms of interpersonal violence (read this chapter)?
physical abuse
psychological/emotional abuse
sexual abuse
social/environmental abuse (partner is controlling money, transportation things like that)
What age is a person considered elderly?
60 and above
How quickly must a physician report neglect or abuse in children and elders (this are the only people you are required to report on and it is breaking confidentiality if you report abuse of people who are not children or elderly)?
within 24 hours
What is this:
using power of attorney or guardianship to deceptively gain control over the older person’s money with the intention of permanently depriving the older person of their assets (NRS 200)
Elder exploitation
What is this:
intentionally preventing an older person from having contact with others (no visitors, calls, mail, etc)
Elder isolation
What is HITS?
the questions primary care physicians should use to screen for domestic violence
(hurt you physically, Insult you, Threaten you with harm, Scream or curse at you)
How should physicians intervene with interpersonal violence?
Use RADAR Routinely screen Ask questions (nonjudgementally) Document findings Assess the patients safety (develop safety plan) Review and refer to resources
