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Block 3; Week 7 > Marriage > Flashcards

Marriage Flashcards

1
Q

Why is it helpful for your patient to be married when you are trying to improve their health?

A

b/c it helps w/ compliance & outcomes, need to understand the family dynamics

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2
Q

What is the deal w/ the correlation b/w health & marriage?

A

Seems to have health-buffering effects for men & women.
But only health-buffering for women if it is a good quality marriage.
Main negative: more likely to be overweight if you are married…

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3
Q

What is Gottman’s Love lab?

A

couples spend a weekend in an apartment & they are videotaped to watch their communication patterns. Patterns are evaluated w/ who gets a divorce & who doesn’t many years later…

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4
Q

Watching a couple’s communication in the love lab…Gottman predicted divorce w/ ____ accuracy.

A

91% accuracy

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5
Q

What are the 4 horsemen of the apocalypse?

A 
These are 4 predictors of divorce...if you even see one of these. 
Criticism
Contempt
Defensiveness
Stonewalling
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6
Q

Describe the type of criticism that is indicative of impending divorce.

A

attacking the partner’s character or personality, rather than a specific behavior.

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7
Q

Describe the type of contempt that is indicative of impending divorce.

A

communication w/ the intent to assault or psychologically abuse your partner.

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8
Q

Describe the type of defensiveness that is indicative of impending divorce.

A 
playing the victim
denying responsibility
making excuses
complaining about the other person
repeating yourself
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9
Q

Describe the type of stonewalling that is indicative of impending divorce.

A

withdrawing from a discussion

**this is often seen in men

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10
Q

What is the difference b/w complaining & criticism?

A

Criticism would be like: You are always late home from work & you clearly don’t love me.
Complaining: You have been late home 3/5 days this week. I don’t like that.

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11
Q

T/F Arguing is bad for a relationship.

A

True & False…what is really important is HOW you fight.

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12
Q

According to Gottman, if you have a negative fighting behavior (like defensiveness) what is it important to do?

A

Counteract that one negative behavior with 5 positive arguing behaviors.

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13
Q

What are positive behaviors to exhibit during an argument?

A 
Using humor
Expressing affection
Acknowledging partner's point of view
Exit argument gracefully
Accept your partner
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14
Q

T/F Partners tend to fight about the same things over & over again.

A

True.

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15
Q

Why is too little passion or too much passion in an argument bad?

A

Too little passion: don’t care

Too much passion: too aggressive, hostile

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16
Q

T/F Never go to bed angry.

A

False–>might be better if you can’t agree to go to bed angry & exit the argument gracefully, think things over, & address them more reasonably in the morning…

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17
Q

T/F Divorce rates & relationship satisfaction & dynamics are similar b/w heterosexual & homosexual couples.

A

True.

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18
Q

Are there negative effects that children experience when they are a part of same sex families?

A

No.

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19
Q

Do children that are in same sex families have more behavioral issues? Are they more likely to be homosexual?

A

No. No.

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20
Q

Do marriage & medicine mix?

A

It can help offset daily stressors.
Medical & non-medical couples have similar fights.
Long hours can be an issue, but quality time is what is most important.

21
Q

Which specialties have the highest rates of divorce? Lowest rates?

A 
Highest Rates:
Psychiatry
Lowest Rates:
Family med
Peds
Internal Med
22
Q

What percentage of male physicians are married to other physicians? Percentage of female physicians? In the future, what percentage will be married to other physicians?

A

Male: 22%
female: 44%
Future: 50%

23
Q

T/F There are not the traditional gender roles exhibited in dual doctor relationships.

A

False. Gender roles still emerge.

24
Q

What 2 things decrease when a couple has a baby? What things increase?

A

Joy & pleasure increase.

Marital Conversation & Sex decrease.

25
Q

What are the bad things about the transition into parenthood?

A

40-70% couples experience a drop in marital quality
Marital Conflict increases X9
Feelings of being overwhelmed, increased depression
Men retreat into their work.

26
Q

After kids, marital quality tends to decline…when does it increase again?

A

Increases after the kids leave the house.

27
Q

What are the divorce rates after 5 years? in all?

A

after 5 years: 1/3 fail

In all: 1/2-2/3 fail

28
Q

With second marriages…what are the divorce rates?

A

Up to 10% higher than for first time marriages…

29
Q

What are the 2 high risk critical periods for most marriages?

A

The first 7 years…

Midlife when the parents have teenagers…

30
Q

What negative things is divorce related to for parents?

A 
psychopathology
physical illness
suicide
homicide
violence
mortality from disease
31
Q

What negative things is divorce related to for children?

A 
depression
withdrawal
poor social competence
bad health outcomes
lower academic achievement
conduct problems
32
Q

What is infidelity defined as? which gender is more likely to participate in this?

A

sexual or emotional relationship w/ someone other than someone’s spouse
**men more likely to participate in this…

33
Q

What percentage of Americans have cheated?

A

1/4

34
Q

T/F Men are more likely to be offended by wife’s emotional affairs.

A

False. More likely to be offended by wife’s sexual affair. She is more likely to have an emotional affair. He is more likely to have a sexual affair. She is more likely to be offended by an emotional affair.

35
Q

Which characteristics are correlated with higher rates of infidelity?

A

narcissism
impulsivity
alcohol consumption
sexual dissatisfaction

36
Q

Which characteristics are correlated w/ lower rates of infidelity?

A

religion
high marital satisfaction
conscientiousness

37
Q

What are the 4 major forms of abuse?

A

Physical
Psychological/Emotional
Sexual
Social/Environmental

38
Q

Describe social abuse.

A

This is abuse in the form of restricting someone’s freedoms of social contacts, finances, daily activities, access to transportation

39
Q

What are the different types of abuse (as in different populations)?

A

Children–neglect, exploitation
Partner
Elder–neglect, exploitation, isolation

40
Q

Which is child neglect v. child exploitation?

A

Child Neglect–excessive corporal punishment or something

Exploitation–sexual

41
Q

What is the difference b/w elder neglect v. exploitation v. isolation?

A

Neglect–not caring for them
Exploitation–using their finances
Isolation–keeping them from their loved ones

42
Q

What is the definition of an elder in NV?

A

age 60 or older

43
Q

Physicians are mandated reporters for suspected abuse in which populations?

A

Children
Elderly
Handicapped Adults

44
Q

T/F If a physician suspects a woman is being beaten by her husband, she is forced to report it.

A

False. This would be considered a breach of confidentiality. She is not a protected class.

45
Q

Do you need absolute proof of abuse to report it?

A

No…just a suspicion…need to report w/i 24 hour period.

46
Q

What can physicians do about domestic violence?

A

They can screen people for it! Abused women go to the doctor more often than non-abused women. This is an opportunity to ask the questions & help them get help if they want.

47
Q

What are the questions that you are supposed to ask in screening for domestic violence?

A

HITS
H: Does your domestic partner hurt you physically?
I: Does your domestic partner insult you?
T: Does your domestic partner threaten you with harm?
S: Does your domestic partner scream or curse at you?

48
Q

Should you screen a woman for domestic violence when her husband is in the room?

A

NO!!!

49
Q

What interventions can a physician participate in w/ domestic violence?

A 
RADAR
R: Routinely Screen
A: Ask direct questions nonjudgmentally 
D: document findings & take pics
A: Assess patient's immediate safety & make a safety plan
R: Refer patients to good resources

Block 3; Week 7 (6 decks)

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