Marriage Flashcards by michelle granstrom

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

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

How well did you know this?

Not at all

Perfectly

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

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…

How well did you know this?

Not at all

Perfectly

What is Gottman’s Love lab?

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…

How well did you know this?

Not at all

Perfectly

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

91% accuracy

How well did you know this?

Not at all

Perfectly

What are the 4 horsemen of the apocalypse?

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

How well did you know this?

Not at all

Perfectly

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

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

How well did you know this?

Not at all

Perfectly

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

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

How well did you know this?

Not at all

Perfectly

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

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

How well did you know this?

Not at all

Perfectly

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

withdrawing from a discussion

**this is often seen in men

How well did you know this?

Not at all

Perfectly

What is the difference b/w complaining & criticism?

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.

How well did you know this?

Not at all

Perfectly

T/F Arguing is bad for a relationship.

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

How well did you know this?

Not at all

Perfectly

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

Counteract that one negative behavior with 5 positive arguing behaviors.

How well did you know this?

Not at all

Perfectly

What are positive behaviors to exhibit during an argument?

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

How well did you know this?

Not at all

Perfectly

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

True.

How well did you know this?

Not at all

Perfectly

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

Too little passion: don’t care

Too much passion: too aggressive, hostile

How well did you know this?

Not at all

Perfectly

T/F Never go to bed angry.

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…

How well did you know this?

Not at all

Perfectly

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

True.

How well did you know this?

Not at all

Perfectly

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

No.

How well did you know this?

Not at all

Perfectly

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

No. No.

How well did you know this?

Not at all

Perfectly

Do marriage & medicine mix?

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.

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

Highest Rates:
Psychiatry
Lowest Rates:
Family med
Peds
Internal Med

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?

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

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

False. Gender roles still emerge.

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

Joy & pleasure increase.

Marital Conversation & Sex decrease.

What are the bad things about the transition into parenthood?

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

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

Increases after the kids leave the house.

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

after 5 years: 1/3 fail | In all: 1/2-2/3 fail

With second marriages...what are the divorce rates?

Up to 10% higher than for first time marriages...

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

The first 7 years... | Midlife when the parents have teenagers...

What negative things is divorce related to for parents?

``` psychopathology physical illness suicide homicide violence mortality from disease ```

What negative things is divorce related to for children?

``` depression withdrawal poor social competence bad health outcomes lower academic achievement conduct problems ```

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

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

What percentage of Americans have cheated?

1/4

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

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.

Which characteristics are correlated with higher rates of infidelity?

narcissism impulsivity alcohol consumption sexual dissatisfaction

Which characteristics are correlated w/ lower rates of infidelity?

religion high marital satisfaction conscientiousness

What are the 4 major forms of abuse?

Physical Psychological/Emotional Sexual Social/Environmental

Describe social abuse.

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

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

Children--neglect, exploitation Partner Elder--neglect, exploitation, isolation

Which is child neglect v. child exploitation?

Child Neglect--excessive corporal punishment or something | Exploitation--sexual

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

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

What is the definition of an elder in NV?

age 60 or older

Physicians are mandated reporters for suspected abuse in which populations?

Children Elderly Handicapped Adults

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

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

Do you need absolute proof of abuse to report it?

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

What can physicians do about domestic violence?

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.

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

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?

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

NO!!!

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

``` 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 ```