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Introduction to family stress
Introduction to family stress
Introduction to family stress
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During a stressful situation, people tend to handle their stress in so many ways. The family system is often entangled in stressful situations. This learner had chosen the Circumplex model because she learned about the COPE inventory last week. The Circumplex model has three dimimension of family systems. The central dimensions are cohesion, communication, and flexibility (Olsen, 2000). This model is useful when a counselor is making a ‘relational diagnosis’ because it integrates a client’s cohesion, communication, and flexibility that are highly revelant in other family therapy models and family approaches (Olsen, 2000). The Circumplex model would be used to measure the family’s cohesion dimensions. There are four levels of cohesion that range …show more content…
The levels of flexibility range from ‘rigid’ (very low), to ‘structured’ (low to moderate) to ‘chaotic’ (very high) (Olsen, 2000). The family needs to be structured and flexible to be a balanced couple. Balanced couples need to be balanced and functional over time. A structured relationship should have democratic leadership with negotiations with the children. When the family is stable, sharing some roles, the relationship is balanced (Olsen, 2000). Unbalanced marriages are rigid and chaotic. A rigid relationship is when one family member is in change and is highly controlling (Olsen, 2000). There are limited negotiations with most of the family’s decision are decided by the leader of the family (Olsen, 2000). With the Circumplex model, communication is critical in the family. The couple and family communication is measure in this model by the family’s listening skills, self-disclosure, clarity, respect, and speaking skills (Olsen, 2000). The couple would need to have problem solving skills, very good communication in the family. Families with unbalanced systems have poor communication (Olsen, 2000). The Family Adaptability and Cohesion Evaluation Scale were proven to have good reliability and validity in families. The counselor would need to make a treatment plan to assess the family as the family …show more content…
The Circumplex Package (CAP) is a series of self- report assessments of the Circumplex Model. CAP focuses on the family’s communication, cohesion, and adaptability. CAP also has a ‘satisfaction’ dimension that would examine the family member’s satisfaction in the family system (Olsen, 2000). The Clinical Rating Scale was developed to assess the family’s flexibility, cohesion, and communication in the family’s interaction. This scale would be useful in helping family members examine their family interactions from an outside perspective (Olsen, 2000). The CAP, and the CRS would need to be considered in an attempt to bring the complications out of the family system. This learner does believe that this assessment would be useful in helping this family during this rough situation in their life. Since their daughter has been spending more time with friends, the family’s cohesion may be affected. It would also be important to look at this family’s culture about what happens to other family members when they go through stressful
The denial of child care for her two children’s has added fear, helplessness, hopelessness, loss, of control and guilt which impacts Katy health and contributed to worsening of her health. Katy was experiencing a situational crisis because of her medical condition and her concern to provide for her children. It occurs when an individual produces an overwhelming response as they confronted with a stressful event. Factors that contribute to Katy crisis are high demand to provide for her children, denial of child care services, medical condition, and a single parent. These factors play a critical role in her health outcome and progression of her disease and psychological state. Therefore, prolonged stress included adverse psychological and physical health effects as well as the increased risk of premature death (Denollet, J., et al.
As a social worker it is often complex to determine which theory to employ in practice, each client will warrant for an in-debt assessment of the presenting problem and goals the client desires to achieve. This paper will explore one family intervention model that can be applied to the Taylor family. The two theories analyzed are Cognitive Behavioral Family Theory, (CBFT) and Structural Family Theory (SFT); both theories can be utilized when assisting individuals or families. The social worker will focus on the Cognitive Behavioral Family Therapy model when applying treatment and interventions to the Taylor family case.
Structural therapy focuses on the family as a whole. It is concerned about how the issues effect the family relationships and connections. This theory concentrates on how well the understanding is amongst the family members and counselor. The members of the family are prompted to understand how the issues were created, where did the issues come from, when the issues started effecting their family, and what the family needs to overcome their issues. Its focus is to help others understand and improve negative behavior. The structural therapy concentrates on the interaction and boundaries of families with separating the whole family into smaller groups. The subsystems will create a clearer understanding of what issues are hurting their family environment (Gladding, S. T. 2010). The counselor is concerned about the members interaction because this reveals how strong the relationships and connections are in the home. The boundaries are important because they create an understanding that there are limits and order, and the boundaries can be diffused, rigid, or clear (Gladding, S. T. 2010). The counselor is expected to identify techniques so members can understand which boundaries are clear, positive, and healthy (Gladding, S. T. 2010).
“Family stress theory emphasizes the active processes families engage in to balance family demands with family capabilities as these interact with family meanings to arrive at a level of family adjustment or adaptation” (Patterson, 1988, 1989, 1993). In order for a family to be resilient, it ...
A Friedman assessment was conducted in the Smith family. Following the model guideline, the data was identified and developmental stages, family history, environmental data, family structure, family functions, family stress, and adaptation were evaluated. Diagnoses to recognize concerns and provide a plan of care for the Smith family was also conducted. This assessment helps in coming up with a care plan for the entire family.
The Calgary Family Assessment Model (CFAM) is a well-known comprehensive and multidimensional template used by nurses to assess families. CFAM begins by having the nurse visit with the family and gain insight on the family’s functioning at a particular point in time. Interviewing the family allows the nurse to assess and identify potential issues. Furthermore, the CFAM consists of three main assessment categories, known as structural, developmental, and functional. Each of these categories contains several subcategories that allow the nurse to examine all aspects of a family’s functioning. The goal of the CFAM is for the nurse to openly discuss family issues, provide insight to families from an outside perspective and guide them towards their own problem solving tactics. CFAM allows families and nurse to develop a plan of care that is mutually agreed upon. The following paper illustrates a family assessment completed using the CFAM and applies nursing diagnoses and interventions relevant to the family’s current issues (Wright & Leahey, 2013).
The family structure is made up of individuals living together in intimate groups with the purpose of caring and supporting each other. Rules and boundaries, spoken and unspoken, are developed by the family members. Family rules and boundaries change and shift over time in order to evolve and grow as a family unit. Some changes are subtle, but some events force major change within the family system. This paper applies the concepts of systems theory to the family system in the movie Sweet Home Alabama. Reese Witherspoon (Melanie Smooter) and Josh Lucas (Jake Perry) star in this heart-warming film telling a story of a young woman who flees from Alabama to reinvent herself in New York City as a high fashion designer. She leaves behind her redneck husband and white-trash upbringing. Melanie finds herself engaged to the cities most eligible bachelor and has to return to Alabama to request a divorce from her first love and confront her past ("Alabama," 2002).
According to Richard Charles (2001) “the effectiveness of family systems theory rests not much on empirical research but on clinical reports of positive treatment outcomes, the personal benefits experienced by the families that underwent this kind of treatment, and the elegance of Bowen’s theory” (p. 279). Bowen’s family systems theory views the family as an emotional unit and is a theory of human behavior. Systems thinking is used to describe the complex interactions in the unit. However, the client’s ability to differentiate himself/herself from the family of origin is the basis for Bowen’s family systems theory. In addition, the primary focus for growth within the emotional system is differentiation of self.
Kaakinen, Gedaly-Duff, Coehlo & Hanson, (2010) report family is the biggest resource for managing care of individuals with chronic illness; family members are the main caregivers and provide necessary continuity of care. Therefore, it is important for health care providers to develop models of care based on an understanding what families are going through (Eggenberger, Meiers, Krumwiede, Bliesmer, & Earle, 2011). The family I chose to interview is in the middle of a transition in family dynamics. I used the family as a system approach as well as a structure-function theoretical framework to the effects of the changes in dynamic function. Additionally, the combinations of genogram, ecomap, adaptations of the Friedman Family Assessment model as well as Wright & Leahey’s 15 minute family interview were utilized.
Having a family is no easy task, especially when you are faced with many challenges that are unforeseen. Sometimes one imagines or hopes for an ideal family. The ideal family would consist of a spouse, one or two kids and live happily with little to no conflicts. The reality is that even if one tries to avoid conflict by all possible means, conflict is inevitable. Stressors and strengths within a family can be seen in almost every situation. Although stressors tend to be more noticeable than the strengths. Some of which will be discussed later on, although it will be mainly focused on the strength and stressors faced after a divorce for children. But if one focuses on the stressors more than the strengths, one will only see stressors rather than solutions.
159). And in the case of family-development theory, the family is viewed through eight distinct, yet sequential stages which includes the premarital, marital dyad through to the retirement milestone. With this developmental theory, the family must succeed in achieving a significant benchmark before they can move onto the next level. For example, when a dyad gives birth to a child, they then move into the triad stage with the major task being that they will need to adjust to the new child before they can move onto the next stage as a completed family. Therefore, there are initiating events that move us into the next stages and major tasks to work through while in the varying
Structural Family Therapy offers a framework that provides order and meaning within the family connections (Nichols, 2013). Divorce for a family is considered a significant transition for all parties involved. When counseling a family going through divorce the structural family therapist’s job is to build an alliance with the family and obtain information about the structure. The structure of the family consists of the roles, interactions, organization, and hierarchy. Family therapy yields the belief that changing the organization of the family leads to change in the individual members. The structural family therapist often will try to become part of the family to gain a perspective of their issues as whole so not to place the focus on one individual. Joining is an empathetic approach in helping families explain and break down their individual stories without uncomfortable challenge or unnecessary confrontation (Nichols, 2013). It is important to note that family dysfunction that often leads to divorce is not attributed to one individual, but the entire family system. In structural family therapy, part of dealing with the issue of divorce in the family is to focus on the interactions between all the family members both positive and negative. Through these interactions the therapist can discover where the conflicts arise, which will in turn help the therapist understand how these negative interaction affect the family. Family therapy in these cases allows for repair of long-standing interactional patterns in which divorce is just one of a series of ongoing transactions that are disruptive to the child’s development (Kaplan, 1977, p.75). The structural family therapist often has the family play out these family interactions via enactments so that he can get a firsthand look at maladaptive patterns, roles, and
A systems based treatment plan is necessary when working with this family and a systemic assessment is needed to accomplish this. “A systemic assessment will typically reveal that marital and/or parenting issues are contributing to the presenting problem” (Gehart, p. 37, 2016). The therapist will start by using a genogram. A genogram was used to analyze the Andersen family, as it is a structured way of collecting information about the family. It allows the therapist to gather details and “identifies not only problematic intergenerational patterns, but also alternate ways for relating and handling problems” (Gehart, 2014, p. 237). A genogram is a visual representation of the family and their history that will display
When I read The Family Circumplex Model by Olson, I totally agreed with his idea of the enmeshed level of couple and family cohesion. I am not sure if one person is moderate but another person is enmeshed is an enmeshed couple. I just recalled my memory dating an enmeshed man before and I could say that that relationship was horrible and worse than disengaged relationship. I have met and experienced one enmeshed guy who wanted me to involve in his high togetherness and closeness relationship. He wanted me to put my whole life into the relationship. He didn’t like me doing homework, or even spending family time. He got mad if I dine out with my family without asking me permission. He wanted to talk everyday,
However, good reasons exist for pushing the developmental perspective to encompass such families. For example, they are systems with the same system properties as two parent families, and they mush accomplish most of the same developmental tasks as two parent families. In fact the principal difference between single parent and two parent families is that the former lack the personnel resources to fill the normatively expected positions in the family. This lack of personnel resources places a heavy burden on the remaining family members, who much compensate with increased effort to accomplish family tasks such as physical maintenance and social