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43 Cards in this Set

  • Front
  • Back
Stress and Families
Universal experience found in families
Can occur with normal daily life
Can occur with unexpected life events
Time of challenge and growth
Predictable Stress
Stress can emerge as a result of common life and family events
ex. having a child
Unpredictable Stress
Unpredictable stress refers to the unexpected events that happen in life that disrupt life patterns and cannot be foreseen.

May be positive (winning the lottery) but usually negative (a death or divorce)
Developmental Perspective
Some stresses go hand in hand with changes that occur as we develop over the life-span
Individuals and families handle these stresses differently
There is “good stress” and “bad stress”
Marker events-transition points in human development
Marker Events
Transition points in human development
ex. A child's first steps, a teenager's driver's license, a wedding
Life Course Perspective (timing)
Understanding "how varying events and their timing in the lives of individuals affected families in a particular historical context"
Time considered:
Individual time- our chronological age
Generational time- positions and roles
Historical time- events in era which you live
Carter and McGoldrick's Model
Vertical stressors
Unique family patterns of relating and functioning that are transmitted from one generation to the next
Examples: attitudes, values, secrets, expectations, rules, pressures from society, and individual characteristics, genetic makeup, violence
Carter and McGoldrick's Model
Horizontal stressors
Flow across time (time dimension)
Can be predictable (normative) events that happen with development
Can be unpredictable (non-normative) events that occur
Can be related to historical times and events
Horizontal stressors interact with each other and the vertical stressors
The greater the anxiety from any one of these transitions, the greater the stress on the family
Carter and McGoldrick's Model
Systems level stressors
Have to do with social, cultural, economic and political factors that can put pressure on families
This level focuses on the nesting of and interaction between one system that is within the other (a person within a family)
Ex. work demands, demands from extended family
Stages of life cycle and stress
Single adulthood
Coupling/marriage
Child bearing years
School age years
Adolescence
Launching
Empty nest
Retirement
Divorce
"Divorce is a disruption of the family's life course and is characterized by loss, change, and complexity."
Emotional and practical chaos
Two phases (may overlap)-
Separation and legalization
Settling into single-parent family
Three key qualities for child's well-being:
1). Basic psychological and economic needs are met
2). Extended family or pre-divorce close friendships are maintained
3). Parents exhibit mutual cooperation and support around child-oriented concerns
When does stress turn into a crisis?
The stress turns into a crisis when a family lacks the resources to cope with what has happened.
Coping capacity may depend on:
number of previous stressors
Degree of role change involved in coping
Social support available
Institutional support available
Mourning process with illness or disability
Mourning process that parents undergo is similar to stages coping with death
1). Impact stage- learn of child's condition
2). Denial- disbelief, may reject diagnosis
3). Grief- anger and sadness
4). Focusing outward- seeking information, discussing options, expressing options
5). Closure- reconciliation with reality, sense of adaption to child's needs
Stages of family crisis
Process of handling loss, grief or chaos
Time it takes to move from stage to stage will be different
Equifinality- every family deals with crisis differently and each family reaches the final stages of the process differently
1). shock resulting in numbness, disbelief or denial
2). Recoil stage resulting in anger, confusion, blaming, guilt and bargaining
3). Depression
4). Reorganization resulting in acceptance and recovery
Kubler-Ross's process of dying
The dying person will move through all of this stages if there is time.
1). Denial
2). Anger
3). Bargaining
4). Depression
5). Acceptance
Coping strategy sequence
Change or adapt existing rules, ways of doing things, rearranging responsibilities to address the stress

Change metarules (rules about rules) so that new areas of rules are created to address the stress

Change the basic assumptions about life; reorder value structure to address stress
Sociofugal space
Discourages interaction
Sociopetal space
Supports interaction
Proxemics (intimate, personal, social, and public space)
The study of distances as a function of communication

How people position their bodies as they relate with each other.

Differs by family and culture:
Intimate space- encourages non-verbal expression of affection and emotions (0-18 inches)
personal space- supports interpersonal discussions/ interactions (18 inches- 4 feet)
Social space- social gatherings/business conversations (4-12 feet)
public space-that such as waving to neighbors; winks, hand signals (over 12 feet)
Fixed and semi-fixed features
Fixed:
Physical boundaries
Ex. walls of a house, fences

"Territory" is a form of fixed space

Refers to space that one feels a claim to

Ex. "Our yard"
"my room"
"my house"
Semi-Fixed Features
Created by an arrangement of movable objects
Ex. furniture, sliding door/ walls
Time
orientation- past, present, future

"clocking" refers to the daily use of time.

Scheduled patterns help families function more efficiently/ minimize stress

synchrony: willingness of two or more people to coordinate individual cycles into an overall rhythm

Greater synchrony = lower stress from daily hassles
Exterior Space
Housing spaces influence interaction

Neighboorhood / community plan
community gardens and playgrounds promote interaction and social bonding
Safe environments allow for more flexible boundaries for families
Placement of housing can facilitate interactions and collective neighborhoods
Interior Space
Fixed and semi-fixed features will influence and reflect family themes, images, patterns of relating.

Private and public "zones" allow for some degree of privacy in certain places and certain times

Arrangement of furniture, TV, computer etc. can encourage or discourage interaction
Environmental Fit
Isomorphic fit: environment is consistent with family identity, themes, relating patterns.
Ex. Family with active kids may want an open space where they can easily supervise .

Complimentary fit: the environment balances opposite aspects of family.
Ex. children room together so they can learn to share and interact with each other
Environmental non-fit
The family environment may not fit the family patterns of relating, themes, identity.
Ex. Starter home gets too small
Ex. Home is not child-friendly

Income largely determines "fit"
Ex. Those with higher income have more choices/ options
Family influences on health
(definition)
"Throughout the lifespan, the everyday interactions among family members have the potential to have a tremendous impact on individuals‟ construction of health, talk about health, participation in health care systems, enactment of health or unhealthy behaviors, and health status” (p. 352).
Family influences on health
(1st slide)
Married adults are healthier than unmarried adults and have lower mortality rates.

More true for men than women.

Marital quality also affects health...conflict affects a women's health more than a man's health.
Family influences on health
(2nd slide)
Families influence each other's health behaviors by communicating their opinions about thing like: nutrition
exercising
smoking
alcohol
breast feeding
sexual activity

on-going communication is important
Family influences on health
(3rd slide)
Families with greater conflict:
children more likely to use drugs
lower self-esteem

Teen girls display less risky behavior when they come from families where there is open dialogue.

Teen girls who come from rigid families report more risky behavior.
Perspectives on well-functioning families
People either believe that life happens to them...they are not in control
Reactors, they do not take responsibility for their role in the problem or to change relationships.

OR people are actors and feel they can make personal changes that create a new kind of relationship...they have some control.
Perspectives on well-functioning families (The systems perspective)
Families can grow in the direction of their choice.

May require risk, effort, and pain.

May be resisted by some family members.

The more people on board for the change the more possible it is.

It is difficult for families to recognize negative patterns where change would be beneficial.
Family strengths and universal values
Ability to cope with stress and crisis.
Peacefulness.
Appreciation and affection.
Freedom.
Commitment.
Positive communication.
Justice.
Time together.
Economic adequacy.
Spiritual well-being.
Family resiliency
Family communication processes:
clarity
open emotional expression
collaborative problem solving

Family Organizational patterns:
connectedness
flexibility
social and economic resources

Family belief systems:
making meaning of adversity
positive outlook
transcendence and spirituality
Strong families
(slide 1)
Find the positive.
Pull together.
Communicate clearly.
keep things in perspective.
Adopt new roles in flexible manner.
Maintain and create rituals.
Strong families
(slide 2)
Look at big picture.
Find meaning and purpose.
Address challenges head on.
Use constructive communication.
Have spiritual wellness.
View crises as growth opportunities.
Have clear generational boundaries.
Improving family functioning
Personal education:
Books and media.
Conscious negotiation with partner/family.
Ongoing family meetings to address problems.
Support from friends or members of a connected network.

Instructional approaches:
Marital and family enrichment programs.
Educational not counseling.

Therapeutic approaches:
Over 5 million couples seek therapy/year.
Goal is to affect change in interpersonal relationships.
Double ABC-X Model
Attempts to help researchers and practitioners further understand the process of recovery.

It extends Hill's ABC-X model beyond crisis and over time.
ABC-X Model
(a)
a = stressor event

Has potential to change family system

Examples:
Divorce
Suicide
Death because of HIV/AIDS
Fired from a job
Bankruptcy
ABC-X Model
(b)
b = existing resources

Resources are:
attitudes
material and emotional support
relationships

That we can call upon to assist us.
family members, money,
community workers, problem
solving ability, decision making
skills, previous experience
ABC-X Model
(C)
c = perception of the situation

The definition we place on the situation can make a big difference.
Death is a good example.
Grandfather is quite old and is
suffering from cancer.
Young father is killed in a
logging accident.

Which do we perceive to be more stressful?
ABC-X Model
(X)
x = outcome/crisis

x= level of disruption and disorganization experienced by the family.

Generally, we know a crisis has occured when the old ways of doing things don't work.

Crisis stages involve:
1). Shock
2). Recoil (blaming, anger, bargaining)
3). Depression (sadness and grieving loss)
4). Reorganization: at this point the family begins to come out of a crisis state
Double ABC-X Model
(aA, bB, cC, xX)
aA = pile up

bB = ability to draw from existing and new resources

cC = family interpretation of the crisis (glass full or empty?)

xX = effect of family's adaption on individuals and community
maladaption
bonadaption