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20 Cards in this Set
- Front
- Back
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Family the most important place to promote health and wellbeing
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WHO
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Fictive kin
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Those you see as kin but are not blood/marital relations (Helman)
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Death festivals - Mexico and Japan
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Dia de los Muertos
Obon (Mikoshi) |
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Family types
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Monogamy, polygamy
Milk kinship One parent Joint family (Hindu) Dispersed family |
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Role of family
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Support, nourishment, education, protective
But: Can be pathogenic (high expectations, non-supportive) |
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Other social groups can act as family
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Religious, self help (AA, treatment (London Lighthouse), voluntary agencies
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Families heavily impact the EMs of individuals within the family
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Helman
If a doctor has a strong knowledge of the family culture, this may help him to explore EMs |
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Different cultures make it easier/harder to present certain conditions
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Mental illness heavily stigmatised in Taiwan (Presentation therefore often somatic)
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Individuals cannot be understood in isolation from one another, and that families are systems (an 'emotional unit') of interconnected individuals
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Christie-Seely 1981
Talk about R? 64% of patients report issues with family, but only 24% of GPs record this in the notes |
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Family Systems Culture
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Christie-Seely 1981
Not taught as it's 'unusual' Analogous to endocrine system |
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Consider 'family as patient' to improve medical care
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Christie-Seely 1981
Improves diagnosis, compliance, important wrt schizophrenia |
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'Family Health tree' idea
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Sandra
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Japanese family had a significant preference for connectedness compared with British families
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Lau 1992
British norms prioritise SEPARATENESS and clear boundaries in relationships (individuality and autonomy) - not so for Japanese people (evident in the language) |
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Understanding the family may help predict attitudes towards alcohol or tobacco, and ideas towards medical treatment
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Helman
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An awareness of family factors will be a useful adjunct to clinical practice and hence an understanding of the context of health and illness
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Helman
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Family make a joint decision: Bed or work, physician or priest, penitence or penicillin?
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Helman
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'Cultural costume' - every family's culture of origin provides it with a repertoire of behaviour patterns
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DiNicola
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Each family has a particular expression of cultural beliefs and behaviours - this can become a 'camouflage' that obscures states of mind or patterns of interaction in the family
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DiNicola
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Doctors who ascertained the patient's meaning of the illness recovered more quickly from a variety of minor illnesses that patients whose family doctor did not ascertain the meaning
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Bass & Buck 86
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RCT compared cancer patients receiving psychosocial supportive treatment with groups of cancer patients receiving no supportive therapies - no significant difference in life span
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Goodwin 2001
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