Family Interventions Outline PDF

**Chapter 35: Family Interventions** - Family structure. - Nuclear family. - Children living with two parents who are married to each other and are each the biological or adoptive parents to all the children in the family. - Single parent family....

**Chapter 35: Family Interventions** - Family structure. - Nuclear family. - Children living with two parents who are married to each other and are each the biological or adoptive parents to all the children in the family. - Single parent family. - Children living with a single adult of either gender. - Unmarried biological or adoptive family. - Children living with two unmarried parents who are the biological/adoptive parents to all the family\'s children. - Blended family/ stepfamily. - Children living with one biological/ adoptive parent and that parent's spouse. - Cohabitating family. - Children living with one biological/ adoptive parent and that parent's unmarried cohabitating partner. - Extended Family. - Children living with at least one biological/ adoptive parent and at least one related non parent adult, such as grandparent or adult sibling. - Grandparent Family. - Children living with one or more grandparents. - Childless family. - Consists of partners living together and working together. - They may have extensive involvement with pets and children of siblings and friends. - "Other" family. - Children living with related or unrelated adults who are not biological or adoptive parents. - This includes children living with grandparents and foster families. - Family functions: - Management. - Typically, parent(s) - Make decisions. - Power. - Resource allocation. - Rule-making. - Finances. - Can be overwhelming, especially in single parent families or in dysfunctional families. - Boundaries. - Defined as limit setting. - Three types: clear, diffuse, and/ or rigid. - Clear. - Adaptive and healthy. - All family members understand expectations. - Firm, but flexible. - Provide structure that responds to and adapts to change. - Diffuse. - Unclear and lacks independence. - Families have difficulty with defining themselves. - Co-dependency on each other. - No one is in a place of authority. - Differentiation. - Discourage self-identity. - Discourage members from providing their opinion. - Parent/ child relationship blurry. - Groupthink mentality. - Rigid. - Adherence to expectations. - No room for discussion or change. - Disengaged family members. - Difficulty with insight into feelings due to rigid structure. - Dysfunctional communication. - Manipulating. - Action designed to influence or control another person. - Usually underhanded or unfair manner. - Distracting. - Add additional information that is not relevant. - Used to diffuse conflict. - Generalizing. - Global statements. - Used to not apply blame to anyone, but address the topic in an unspecified way. - Blaming. - Place accountability on others instead of self. - Placating. - Appease or pacify to avoid conflict. - Family therapy concepts. - Identified patient. - Regarded as the "problem". - Focus on the family\'s concern. - May be used to divert attention from ignored/ hidden problem. - Behavior violates boundaries. - Triangulation. - Third person brought into the problem. - Can be seen as manipulation. - Two against one mentality. - Causes splitting. - Risk and benefit of family therapy. - Risk. - Not beneficial if there is risk for harm, physically or emotionally. - Benefits. - Reduce dysfunctional behaviors. - Resolve/ reduce intra family relationship conflicts. - Mobilize family resources. - Problem solving. - Increase awareness and sensitivity. - Coping mechanisms. - Improve integration of family system and society. - Promote appropriate psychosocial development of members. - Family dynamics terms: - *Boundaries*: Clear boundaries are those that maintain distinctions between individuals within the family and between the family and the outside world. Clear boundaries allow for a balanced flow of energy between members. The roles of children and parents are clearly defined. Diffuse or enmeshed boundaries are those in which there is a blending together of the roles, thoughts, and feelings of the individuals so that clear distinctions among family members fail to emerge. Rigid or disengaged boundaries are those in which the rules and roles are adhered to no matter what. - *Differentiation*: The ability to develop a strong identity and sense of self while at the same time maintaining an emotional connectedness with one\'s family of origin. - *Double bind*: Double binds occur between two or more people as a repeated experience. They involve 2 or more conflicting messages, A situation in which a positive command (often verbal) is followed by a negative command (often nonverbal). Double binds leave recipients confused, trapped, and immobilized because there is no appropriate way to act. A classic example is to command to "be spontaneous". - *Family life cycle*: The family\'s developmental process over time, which occurs in stages. Traditional stages include single young adult, Newly married couple, a family with young children, a family with adolescence, launching children, and a family in later life. Needless to say, there are many different types of family life cycles, including single parent families or families without children. - *Hierarchy*: the function of power and its structures in families, differentiating parental and sibling roles, and generational boundaries. - *Multigenerational issues/Intergenerational issues*: emotional patterns of interaction between family members that are passed down from previous generations. Examples of these patterns include the reenactment of fairly predictable and almost ritual like patterns, repetitions of themes or toxic issues, and repetition of reciprocal dyads, such as one person being the overfunctioner and another the underfunctioner. - *Scapegoating*: a form of displacement in which a family member, usually the least powerful or more different, is blamed for another family member\'s distress. The purpose is to keep the focus off the painful issues and the problems of the blamers. In a family, the blamers are often the parents, and the scapegoat is a child. This child may continue to be scapegoated into adulthood. - *Sociocultural context*: the framework for viewing the family in terms of their gender, race, ethnicity, religion, economic class, and sexual orientation. - *Triangulation*: triangulation is used to balance anxiety, distance, and conflict in a two person relationship by inserting a third person into the relationship.