FAMILY MODELS underlying FAMILY THEORY Flashcards by Iseoluwa Ojo

General Model-Definition
A “general model” refers to a model that is designed to apply to a ________ range of situations or systems,
capturing ________ principles and ________ rather than focusing on ________ details of a particular case

broad ; fundamental

dynamics; specific

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General model provides a high-level overview of a phenomenon without getting bogged down in ________ specifics, allowing it to be used across different context

intricate

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general model that shows how a process or a system is affected by ______ and ________ factors

controllable

uncontrollable

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EXAMPLES OF GENERAL MODELS RELEVANT TO FAMILY MEDICINE
•________ • ________

MASLOW

JOHARI

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MASLOW
The Original Hierarchy of _________:
PS LOVE SS
1._________ Needs
2. _________ and _________
3. _________ and _________
4. _________
5. _________

Needs: PS LOVE SS

1.Physiological Needs
2.Safety and Security
3.Love and Belonging
4.Self-Esteem
5.Self-Actualization

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The three new additions to Maslow’s original Hierarchy of Needs model are:
_______________(________ Needs) , Need for _________ , ____________

PS LOVE S-KN-S-T

Knowledge and Understanding

Cognitive; Aesthetics

Transcendence

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The Johari Window is a _______ tool that helps people understand __________ and their __________ with others.

It’s a framework that’s used to identify what people ________________ and what others ____________________.

visual

themselves ; relationships

know about themselves

know about them.

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The Johari Window is made up of _____________ that represent different aspects of a person:

List them

Open area
Blind area
Hidden area/facade
Unknown area

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JOHARI windows

Open area: What ___________________ and are ___________________

Blind area: What ___________________, but ___________________

Hidden area/facade: What ___________________, but ___________________

Unknown area: What’s ______________________________

Open area: What you know about yourself and are willing to share with others

Blind area: What you don’t know about yourself, but others do

Hidden area/facade: What you know about yourself, but aren’t willing to share with others

Unknown area: What’s unknown to you or anyone else

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The Johari Window is often used in ________ groups and ________ settings.

It can help people:
Improve their interpersonal communication and relationships
Promote personal development,
Increase self-awareness,
Understand conscious and unconscious bias, and

self-help

corporate

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SPECIFIC MODELS RELEVANT TO FAMILY MEDICINE

LIST 5

•FAMILY MODEL
• DUVALL
• SATIR
• STEVENSON
• FRIEDMAN

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Family Model
•The Family Model provides clinicians with a ________ , ________ and ________ approach to ________ focused practice with parents, their children and relatives, when one or more family members experiences health challenges

brief ; accessible

practical

family

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FUNDAMENTAL OF FAMILY THEORY
Family systems theory is an approach to understand human functioning that focuses on
•interactions between _____________ and
•between the ________ and the ___________________________.

people in a family

family

context(s) in which that family is embedded.

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Family Systems Theory 1
Family systems theory has been applied to a wide variety of areas including
___________ in general and ________ therapy in particular (working from a ________ framework with emotional, behavioral, or relational symptoms in individual, couples, and families);
________ systems; ________ problems (e.g., working with polarized disputes and facilitating ‘________________’ as in the Public Conversations Project, peace studies, nonviolence training);
organizations (consulting, leadership training, coaching); and health care (_____________ therapy – tracking the ________ dynamics of illness and facilitating ________ among patients, families, providers, and health care systems).

psychotherapy ; family

systems ; school

community ; difficult conversations

medical family ; emotional

collaboration

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Family System
According to a family systems perspective, an individual’s functioning is determined not so much by __________ factors as by a person’s _______ in the system(s) in which he or she finds himself or herself, subject to the pushes and pulls of the system, including
competing emotional demands, role definitions and expectations, boundary and hierarchy issues, coalitions and collusions, loyalty conflicts, family and institutional culture and belief systems, double binds, projective identifications, and systemic anxiety.

intrapsychic

place

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Family system model

In addition, _____________ and _____________ feedback loops in a system can either facilitate or hinder pathology or health, breakdown or resilience.

A thorough understanding of family systems theory requires an elucidation of the _____________ contributions of systems theory itself.

self-correcting

self-reinforcing

foundational

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Family systems theory

Family members are seen as being _______________ , directly and indirectly influencing each other and other subsystems (e.g., a child may indirectly influence the husband-wife dyad by directly influencing the behavior of either parent).

Interactions between family members are also thought to be _____________. ie, interactions between parent and child are _____directional rather than _____directional and causality is _______ rather than _________.

Additionally, the microsystem of the family is seen as being embedded within larger systems and interactions occurring within and across these various levels

interdependent ; transactional.

bidirectional ; unidirectional

circular ; linear.

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One basic assumption of family systems theory is that pathological communication contributes to ___________________ and that feedback loops—that is, how family members respond to the behavior of another can encourage _________ (positive feedback) or ____________________ (negative feedback) .

relationship problems

change

retain the status quo

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Pathological communication refers to ________ and ___________ ways of relating to another person with ________ communication patterns between family members resulting in ______________

unclear ;? contradictory

dysfunctional

low self-esteem

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What are the main points of family systems theory?
The underlying theme of the family systems approach is that families are an ____________ unit.

They are an interconnected system of _______________ individuals. Moreover, they influence one another, and their psychology cannot be understood in ___________ from the system as a whole

emotional

interdependent

isolation

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Family systems theory shifts the focus from the ___________ dyad toward
an emphasis on the family as a ________ system (Parke et al., 2006).

parent-child

social system

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As a social system, a family is conceptualized as having its own characteristics, rules, roles, communication patterns, and power structure above and beyond the individual

T/F

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Additionally, within this social system framework a family consists of subsystems including __________ , __________, __________ and __________ subsystems.

Study These Flashcards

parent-child

sibling

marital

co-parenting.

The fanily systems model is effective in a range of mental and behavioral health conditions affecting children and youth

T/F

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Duvall - The eight stages of a family life cycle are:

Unattached adult Newly married adults Childbearing adults Preschool-age children School-age children Teenage years Launching center Middle-aged adults Retired adults

Duvall’s 8 tasks??

Physical maintenance Allocation of resources Division of labor Socialization of members Recruitment and release of members Maintenance of order Placement of members into larger society Maintenance of motivation and morals

STEVENSON'S FAMILY DEVELOPMENT MODEL •Joanne Stevenson(1977) • Applies more to _______ families • family _________ is not evaluated • Does not address ____________ and ________ - related concerns

nuclear families structure health promotion ; health

STEVENSON'S FAMILY DEVELOPMENT MODEL There are Four stages •Stages are delineated by the __________ the _________________ and their approximate ______

number of years couple are married age

SATIR The Satir Interactional Family Model, or Satir Model, is a family therapy method developed by Virginia Satir that focuses on improving ___________ and relationships within a family system:

communication

SATIR  Family as a system: Satir's model views the family as a system where each ____________________________  Communication: Satir believed that ______________ is the primary factor in determining how people relate to others and how they experience the world.  Self-worth: Satir believed that self-worth is the ___________ of healthy family dynamics and personal well-being.

each member's actions affect the others. communication foundation

SATIR identified five communication styles: List them

placating blaming computing, distracting congruent.

SATIR  Growth: Satir's model is growth-oriented, with the goal of helping family members develop their ________ and integrate their ________ with the family system.  Experiential/learning by doing methods: Satir used experiential methods like __________ , family __________, and guided __________ to help family members explore and change their emotional and behavioral patterns.  Family transitions Satir family therapy can help families ________ to changes like the birth of a child, divorce, or the loss of a loved one.

potential ; needs role- playing ; sculpting contemplation adapt

SATIR Change model The Satir Change Model has five stages: ______________ quo, __________, __________, __________, and __________.

late status quo, resistance, chaos, integration, and new status quo.

Satir's therapeutic beliefs: 1. _________ is possible. Even as _________ is limited, _________ is possible. 2. Parents do ______________ at any given time. 3. We all have the internal resources we need to cope successfully and to grow. 4. We have _________, especially in terms of _________ to stress instead of _________ to situations. 5. Therapy needs to focus on _______ and possibilities instead of __________.

Change ; external change internal change do the best they can choices ; responding reacting ; health pathology.

Satir's therapeutic beliefs: 6. _________ is a significant component or ingredient for change. 7. People connect on the basis of being ________ and grow on the basis of being ___________. 8. A major goal of therapy is to become our own ___________. 9. We are all manifestations of the same _________. 10. Most people choose ________ over ________, especially during times of stress.

Hope ; similar different. ; choice makers. life force. familiarity ; comfort

Satir's therapeutic beliefs: 11. The problem is not the problem; _________ is the problem. 12. Feelings belong to us. We all have them. 13. People are basically ______. To connect with and validate their own self worth, they need to find their own inner treasure. 14. Parents often repeat _________ patterns from their growing up times, even if the patterns are __________. 15. We cannot change past events, only the _________ they have on us.

coping ; good. familiar ; dysfunctional. effects

Satir's therapeutic beliefs: 16. ___________ and ___________ the past increases our ability to manage the present. 17. One goal in moving toward wholeness is to accept our parental figures as _________ and meet them at their level of ___________ rather than only in their roles. 18. Coping is the manifestation of our level of ___________. The higher our self-worth, the more wholesome our coping. 19. Human processes are universal and therefore occur in different settings, cultures, and circumstances. 20. ___________ is the avenue of change. ___________ forms the ___________ in which change can take place. 21. ___________ and ___________ are major goals in the Satir model. 22. Healthy human relationships are built on ___________ of value.

Appreciating ; accepting people ; personhood self-worth ; Process Content ; context Congruence ; high self-esteem equality

Edwin Friedman's family systems theory is a systems approach to ________ that applies family systems theory to organizations, families, and society.

leadership

Friedman's theory is based on the idea that a family is a complex system of interrelated parts, where each person's role affects the others. He believed that leaders should be ___________,__________ , and _________ with those they lead.

self-differentiated non-anxious present

Here are some key aspects of Friedman's family systems theory: •Family systems thinking Focuses on the family as a _______ , rather than on individual members. •The power of presence Friedman emphasized the importance of "presence" in leaders, which he defined as a trail of _________ , _________, and _________. •Self-differentiation Friedman believed that well-differentiated leaders maintain a _________ presence and foster a sense of _________ in their community. •Making hard decisions Friedman believed that poor leaders frequently ____________________________ by gathering more data. •Maintaining a sense of humor Friedman believed that maintaining a sense of humor keeps the system ______ and ______ to new ideas and solutions

unit ; confidence poise ; energy. non-anxious ; lightness put off making hard decisions loose ; open

The "Friedman functional family model" refers to a framework for understanding family dynamics developed by Edwin Friedman, a prominent family therapist, which emphasizes the family as a system where each member's behavior impacts the others, with a key focus on the concept of " ______________ " and the importance of a leader's " _________ " within the family unit to promote healthy functioning

emotional maturity presence

Applications of the Friedman model: Family therapy: Therapists using this model focus on helping families identify how their behaviors impact the system, encouraging members to develop greater _____________ and responsibility for their own actions. Leadership development: The concept of "_________" is also applied in leadership training, emphasizing the importance of ____________ and _____________ for effective leadership.

emotional awareness presence emotional maturity self-awareness

Key aspects of the Friedman model: Systemic perspective: Unlike individual therapy models, Friedman views the family as a whole system, where each member's actions influence the dynamics of the entire group. Emotional maturity: Friedman places a strong emphasis on the importance of individual emotional maturity within the family, suggesting that a person's ability to manage their own emotions is crucial for healthy family interactions. Leader's "presence": A key concept is the idea of a "leader" within the family, who is not necessarily the parent with the most authority, but the person who exhibits emotional maturity and can provide stability and direction for the family through their "presence" - a quality of calm, confidence, and focus. • • • Negative impact of reactivity: Friedman warns against the detrimental effects of "reactivity" within a family, where members respond emotionally to each other's actions, leading to escalating conflict and unhealthy patterns. •

One day

Pre Test (T/F) The following are General Model (a) Satir (b) Maslow (c )Johari (d)Duvall (e)Stevenson The sequence of Maslow hierachy of need are as follows (a)Physiological Needs (b) Love and Belonging (C) Safety and Security (d) Self-Esteem (E) Self- Actualization

F T T F F T F F T T

Pre Test (T/F) The new addition to Maslow are (a) Ambition (b) Cognitive Needs (c) Biopschosocial (d) Smelling Roses (e) Sprituality Satirs beliefs include (a) external change is limitless (b) Parents do the best they can . (c ) We all have the internal resources we need to cope successfully and to grow. (d) We have no choice, in terms of responding to stress (e) Therapy needs to focus on health instead of pathology.

F T F T T F T T F T

Pre Test(T/F) In Duvall Model (a) child bearing family the oldest child is 5 years old (B) Family with teenager 13-20 years (c)Launching family the last child has left home (d) Empty nest Retirees (e) Last stage is when one of the spouses is dead

F T F T F

The application of GST to any biological system involves three principles; •All _____________ and phenomena can be organized into specific systems that share certain properties. •These systems can then be organized into a ________ such that each system contains ________ and is a ________. • the forces impacting both positively and negatively, on any particular system can also be viewed in a generic way, both as to ________ and ________.

natural entities ; hierarchy subsystems ; subsystem. origin effect.

GST???

General system theory

General System Theory and the hierarchy of systems of systems Each level in the hierarchy is self-contained but interdependent upon the levels • above (_______-systems) and • below (_____-systems.)

supra sub

Disease' is defined as ________________________________ in the hierarchy that cause disharmony

non-accommodated perturbations

Illness is defined as the ____________________ of this deviation in biological function • Illness is a ________ experience of discomforts, attitudes, and impairment of relationships. •It represents personal, interpersonal and cultural reactions to discomfort, and sickness sickness

personal experience practical experience

Diagnosis is strictly speaking THE _____________________________ in terms precise enough to indicate its aetiology and determine its prognosis and therefore to indicate the treatment of choice and its probable effectiveness

DESCRIPTION OF PATHOPHYSIOLOGY

SICKNES Sickness is defined as the _______ and ________ of being ill, as the _____________ in behaviour and role definition that results from a biological disorder. • Sickness therefore has strong connections to family structure, family function and family beliefs about unhealthy, health and health care

quality and role deviation

•HEALTH is defined as the _____________ of all systems in the hierarchy containing person, family and community and the environment

harmonious interaction

Doctor as the natural leader It is not easy for doctors to accept that Medicine is __________ concerned with the major determinants of health. But let us watch out, from the belief that ________________ , public opinion is in danger of swinging to the equally untenable conclusion that ____________________ .

not vitally medicine can do everything medicine can do nothing

Let it be said clearly, therefore, that, even if it is on a ______________ basis, successful development of environmental and community health cannot be undertaken without a strong ________ contribution.

primus interpares medical contribution.

FAMILY MODELS underlying FAMILY THEORY Flashcards

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