The Family Life Cycle

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The Family Life Cycle

  1. 1. THE FAMILY LIFE CYCLE<br />Aileen B. Pascual, MD, DPAFP<br />July 17, 2010<br />
  2. 2. The Family Life Cycle<br />Conceptual tool for understanding family development<br />Transitions from one stage to another are rarely clear cut<br />Stages tend to merge<br />Several different models<br />3 general phases: coupling, expansion, contraction<br />6 stages<br />
  3. 3. The Family Life Cycle <br />The Family System undergoes important psychosocial changes<br />Changes are predictable and observable<br />
  4. 4. First Order Changes <br /><ul><li>Highlights the view that the central underlying process to be negotiated is the expansion, contraction and re-alignment of the relationship system to support the entry, exit and development of family members in a functional way</li></li></ul><li>Second Order Changes<br />Once the key principle of transition process have been acknowledged the family now moves on to the various relationships <br />Shifts involved in entering and proceeding developmentally through the next stage of the cycle<br />
  5. 5. Family Life Cycle<br />
  6. 6. The Unattached Young Adult<br />Major tasks to master:<br />Selection of a way of life <br />Selection of a partner in life<br />Emotional Process of Transition:<br />Accepting parent-offspring differentiation<br />
  7. 7. The Unattached Young Adult<br />Second-Order Changes:<br />Differentiation of self in relation to family of origin<br />Development of intimate peer relationships<br />Establishment of self in respect to work and financial independence<br />
  8. 8. The Unattached Young Adult<br />Problems encountered<br />Medical<br />Emotional<br />Social<br />
  9. 9. Family Life Cycle<br />
  10. 10. Newly Married Couple<br />Joining of families through marriage<br />Emotional Process of Transition:<br />Commitment to the new system<br />
  11. 11. Newly Married Couple<br />Second-Order Changes:<br />Formation of the marital system<br />Realignment of relationships with extended families and friends to include spouse<br />
  12. 12. Newly Married Couple<br />Problems encountered:<br />Medical <br />Emotional<br />Social<br />
  13. 13. Family Life Cycle<br />
  14. 14. Family with Young Children<br />Begins with the birth of the couple’s first child<br />Emotional Process of Transition:<br />Accepting new members into the system<br />
  15. 15. Family with Young Children<br />Second-Order Changes:<br />Accepting marital system to make space for children<br />Taking on parenting roles<br />Realignment of relationship with extended family to include parenting and grandparenting roles.<br />
  16. 16. Family with Young Children<br />Problems encountered:<br />Children<br />Parents<br />Grandparents<br />
  17. 17. Family Life Cycle<br />
  18. 18. Family with Adolescents<br />Can be turbulent for both the adolescent and the family<br />Emotional Process of Transition:<br />Increasing flexibility of boundaries to include children’s independence<br />
  19. 19. Family With Adolescents<br />Second-Order Changes:<br />Shifting of parent-child relationships to permit adolescent to move in and out of the system<br />Refocus on midlife marital and career issues<br />Beginning shift toward caring for the older generation<br />
  20. 20. Family With Adolescents<br />Problems encountered:<br />Adolescents<br />Parents<br />Grandparents<br />
  21. 21. Family Life Cycle<br />
  22. 22. Launching Family<br />Begins with the first child becoming a young adult and leaving home<br />Ends with the empty nest as the last child leaves his or her family of origin<br />Emotional Process of Transition:<br />Accepting multitudes of entry and exits into the family system.<br />
  23. 23. Launching Family<br />Second-Order Changes:<br />Renegotiation of marital system as a dyad<br />Development of adult to adult relationships between parents and their grown children<br />Re-alignment of relationships to include in-laws and grandchildren<br />Dealing with disabilities and deaths of parents, or grandparents<br />
  24. 24. Launching Family<br />Problems encountered:<br />Children<br />Parents<br />Grandparents<br />
  25. 25. Family Life Cycle<br />
  26. 26. The Family In Later Years<br />During this final stage of the family life cycle, the elderly persons must accept the shifting of generational roles<br />Children will create families of their own, be responsible for their own life decisions and play less active roles in the family circle in which they grew up<br />
  27. 27. The Family in Later Years<br />Emotional Process of Transition:<br />Accepting of shifting of generational goals<br />
  28. 28. The Family in Later Years<br />Second Order Changes:<br />Maintaining own or couple functioning and interests in face of physiologic decline: exploration of new familial and social options<br />Support for more central role of middle generation<br />
  29. 29. The Family in Later Years<br />Second Order Changes:<br />Making room in the system for the wisdom of the elderly , supporting the older generation without over-functioning for them<br />Dealing with loss of spouse, siblings and other peers and preparation for death<br />
  30. 30. Family in Later Years<br />Problems encountered:<br />Children<br />Parents<br />Grandparents<br />
  31. 31. Family Life Cycle<br />
  32. 32. The Life Cycle Approach<br />
  33. 33. Family Life Cycle Approach<br />Where in the life cycle are the three generations of this family?<br />Are the life cycle stages in phase or out of phase?<br />What developmental challenges predominate for the family?<br />How are the relevant developmental challenges related to the presenting complaint?<br />
  34. 34. Family Life Cycle Approach<br />Where in the life cycle are the three generations of the family?<br />What is happening to the parents?<br />What is happening to the grandparents?<br />What is happening to the children?<br />
  35. 35. Family Life Cycle Approach<br />Are the life cycle stages in phase or out of phase?<br />Higher risk for physical and emotional symptoms<br />
  36. 36. Family Life Cycle Approach<br />What developmental challenges predominate for the family ?<br />
  37. 37. Family Life Cycle Approach<br />How are the relevant developmental challenges related to the presenting complaint?<br />

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