SlideShare a Scribd company logo
1 of 49
Chapter 14
Stress, Abuse, and
Family Problems
14-2
Intimacy involves sharing feelings that help people
when there is stress in life
Successfully facing crisis results in stronger marriages
and families
Diversity in cultures defines how people face difficulties
14-3
Stressors begin or end in the family
Families from all cultural groups experience couple and
family stress
Families use internal resources before seeking external
resources to manage stress
In families with strong extended-family structures, the major
resources come from within the family
All couples and families have some internal strengths for
managing stress
14-4
Daily pressure that everyone encounters
• Levels of stress
• Physiological: Body’s harmful reaction to whatever happens
• Psychological: Appraising the threat, resulting in an
emotional reaction
• Sociocultural: Disturbance of social systems
14-5
Coping: Action taken when something is identified as
stressful or harmful
• Problem-focused: Trying to change the situation or
behaviors
• Emotion-focused: Managing emotional distress and seeking
help
Successful coping: Taking on life’s challenges with
personal control and hope
14-6
Scale of life events that require change of behavior or
readjustment
• Personal events
• Family events
• Financial events or issues
• Occupational stressors
Physical and emotional problems occur when
individuals experience changes in life
14-7
Breast cancer: Likely that the relationship between
negative life events and breast cancer is negligibly
small
• No conclusive studies found yet
Cardiovascular diseases: Mostly a result of stress
caused by jobs with high demand and low control
Influenza: Interpersonal conflicts and stressful life
events contribute to the common cold and influenza
14-8
Dating couples Engaged couples Married couples
My job My job My spouse
Feeling emotionally
upset
Financial concerns My job
Inadequate income Costs of wedding Feeling emotionally
upset
Your partner Lack of exercise Inadequate income
Job security Lack of sleep House projects
undone
Source: Larson, P. J., & Olson, D. H., Top Five Stressors for Couples, 2012. Web site: http://www.prepareenrich.com/research.
14-9
People are confused about who is in or out of their
family system
• When a loved one is physically absent but kept
psychologically present because there is no assurance of
death
• When someone who one cares about is present but absent
psychologically
14-10
Share what is most stressing to each of you
Prioritize what stressor to tackle first
Develop a plan with specific goals to manage the stress
together
Use your communication and relationship skills
Support and praise each other for progress
14-11
A: Stressor event
B: Family’s crisis-meeting resources
C: Definition the family gives to the event
X: Crisis
Helps understand:
• How severe a crisis will turn
out to be
• How some families survive
traumatic events
14-12
People do not go back to normal life but find a new
normal life
The attacks on September 11, 2001, proved to be a
roller coaster for America
• Process of recovery took several months but was achieved
• In the long run, resulted in strengthening of areas that
were initially attacked
14-13
14-14
Families become more extreme on both flexibility and
cohesion
Increase in communication levels
Once the stress has abated, families return to a similar type
of system that was present before the stress
Families require minimum 6 months to a year to adjust to a
major stress
Family systems become unbalanced during stress and
return to another balanced system a year later
14-15
Deployment: Time when a military person leaves the
family and engages in training or combat
Effects of deployment
• Deployed personnel may experience the lasting effects of
trauma
• Family members remaining at home experience effects of
separation, reunion, and other difficulties
14-16
Couples
When one partner is deployed,
it creates mental and physical
health issues that interfere
with marital well-being
• Problems such as posttraumatic
stress disorder and traumatic
brain injury
• Higher divorce rates
Children
When a parent is deployed, it
results in depression, acting
out, poor academic
performance, and discipline
problems
• Ability to cope is dependent
upon the adjustment of the at-
home parent
14-17
Local communities are creating their own formal and
informal support systems
• Help connect potentially isolated family members with
services in the community
• Provide opportunities for those not in
military services to support those who are
14-18
Results from combat or other traumatic events
• Causes stress and disruption in marriage and family
relationships
Symptoms
• Domestic violence or substance abuse
• Occupational dysfunction
Treatment: Combination of drugs and therapy
14-19
Concept of managing stress: Description of how
families handle stressors
Family’s coping resources are considered strengths,
which are derived from all aspects of life
• Cohesion or flexibility
• Communication
• Boundary clarity
• Order and mastery
14-20
General Specific
Cognitive
Gain knowledge
Reframe situation
Emotional
Express feelings
Resolve feelings
Be sensitive to others’ emotional
needs
Relationships
Increase cohesion
Increase adaptability
Increase trust and cooperation
Community Seek help and support
Spiritual
Be involved in religious activities
Maintain faith
Individual development Develop autonomy, independence
14-21
Pattern of abusive behavior that is used by one partner
to gain or maintain power and control over another
intimate partner
• Forms of abuse include actions or threats of actions that
influence another person
 Physical abuse
 Sexual abuse
 Emotional abuse
 Economic abuse
 Psychological abuse
14-22
Children who witness domestic violence grow up to be
abusers themselves or the victim
• Types
• Intimate terrorism: Violence enacted when taking control over
one’s partner
• Violence resistance: Response to a partner’s abuse
• Situational couple violence: When there is a contentious
situation in the couple relationship
14-23
• Most of the domestic violence victims are women
• 72 percent of all murder-suicides involve an intimate
partner
• Is a chronically underreported crime
• Dating relationship is more likely to be violent than a
marital relationship
• Results in higher probability of rape and homicide
• Women between 16 and 24 years of age have the highest
risk of abuse by an intimate partner
14-24
• Domestic violence is higher in cultures where men are
dominant
• Affected by social class, migration, and female
dependence on males
• Common among low-income couples
• Cultural view on domestic violence affects the
willingness to report
14-25
Systematic perpetration of malicious and explicit
nonphysical acts against an intimate partner, a child, or
a dependent adult
• Increases the trauma of physical and sexual abuse
• Causes long-term damage to the victim’s mental health
14-26
Probability increases when women:
• Are employed with unemployed partners
• Face a physical disability
• Earn more share of household income
Victims experience:
• Poor health, concentration, and performance
• Emotional and/or mental impairment
• Illegal use of drugs and alcohol
• Suicidal thoughts or attempts
14-27
Accompanied by psychological abuse
• Usually psychological abuse occurs first, followed by physical
aggression
• Predictor of posttraumatic stress disorder or P T S D in women
14-28
• Violence in the family of
origin
• Learned helplessness theory:
Battered women often learn
from childhood that they
should not appear competent
around competitive men who
like to win
• Low self-esteem
• Youth
Economic stress and
financial dependency
Isolation and alcohol
Male dominance
Cultural factors
Linkage of animal abuse and
domestic violence
14-29
Cyclical pattern to wife battering
• Tension-building phase
• Explosion phase
• Loving or honeymoon phase
Catharsis conflict: Venting anger verbally can prevent
physical violence
• Not true as verbal aggression goes hand in hand with
physical aggression
14-30
• Counselors advise battered women to move to a
different home or a shelter
• Panic of losing control can lead men to lash out more
aggressively in such situations
• Some programs require the batterers to attend at
least 6 months of counseling and classes
• To prevent domestic violence schools should be
encouraged to teach positive approaches to conflict
resolution
14-31
14-32
• Adults who are involved with partner violence are
often abusing their children
• Those involved with intimate terrorism are more likely to
abuse their children
• Children who witness violence suffer long-term effects
14-33
Any recent act or failure to act on the part of a parent
or caretaker resulting in:
• Death
• Serious physical or emotional harm
• Sexual abuse
• Exploitation
14-34
Affecting factors
• Employment status of parents
• Family income
• Living with biological, single, or cohabiting parents
• Family characteristics
• Family size and structure
14-35
Psychological aggression: Yelling, shouting, or
threatening a child
Spanking: First step in parents’ physically abusing their
children
• Alternatives to spanking
• Accentuate the positive
• Call a time-out
• Be consistent in how children are
disciplined
• Teach the children rather than hitting them
14-36
Physical health consequences
Psychological consequences
Behavioral consequences
Societal consequences
14-37
• Transcending the pain of a violent childhood is very
difficult
• Some people who are abused or neglected as children
will subject their own children to similar abuse
• Majority of those who are abused as children ensure
that their own children are treated better
14-38
• Economic distress
• Inadequate parenting skills
• Parental personality problems
• Chemical abuse as a means of coping with stress
• Social isolation
14-39
• A special child
• Domestic violence in the family of origin
• Violent subculture
• Violent marriage
• Single parent
• Stepparent
14-40
• Increasing the parent’s self esteem
• Increasing the parent’s knowledge of children and positive
childrearing techniques
• Devising community support networks for families under
stress
Strategies for treatment
• Counseling
• Using discussion and support groups
• Providing child abuse hotlines
• Reducing sources of social stress
Ways to prevent child abuse
14-41
Physical, emotional, or sexual abuse of one sibling by
another
• Signs of abuse
• One child always avoids the other sibling
• Child exhibits changes in behavior, sleep patterns, or eating habits
• Child acts out abuse in play
• Increase in roughness between siblings
Prevention: Active involvement in children’s lives
14-42
Most cases involve physical or verbal abuse, or use of a
weapon
Mothers are more prone to physical abuse
• Frequent in families with a single mother
• Chances increase if they have been abused by their husbands
Some adults physically or mentally abuse elderly
parents
14-43
Generic term that encompasses
• Alcoholism: Addiction to alcohol characterized by
compulsive drinking
• Problem drinking: Alcohol consumption that results in a
functional disability
Contributes to:
• Rapes and sexual assault
• Fetal alcohol syndrome
14-44
Can result in:
• Marital disruption or dissatisfaction
• Domestic violence
• Tension and verbal conflict
• Serious physical and emotional problems for spouses and
children
14-45
Common ways in which families react to alcohol abuse
• Try to deny the problem
• Try to eliminate the problem
• Become disorganized
• Try to reorganize
• Try to escape the problem
• Try to reorganize a second time
• Reorganize, with the substance abuser seeking help
14-46
Self-help groups
• Alcoholics Anonymous or A A: For alcoholics
• Al-Anon: For families of alcoholics
• Alateen: For young people with alcoholic parents
Suggestions for families
• Learn as much as possible about
alcoholism and drug dependence
• Speak up and offer support
14-47
• Do not expect the person to stop without help
• Support recovery as an ongoing process
Families should avoid:
• Preaching, being a martyr, and covering up
• Assuming their responsibilities or arguing when using
• Feeling guilty and responsible for the alcoholism of a member
or joining the member
14-48
• Legal drugs kill more people than illegal drugs
• Nearly 9 out of 10 smokers begin by the age of 18 or
before
• Parents can influence children in not smoking by:
• Not smoking themselves
• Communicating positively and regularly
• Not giving too much unsupervised alone time
or isolating them
• Being aware of their behavior
Chapter 14
Stress, Abuse, and
Family Problems

More Related Content

What's hot

Chapter 10 family life today
Chapter 10 family life todayChapter 10 family life today
Chapter 10 family life todaylbonner1987
 
Kitchen first aid_in_the_kitchen
Kitchen first aid_in_the_kitchenKitchen first aid_in_the_kitchen
Kitchen first aid_in_the_kitchenmarwa elsawy
 
WHAT IS A FAMILY? - ANNE
WHAT IS A FAMILY? - ANNEWHAT IS A FAMILY? - ANNE
WHAT IS A FAMILY? - ANNEAnne Elmido
 
Servsafe comprehensive ppt-full
Servsafe comprehensive ppt-fullServsafe comprehensive ppt-full
Servsafe comprehensive ppt-fulldan widmann
 
Food safety presentation 03.09.15
Food safety presentation 03.09.15Food safety presentation 03.09.15
Food safety presentation 03.09.15crystaljappy
 
Safe food handling practices by M.Naveen Kumar
Safe food handling practices by M.Naveen KumarSafe food handling practices by M.Naveen Kumar
Safe food handling practices by M.Naveen KumarNaveen Kumar Merugu
 
Chapter 7 The Flow of Food Storage
Chapter 7 The Flow of Food StorageChapter 7 The Flow of Food Storage
Chapter 7 The Flow of Food StorageKellyGCDET
 
Lesson 1 Introduction to Food Safety
Lesson 1 Introduction to Food SafetyLesson 1 Introduction to Food Safety
Lesson 1 Introduction to Food SafetyMervyn Maico Aldana
 
Healthy Holiday
Healthy HolidayHealthy Holiday
Healthy Holidayggbaker
 
Fortified food, Enriched Food
Fortified food, Enriched FoodFortified food, Enriched Food
Fortified food, Enriched FoodMohammad Khalid
 
Vegetarian diets presentation
Vegetarian diets presentationVegetarian diets presentation
Vegetarian diets presentationShaun Moore
 
Introduction to Food Safety
Introduction to Food Safety Introduction to Food Safety
Introduction to Food Safety Batoul Ghosn
 
Chapter 8 NUTRIENTS FOR KEY BODY FUNCTIONS
Chapter 8 NUTRIENTS FOR KEY BODY FUNCTIONSChapter 8 NUTRIENTS FOR KEY BODY FUNCTIONS
Chapter 8 NUTRIENTS FOR KEY BODY FUNCTIONSEarlene McNair
 

What's hot (20)

Family
FamilyFamily
Family
 
Chapter 10 family life today
Chapter 10 family life todayChapter 10 family life today
Chapter 10 family life today
 
Complete presentation family
Complete presentation familyComplete presentation family
Complete presentation family
 
Kitchen first aid_in_the_kitchen
Kitchen first aid_in_the_kitchenKitchen first aid_in_the_kitchen
Kitchen first aid_in_the_kitchen
 
WHAT IS A FAMILY? - ANNE
WHAT IS A FAMILY? - ANNEWHAT IS A FAMILY? - ANNE
WHAT IS A FAMILY? - ANNE
 
Servsafe comprehensive ppt-full
Servsafe comprehensive ppt-fullServsafe comprehensive ppt-full
Servsafe comprehensive ppt-full
 
Eating right presentation
Eating right presentationEating right presentation
Eating right presentation
 
Protein
ProteinProtein
Protein
 
Chapter 11 Power Point
Chapter 11 Power PointChapter 11 Power Point
Chapter 11 Power Point
 
Chapter 6 power point
Chapter 6 power pointChapter 6 power point
Chapter 6 power point
 
FOOD PRODUCTION AND SANITATION
FOOD PRODUCTION AND SANITATIONFOOD PRODUCTION AND SANITATION
FOOD PRODUCTION AND SANITATION
 
Food safety presentation 03.09.15
Food safety presentation 03.09.15Food safety presentation 03.09.15
Food safety presentation 03.09.15
 
Safe food handling practices by M.Naveen Kumar
Safe food handling practices by M.Naveen KumarSafe food handling practices by M.Naveen Kumar
Safe food handling practices by M.Naveen Kumar
 
Chapter 7 The Flow of Food Storage
Chapter 7 The Flow of Food StorageChapter 7 The Flow of Food Storage
Chapter 7 The Flow of Food Storage
 
Lesson 1 Introduction to Food Safety
Lesson 1 Introduction to Food SafetyLesson 1 Introduction to Food Safety
Lesson 1 Introduction to Food Safety
 
Healthy Holiday
Healthy HolidayHealthy Holiday
Healthy Holiday
 
Fortified food, Enriched Food
Fortified food, Enriched FoodFortified food, Enriched Food
Fortified food, Enriched Food
 
Vegetarian diets presentation
Vegetarian diets presentationVegetarian diets presentation
Vegetarian diets presentation
 
Introduction to Food Safety
Introduction to Food Safety Introduction to Food Safety
Introduction to Food Safety
 
Chapter 8 NUTRIENTS FOR KEY BODY FUNCTIONS
Chapter 8 NUTRIENTS FOR KEY BODY FUNCTIONSChapter 8 NUTRIENTS FOR KEY BODY FUNCTIONS
Chapter 8 NUTRIENTS FOR KEY BODY FUNCTIONS
 

Similar to CFD 163-Chapter 14-Stress, Abuse, and Family Problems

ABC's of Trauma Informed Care
ABC's of Trauma Informed CareABC's of Trauma Informed Care
ABC's of Trauma Informed Caremswatusc
 
Trauma COVID Slides.2.pdf
Trauma COVID Slides.2.pdfTrauma COVID Slides.2.pdf
Trauma COVID Slides.2.pdfgrety iancu
 
Response Ability: Promoting student resilience and wellbeing/responding to me...
Response Ability: Promoting student resilience and wellbeing/responding to me...Response Ability: Promoting student resilience and wellbeing/responding to me...
Response Ability: Promoting student resilience and wellbeing/responding to me...Hunter Institute of Mental Health
 
Psychosocial Assessment 02-02-22.pptx
Psychosocial Assessment 02-02-22.pptxPsychosocial Assessment 02-02-22.pptx
Psychosocial Assessment 02-02-22.pptxAttaullahKhan62
 
Positive discipline conference trauma
Positive discipline conference traumaPositive discipline conference trauma
Positive discipline conference traumaTrieste Palmer Prusso
 
Domestic Violence & Abuse awareness training
Domestic Violence & Abuse awareness training  Domestic Violence & Abuse awareness training
Domestic Violence & Abuse awareness training Maria Fernandez Peterson
 
Stress and health
Stress and healthStress and health
Stress and healthirenek
 
Promoting mental health and prevent mental illness
Promoting mental health and prevent mental illnessPromoting mental health and prevent mental illness
Promoting mental health and prevent mental illnesskumar mahi
 
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docx
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docxChild Maltreatment and Intra-Familial ViolenceClinical Soc.docx
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docxbartholomeocoombs
 
Health and Wellness.ppt
Health and Wellness.pptHealth and Wellness.ppt
Health and Wellness.pptAllynIICrisolo
 
Personal_Dev_2nd_Qtr_Week_1.pdf
Personal_Dev_2nd_Qtr_Week_1.pdfPersonal_Dev_2nd_Qtr_Week_1.pdf
Personal_Dev_2nd_Qtr_Week_1.pdfOfeliaPedelino
 
CFD 163-Chapter 12-Parenthood Joys and Challenges
CFD 163-Chapter 12-Parenthood Joys and ChallengesCFD 163-Chapter 12-Parenthood Joys and Challenges
CFD 163-Chapter 12-Parenthood Joys and ChallengesKim Sutton
 
MENTAL_ALZYMERS_DISEASE_CASES_PRECAUTION.pptx
MENTAL_ALZYMERS_DISEASE_CASES_PRECAUTION.pptxMENTAL_ALZYMERS_DISEASE_CASES_PRECAUTION.pptx
MENTAL_ALZYMERS_DISEASE_CASES_PRECAUTION.pptxSoumikMaity7
 
psychosocialhealth-150924003540-lva1-app6892.pdf
psychosocialhealth-150924003540-lva1-app6892.pdfpsychosocialhealth-150924003540-lva1-app6892.pdf
psychosocialhealth-150924003540-lva1-app6892.pdfDeviSneha1
 

Similar to CFD 163-Chapter 14-Stress, Abuse, and Family Problems (20)

ABC's of Trauma Informed Care
ABC's of Trauma Informed CareABC's of Trauma Informed Care
ABC's of Trauma Informed Care
 
Trauma COVID Slides.2.pdf
Trauma COVID Slides.2.pdfTrauma COVID Slides.2.pdf
Trauma COVID Slides.2.pdf
 
Response Ability: Promoting student resilience and wellbeing/responding to me...
Response Ability: Promoting student resilience and wellbeing/responding to me...Response Ability: Promoting student resilience and wellbeing/responding to me...
Response Ability: Promoting student resilience and wellbeing/responding to me...
 
Violence in homes
Violence in homesViolence in homes
Violence in homes
 
Psychosocial Assessment 02-02-22.pptx
Psychosocial Assessment 02-02-22.pptxPsychosocial Assessment 02-02-22.pptx
Psychosocial Assessment 02-02-22.pptx
 
Positive discipline conference trauma
Positive discipline conference traumaPositive discipline conference trauma
Positive discipline conference trauma
 
Domestic Violence & Abuse awareness training
Domestic Violence & Abuse awareness training  Domestic Violence & Abuse awareness training
Domestic Violence & Abuse awareness training
 
DV Session 2.pptx
DV Session 2.pptxDV Session 2.pptx
DV Session 2.pptx
 
Stress and health
Stress and healthStress and health
Stress and health
 
Promoting mental health and prevent mental illness
Promoting mental health and prevent mental illnessPromoting mental health and prevent mental illness
Promoting mental health and prevent mental illness
 
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docx
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docxChild Maltreatment and Intra-Familial ViolenceClinical Soc.docx
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docx
 
Health and Wellness.ppt
Health and Wellness.pptHealth and Wellness.ppt
Health and Wellness.ppt
 
Stanford11
Stanford11Stanford11
Stanford11
 
Universal mental health promotion
Universal mental health promotionUniversal mental health promotion
Universal mental health promotion
 
Personal_Dev_2nd_Qtr_Week_1.pdf
Personal_Dev_2nd_Qtr_Week_1.pdfPersonal_Dev_2nd_Qtr_Week_1.pdf
Personal_Dev_2nd_Qtr_Week_1.pdf
 
Child abuse
Child abuseChild abuse
Child abuse
 
CFD 163-Chapter 12-Parenthood Joys and Challenges
CFD 163-Chapter 12-Parenthood Joys and ChallengesCFD 163-Chapter 12-Parenthood Joys and Challenges
CFD 163-Chapter 12-Parenthood Joys and Challenges
 
MENTAL_ALZYMERS_DISEASE_CASES_PRECAUTION.pptx
MENTAL_ALZYMERS_DISEASE_CASES_PRECAUTION.pptxMENTAL_ALZYMERS_DISEASE_CASES_PRECAUTION.pptx
MENTAL_ALZYMERS_DISEASE_CASES_PRECAUTION.pptx
 
Psychosocial health
Psychosocial healthPsychosocial health
Psychosocial health
 
psychosocialhealth-150924003540-lva1-app6892.pdf
psychosocialhealth-150924003540-lva1-app6892.pdfpsychosocialhealth-150924003540-lva1-app6892.pdf
psychosocialhealth-150924003540-lva1-app6892.pdf
 

More from Kim Sutton

Chapter 13 lecture slides
Chapter 13 lecture slidesChapter 13 lecture slides
Chapter 13 lecture slidesKim Sutton
 
Cfd 250 chapter 17b
Cfd 250 chapter 17bCfd 250 chapter 17b
Cfd 250 chapter 17bKim Sutton
 
Cfd 250 chapter 17a
Cfd 250 chapter 17aCfd 250 chapter 17a
Cfd 250 chapter 17aKim Sutton
 
Cfd 250 chapter 12
Cfd 250 chapter 12Cfd 250 chapter 12
Cfd 250 chapter 12Kim Sutton
 
Cfd 250 chapter 16
Cfd 250 chapter 16Cfd 250 chapter 16
Cfd 250 chapter 16Kim Sutton
 
Cfd 250 chapter 15
Cfd 250 chapter 15Cfd 250 chapter 15
Cfd 250 chapter 15Kim Sutton
 
Cfd 250 chapter 13
Cfd 250 chapter 13Cfd 250 chapter 13
Cfd 250 chapter 13Kim Sutton
 
Cfd 250 chapter 14
Cfd 250 chapter 14Cfd 250 chapter 14
Cfd 250 chapter 14Kim Sutton
 
Cfd 250 chapter 11
Cfd 250 chapter 11Cfd 250 chapter 11
Cfd 250 chapter 11Kim Sutton
 
Cfd 250 chapter 10
Cfd 250 chapter 10Cfd 250 chapter 10
Cfd 250 chapter 10Kim Sutton
 
CFD 163-Chapter 15-Divorce, Single-Parent Families, and Stepfamilies
CFD 163-Chapter 15-Divorce, Single-Parent Families, and StepfamiliesCFD 163-Chapter 15-Divorce, Single-Parent Families, and Stepfamilies
CFD 163-Chapter 15-Divorce, Single-Parent Families, and StepfamiliesKim Sutton
 
CFD 163-Chapter 11-Marriage: Building a Strong Foundation
CFD 163-Chapter 11-Marriage: Building a Strong FoundationCFD 163-Chapter 11-Marriage: Building a Strong Foundation
CFD 163-Chapter 11-Marriage: Building a Strong FoundationKim Sutton
 
CFD 163-Chapter 8-Managing Economic Resources
CFD 163-Chapter 8-Managing Economic ResourcesCFD 163-Chapter 8-Managing Economic Resources
CFD 163-Chapter 8-Managing Economic ResourcesKim Sutton
 
CFD 163-Chapter 7-Gender Roles
CFD 163-Chapter 7-Gender RolesCFD 163-Chapter 7-Gender Roles
CFD 163-Chapter 7-Gender RolesKim Sutton
 
CFD 163-Chapter 5-Conflict, Conflict Resolution
CFD 163-Chapter 5-Conflict, Conflict ResolutionCFD 163-Chapter 5-Conflict, Conflict Resolution
CFD 163-Chapter 5-Conflict, Conflict ResolutionKim Sutton
 
CFD 163-Chapter 3-Understanding Marriage
CFD 163-Chapter 3-Understanding MarriageCFD 163-Chapter 3-Understanding Marriage
CFD 163-Chapter 3-Understanding MarriageKim Sutton
 
CFD163-Chapter 2-Cultural Diversity
CFD163-Chapter 2-Cultural DiversityCFD163-Chapter 2-Cultural Diversity
CFD163-Chapter 2-Cultural DiversityKim Sutton
 
CFD 163-Chapter 1-Perspectives on Intimate Relationships
CFD 163-Chapter 1-Perspectives on Intimate RelationshipsCFD 163-Chapter 1-Perspectives on Intimate Relationships
CFD 163-Chapter 1-Perspectives on Intimate RelationshipsKim Sutton
 
CFD 163-Chapter 4-Communication and Intimacy
CFD 163-Chapter 4-Communication and IntimacyCFD 163-Chapter 4-Communication and Intimacy
CFD 163-Chapter 4-Communication and IntimacyKim Sutton
 
Cfd 250 chapter 9
Cfd 250 chapter 9Cfd 250 chapter 9
Cfd 250 chapter 9Kim Sutton
 

More from Kim Sutton (20)

Chapter 13 lecture slides
Chapter 13 lecture slidesChapter 13 lecture slides
Chapter 13 lecture slides
 
Cfd 250 chapter 17b
Cfd 250 chapter 17bCfd 250 chapter 17b
Cfd 250 chapter 17b
 
Cfd 250 chapter 17a
Cfd 250 chapter 17aCfd 250 chapter 17a
Cfd 250 chapter 17a
 
Cfd 250 chapter 12
Cfd 250 chapter 12Cfd 250 chapter 12
Cfd 250 chapter 12
 
Cfd 250 chapter 16
Cfd 250 chapter 16Cfd 250 chapter 16
Cfd 250 chapter 16
 
Cfd 250 chapter 15
Cfd 250 chapter 15Cfd 250 chapter 15
Cfd 250 chapter 15
 
Cfd 250 chapter 13
Cfd 250 chapter 13Cfd 250 chapter 13
Cfd 250 chapter 13
 
Cfd 250 chapter 14
Cfd 250 chapter 14Cfd 250 chapter 14
Cfd 250 chapter 14
 
Cfd 250 chapter 11
Cfd 250 chapter 11Cfd 250 chapter 11
Cfd 250 chapter 11
 
Cfd 250 chapter 10
Cfd 250 chapter 10Cfd 250 chapter 10
Cfd 250 chapter 10
 
CFD 163-Chapter 15-Divorce, Single-Parent Families, and Stepfamilies
CFD 163-Chapter 15-Divorce, Single-Parent Families, and StepfamiliesCFD 163-Chapter 15-Divorce, Single-Parent Families, and Stepfamilies
CFD 163-Chapter 15-Divorce, Single-Parent Families, and Stepfamilies
 
CFD 163-Chapter 11-Marriage: Building a Strong Foundation
CFD 163-Chapter 11-Marriage: Building a Strong FoundationCFD 163-Chapter 11-Marriage: Building a Strong Foundation
CFD 163-Chapter 11-Marriage: Building a Strong Foundation
 
CFD 163-Chapter 8-Managing Economic Resources
CFD 163-Chapter 8-Managing Economic ResourcesCFD 163-Chapter 8-Managing Economic Resources
CFD 163-Chapter 8-Managing Economic Resources
 
CFD 163-Chapter 7-Gender Roles
CFD 163-Chapter 7-Gender RolesCFD 163-Chapter 7-Gender Roles
CFD 163-Chapter 7-Gender Roles
 
CFD 163-Chapter 5-Conflict, Conflict Resolution
CFD 163-Chapter 5-Conflict, Conflict ResolutionCFD 163-Chapter 5-Conflict, Conflict Resolution
CFD 163-Chapter 5-Conflict, Conflict Resolution
 
CFD 163-Chapter 3-Understanding Marriage
CFD 163-Chapter 3-Understanding MarriageCFD 163-Chapter 3-Understanding Marriage
CFD 163-Chapter 3-Understanding Marriage
 
CFD163-Chapter 2-Cultural Diversity
CFD163-Chapter 2-Cultural DiversityCFD163-Chapter 2-Cultural Diversity
CFD163-Chapter 2-Cultural Diversity
 
CFD 163-Chapter 1-Perspectives on Intimate Relationships
CFD 163-Chapter 1-Perspectives on Intimate RelationshipsCFD 163-Chapter 1-Perspectives on Intimate Relationships
CFD 163-Chapter 1-Perspectives on Intimate Relationships
 
CFD 163-Chapter 4-Communication and Intimacy
CFD 163-Chapter 4-Communication and IntimacyCFD 163-Chapter 4-Communication and Intimacy
CFD 163-Chapter 4-Communication and Intimacy
 
Cfd 250 chapter 9
Cfd 250 chapter 9Cfd 250 chapter 9
Cfd 250 chapter 9
 

Recently uploaded

Crayon Activity Handout For the Crayon A
Crayon Activity Handout For the Crayon ACrayon Activity Handout For the Crayon A
Crayon Activity Handout For the Crayon AUnboundStockton
 
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxSOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxiammrhaywood
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityGeoBlogs
 
Separation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and ActinidesSeparation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and ActinidesFatimaKhan178732
 
MENTAL STATUS EXAMINATION format.docx
MENTAL     STATUS EXAMINATION format.docxMENTAL     STATUS EXAMINATION format.docx
MENTAL STATUS EXAMINATION format.docxPoojaSen20
 
Alper Gobel In Media Res Media Component
Alper Gobel In Media Res Media ComponentAlper Gobel In Media Res Media Component
Alper Gobel In Media Res Media ComponentInMediaRes1
 
Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)eniolaolutunde
 
Contemporary philippine arts from the regions_PPT_Module_12 [Autosaved] (1).pptx
Contemporary philippine arts from the regions_PPT_Module_12 [Autosaved] (1).pptxContemporary philippine arts from the regions_PPT_Module_12 [Autosaved] (1).pptx
Contemporary philippine arts from the regions_PPT_Module_12 [Autosaved] (1).pptxRoyAbrique
 
A Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy ReformA Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy ReformChameera Dedduwage
 
Concept of Vouching. B.Com(Hons) /B.Compdf
Concept of Vouching. B.Com(Hons) /B.CompdfConcept of Vouching. B.Com(Hons) /B.Compdf
Concept of Vouching. B.Com(Hons) /B.CompdfUmakantAnnand
 
Employee wellbeing at the workplace.pptx
Employee wellbeing at the workplace.pptxEmployee wellbeing at the workplace.pptx
Employee wellbeing at the workplace.pptxNirmalaLoungPoorunde1
 
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPTECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPTiammrhaywood
 
Class 11 Legal Studies Ch-1 Concept of State .pdf
Class 11 Legal Studies Ch-1 Concept of State .pdfClass 11 Legal Studies Ch-1 Concept of State .pdf
Class 11 Legal Studies Ch-1 Concept of State .pdfakmcokerachita
 
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdfEnzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdfSumit Tiwari
 
Presiding Officer Training module 2024 lok sabha elections
Presiding Officer Training module 2024 lok sabha electionsPresiding Officer Training module 2024 lok sabha elections
Presiding Officer Training module 2024 lok sabha electionsanshu789521
 

Recently uploaded (20)

Crayon Activity Handout For the Crayon A
Crayon Activity Handout For the Crayon ACrayon Activity Handout For the Crayon A
Crayon Activity Handout For the Crayon A
 
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxSOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activity
 
Separation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and ActinidesSeparation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and Actinides
 
Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1
 
MENTAL STATUS EXAMINATION format.docx
MENTAL     STATUS EXAMINATION format.docxMENTAL     STATUS EXAMINATION format.docx
MENTAL STATUS EXAMINATION format.docx
 
Staff of Color (SOC) Retention Efforts DDSD
Staff of Color (SOC) Retention Efforts DDSDStaff of Color (SOC) Retention Efforts DDSD
Staff of Color (SOC) Retention Efforts DDSD
 
Alper Gobel In Media Res Media Component
Alper Gobel In Media Res Media ComponentAlper Gobel In Media Res Media Component
Alper Gobel In Media Res Media Component
 
Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)
 
Contemporary philippine arts from the regions_PPT_Module_12 [Autosaved] (1).pptx
Contemporary philippine arts from the regions_PPT_Module_12 [Autosaved] (1).pptxContemporary philippine arts from the regions_PPT_Module_12 [Autosaved] (1).pptx
Contemporary philippine arts from the regions_PPT_Module_12 [Autosaved] (1).pptx
 
A Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy ReformA Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy Reform
 
9953330565 Low Rate Call Girls In Rohini Delhi NCR
9953330565 Low Rate Call Girls In Rohini  Delhi NCR9953330565 Low Rate Call Girls In Rohini  Delhi NCR
9953330565 Low Rate Call Girls In Rohini Delhi NCR
 
Concept of Vouching. B.Com(Hons) /B.Compdf
Concept of Vouching. B.Com(Hons) /B.CompdfConcept of Vouching. B.Com(Hons) /B.Compdf
Concept of Vouching. B.Com(Hons) /B.Compdf
 
Employee wellbeing at the workplace.pptx
Employee wellbeing at the workplace.pptxEmployee wellbeing at the workplace.pptx
Employee wellbeing at the workplace.pptx
 
Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝
 
Model Call Girl in Bikash Puri Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Bikash Puri  Delhi reach out to us at 🔝9953056974🔝Model Call Girl in Bikash Puri  Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Bikash Puri Delhi reach out to us at 🔝9953056974🔝
 
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPTECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
 
Class 11 Legal Studies Ch-1 Concept of State .pdf
Class 11 Legal Studies Ch-1 Concept of State .pdfClass 11 Legal Studies Ch-1 Concept of State .pdf
Class 11 Legal Studies Ch-1 Concept of State .pdf
 
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdfEnzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
 
Presiding Officer Training module 2024 lok sabha elections
Presiding Officer Training module 2024 lok sabha electionsPresiding Officer Training module 2024 lok sabha elections
Presiding Officer Training module 2024 lok sabha elections
 

CFD 163-Chapter 14-Stress, Abuse, and Family Problems

  • 1. Chapter 14 Stress, Abuse, and Family Problems
  • 2. 14-2 Intimacy involves sharing feelings that help people when there is stress in life Successfully facing crisis results in stronger marriages and families Diversity in cultures defines how people face difficulties
  • 3. 14-3 Stressors begin or end in the family Families from all cultural groups experience couple and family stress Families use internal resources before seeking external resources to manage stress In families with strong extended-family structures, the major resources come from within the family All couples and families have some internal strengths for managing stress
  • 4. 14-4 Daily pressure that everyone encounters • Levels of stress • Physiological: Body’s harmful reaction to whatever happens • Psychological: Appraising the threat, resulting in an emotional reaction • Sociocultural: Disturbance of social systems
  • 5. 14-5 Coping: Action taken when something is identified as stressful or harmful • Problem-focused: Trying to change the situation or behaviors • Emotion-focused: Managing emotional distress and seeking help Successful coping: Taking on life’s challenges with personal control and hope
  • 6. 14-6 Scale of life events that require change of behavior or readjustment • Personal events • Family events • Financial events or issues • Occupational stressors Physical and emotional problems occur when individuals experience changes in life
  • 7. 14-7 Breast cancer: Likely that the relationship between negative life events and breast cancer is negligibly small • No conclusive studies found yet Cardiovascular diseases: Mostly a result of stress caused by jobs with high demand and low control Influenza: Interpersonal conflicts and stressful life events contribute to the common cold and influenza
  • 8. 14-8 Dating couples Engaged couples Married couples My job My job My spouse Feeling emotionally upset Financial concerns My job Inadequate income Costs of wedding Feeling emotionally upset Your partner Lack of exercise Inadequate income Job security Lack of sleep House projects undone Source: Larson, P. J., & Olson, D. H., Top Five Stressors for Couples, 2012. Web site: http://www.prepareenrich.com/research.
  • 9. 14-9 People are confused about who is in or out of their family system • When a loved one is physically absent but kept psychologically present because there is no assurance of death • When someone who one cares about is present but absent psychologically
  • 10. 14-10 Share what is most stressing to each of you Prioritize what stressor to tackle first Develop a plan with specific goals to manage the stress together Use your communication and relationship skills Support and praise each other for progress
  • 11. 14-11 A: Stressor event B: Family’s crisis-meeting resources C: Definition the family gives to the event X: Crisis Helps understand: • How severe a crisis will turn out to be • How some families survive traumatic events
  • 12. 14-12 People do not go back to normal life but find a new normal life The attacks on September 11, 2001, proved to be a roller coaster for America • Process of recovery took several months but was achieved • In the long run, resulted in strengthening of areas that were initially attacked
  • 13. 14-13
  • 14. 14-14 Families become more extreme on both flexibility and cohesion Increase in communication levels Once the stress has abated, families return to a similar type of system that was present before the stress Families require minimum 6 months to a year to adjust to a major stress Family systems become unbalanced during stress and return to another balanced system a year later
  • 15. 14-15 Deployment: Time when a military person leaves the family and engages in training or combat Effects of deployment • Deployed personnel may experience the lasting effects of trauma • Family members remaining at home experience effects of separation, reunion, and other difficulties
  • 16. 14-16 Couples When one partner is deployed, it creates mental and physical health issues that interfere with marital well-being • Problems such as posttraumatic stress disorder and traumatic brain injury • Higher divorce rates Children When a parent is deployed, it results in depression, acting out, poor academic performance, and discipline problems • Ability to cope is dependent upon the adjustment of the at- home parent
  • 17. 14-17 Local communities are creating their own formal and informal support systems • Help connect potentially isolated family members with services in the community • Provide opportunities for those not in military services to support those who are
  • 18. 14-18 Results from combat or other traumatic events • Causes stress and disruption in marriage and family relationships Symptoms • Domestic violence or substance abuse • Occupational dysfunction Treatment: Combination of drugs and therapy
  • 19. 14-19 Concept of managing stress: Description of how families handle stressors Family’s coping resources are considered strengths, which are derived from all aspects of life • Cohesion or flexibility • Communication • Boundary clarity • Order and mastery
  • 20. 14-20 General Specific Cognitive Gain knowledge Reframe situation Emotional Express feelings Resolve feelings Be sensitive to others’ emotional needs Relationships Increase cohesion Increase adaptability Increase trust and cooperation Community Seek help and support Spiritual Be involved in religious activities Maintain faith Individual development Develop autonomy, independence
  • 21. 14-21 Pattern of abusive behavior that is used by one partner to gain or maintain power and control over another intimate partner • Forms of abuse include actions or threats of actions that influence another person  Physical abuse  Sexual abuse  Emotional abuse  Economic abuse  Psychological abuse
  • 22. 14-22 Children who witness domestic violence grow up to be abusers themselves or the victim • Types • Intimate terrorism: Violence enacted when taking control over one’s partner • Violence resistance: Response to a partner’s abuse • Situational couple violence: When there is a contentious situation in the couple relationship
  • 23. 14-23 • Most of the domestic violence victims are women • 72 percent of all murder-suicides involve an intimate partner • Is a chronically underreported crime • Dating relationship is more likely to be violent than a marital relationship • Results in higher probability of rape and homicide • Women between 16 and 24 years of age have the highest risk of abuse by an intimate partner
  • 24. 14-24 • Domestic violence is higher in cultures where men are dominant • Affected by social class, migration, and female dependence on males • Common among low-income couples • Cultural view on domestic violence affects the willingness to report
  • 25. 14-25 Systematic perpetration of malicious and explicit nonphysical acts against an intimate partner, a child, or a dependent adult • Increases the trauma of physical and sexual abuse • Causes long-term damage to the victim’s mental health
  • 26. 14-26 Probability increases when women: • Are employed with unemployed partners • Face a physical disability • Earn more share of household income Victims experience: • Poor health, concentration, and performance • Emotional and/or mental impairment • Illegal use of drugs and alcohol • Suicidal thoughts or attempts
  • 27. 14-27 Accompanied by psychological abuse • Usually psychological abuse occurs first, followed by physical aggression • Predictor of posttraumatic stress disorder or P T S D in women
  • 28. 14-28 • Violence in the family of origin • Learned helplessness theory: Battered women often learn from childhood that they should not appear competent around competitive men who like to win • Low self-esteem • Youth Economic stress and financial dependency Isolation and alcohol Male dominance Cultural factors Linkage of animal abuse and domestic violence
  • 29. 14-29 Cyclical pattern to wife battering • Tension-building phase • Explosion phase • Loving or honeymoon phase Catharsis conflict: Venting anger verbally can prevent physical violence • Not true as verbal aggression goes hand in hand with physical aggression
  • 30. 14-30 • Counselors advise battered women to move to a different home or a shelter • Panic of losing control can lead men to lash out more aggressively in such situations • Some programs require the batterers to attend at least 6 months of counseling and classes • To prevent domestic violence schools should be encouraged to teach positive approaches to conflict resolution
  • 31. 14-31
  • 32. 14-32 • Adults who are involved with partner violence are often abusing their children • Those involved with intimate terrorism are more likely to abuse their children • Children who witness violence suffer long-term effects
  • 33. 14-33 Any recent act or failure to act on the part of a parent or caretaker resulting in: • Death • Serious physical or emotional harm • Sexual abuse • Exploitation
  • 34. 14-34 Affecting factors • Employment status of parents • Family income • Living with biological, single, or cohabiting parents • Family characteristics • Family size and structure
  • 35. 14-35 Psychological aggression: Yelling, shouting, or threatening a child Spanking: First step in parents’ physically abusing their children • Alternatives to spanking • Accentuate the positive • Call a time-out • Be consistent in how children are disciplined • Teach the children rather than hitting them
  • 36. 14-36 Physical health consequences Psychological consequences Behavioral consequences Societal consequences
  • 37. 14-37 • Transcending the pain of a violent childhood is very difficult • Some people who are abused or neglected as children will subject their own children to similar abuse • Majority of those who are abused as children ensure that their own children are treated better
  • 38. 14-38 • Economic distress • Inadequate parenting skills • Parental personality problems • Chemical abuse as a means of coping with stress • Social isolation
  • 39. 14-39 • A special child • Domestic violence in the family of origin • Violent subculture • Violent marriage • Single parent • Stepparent
  • 40. 14-40 • Increasing the parent’s self esteem • Increasing the parent’s knowledge of children and positive childrearing techniques • Devising community support networks for families under stress Strategies for treatment • Counseling • Using discussion and support groups • Providing child abuse hotlines • Reducing sources of social stress Ways to prevent child abuse
  • 41. 14-41 Physical, emotional, or sexual abuse of one sibling by another • Signs of abuse • One child always avoids the other sibling • Child exhibits changes in behavior, sleep patterns, or eating habits • Child acts out abuse in play • Increase in roughness between siblings Prevention: Active involvement in children’s lives
  • 42. 14-42 Most cases involve physical or verbal abuse, or use of a weapon Mothers are more prone to physical abuse • Frequent in families with a single mother • Chances increase if they have been abused by their husbands Some adults physically or mentally abuse elderly parents
  • 43. 14-43 Generic term that encompasses • Alcoholism: Addiction to alcohol characterized by compulsive drinking • Problem drinking: Alcohol consumption that results in a functional disability Contributes to: • Rapes and sexual assault • Fetal alcohol syndrome
  • 44. 14-44 Can result in: • Marital disruption or dissatisfaction • Domestic violence • Tension and verbal conflict • Serious physical and emotional problems for spouses and children
  • 45. 14-45 Common ways in which families react to alcohol abuse • Try to deny the problem • Try to eliminate the problem • Become disorganized • Try to reorganize • Try to escape the problem • Try to reorganize a second time • Reorganize, with the substance abuser seeking help
  • 46. 14-46 Self-help groups • Alcoholics Anonymous or A A: For alcoholics • Al-Anon: For families of alcoholics • Alateen: For young people with alcoholic parents Suggestions for families • Learn as much as possible about alcoholism and drug dependence • Speak up and offer support
  • 47. 14-47 • Do not expect the person to stop without help • Support recovery as an ongoing process Families should avoid: • Preaching, being a martyr, and covering up • Assuming their responsibilities or arguing when using • Feeling guilty and responsible for the alcoholism of a member or joining the member
  • 48. 14-48 • Legal drugs kill more people than illegal drugs • Nearly 9 out of 10 smokers begin by the age of 18 or before • Parents can influence children in not smoking by: • Not smoking themselves • Communicating positively and regularly • Not giving too much unsupervised alone time or isolating them • Being aware of their behavior
  • 49. Chapter 14 Stress, Abuse, and Family Problems