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Duvall Family Developmental Theory

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Patient and family suffering from Alzheimer's disease A chronic illness is a condition that usually lasts for an extended period and cannot easily be cured, however, the symptoms can be controlled. A chronic disease is irreversible and can lead to specific disability or inability to perform activities of daily living, e.g., eating, bathing, walking, and toileting. The impact of chronic illness on a family may be disastrous to either the patient or family because of the inability to cope with the new disease. Alzheimer's disease is a common type of dementia disorder that affects individuals through causing problems with memory, thinking, and personal behavior. It technically accounts for approximately 60% to 80% of the dementia cases (Alzheimer's …show more content…

This assessment tool was utilized to indicate Natalie's family developmental stage. According to The Duvall Family Developmental Theory, Natalie is at Stage VIII: Aging families. It includes retirement to death of one or both spouses (Friedman, 1998). The major goal under this stage is disengagement (Friedman, 1998). Expected Family Developmental Tasks for this Stage The expectations for stage VIII Duvall's family assessment developmental stages include: maintaining a satisfying living arrangement, adjusting to a retirement income, establishing comfortable household routines, maintaining marital relationships, nurturing spouse, adjusting to loss of spouse, maintaining intergenerational ties, caring for aging relatives, keeping a lively interest in things and people outside the family, and continuing to make sense of one's existence (Friedman, 1998). Examples of Family's Status with Family Development …show more content…

Some of the things sort of in a family assessment include the type of family, the occupation of family members, educational backgrounds, family health problems, and others. This assists in decision making about the healthcare needs of a family and adopted the Wong and Eaton's (2001) Family Assessment tool. The tool allows the nurse to do a good observation and evaluation of the dynamics of Natalie's family. Summary of Assessment and Ecomap Findings The Wong and Eaton’s (2001) Family Assessment tool entails two key areas, i.e., the structural and functional assessment. Structural assessment areas include family composition, social, cultural, religious, and economic characteristics that affect the family's overall psychological health (Wong & Eaton, 2001). The functional assessment component encompasses how families behave towards one another, roles, and qualities of relationships (Wong & Eaton, 2001). The tool helped provide a concise picture of Natalie's family structure and

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lIn the book “The Glass Castle” there are examples of many different Family Developmental periods, however I will discuss one that stuck out to me the most. Family development according to the textbook “Family Theories: Foundations and Application” by Katherine R. Allen and Angela C. Henderson is “a longitudinal process of going through a hierarchical system of age and stage related changes” (Allen & Henderson, 84). This means that as a family there are various stages at different ages that result in different changes. For example, this can be seen within the book The Glass Castle in many ways. One way that stuck out to me the most was when Lori and Jeannette are making plans to transition into adulthood.

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Understanding the internal structure of a family, the assessment must look at six different aspects of the internal family structure: family composition, gender, sexual orientation, rank order, subsystems, and boundaries (Wright & Leahey, 2013). Each different aspects contributes a piece to the internal structure of the family. Within the family composition, assessing the family unit or system, whether or not members are blood related, does the family contain children, the future commitment obligations (if any), and any caregiving functions to unit members (Wright & Leahey,

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Family Assessment Tools The Calgary Family Assessment Model (CFAM) is a renowned assessment tool used by nurses in conceptualizing and organizing data gathered while working with families(Wright and Leahey, 2009). It is a useful tool both for compiling data for a family assessment as well as in assisting families to deal with specific health issues. The CFAM has three main categories namely: structural which encompasses the internal, external and contextual; developmental which includes stages, tasks and attachments; and functional level which hasthe instrumental (daily living activities) and expressive which includes communication, problem solving, roles, power, beliefs, alliances and coalition(John & Flowers, 2009).

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Main Analysis The varieties in family structure are exposed in the television series Parenthood. The small families within the Braverman family give relevant examples of the change. Each of the children in the show has their own unique support system. All families prove relevance to prior research conducted on the topic.

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There’s no typical family as nuclear families as in the past and not everyone lives in a multigenerational household. Same-sex families are also on the rise as sexual ambiguity is undergoing its own wave of acceptance in all political, social, and economic spheres. With the absence of the parents’ presence in the home due to an inability effectively balance work and home life, children could develop an emotional void/absence. Good communicative dialogue between children and their parents where the adults describe their work situation as it relates to the home to create resilient children, could possibly benefit the household.

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If the family members cannot think through their responses to relationship dilemmas, a state of chronic anxiety may be set in place. According to Brown (1999.), the primary goal of family systems therapy is to reduce constant tension by enabling knowledge and awareness of how the emotional system functions; and by improving levels of differentiation, where the aim is to make changes for the self rather than on trying to change others. As per Richardson, Gilleard, Lieberman, and Peeler (1994), The short-term goal is to foster better relationships between family members of the different generations by understanding the family system with its rules and balances of power and to mobilize the system by reconstruing these rules and having the family observe its own

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Theories, Key Concepts, Principles, and Assumptions Two theories that will be discussed in this paper is Erik Erikson’s Theory of Psychosocial Development and John Bowlby’s Theory of Attachment. Erikson’s theory is considered psychosocial, emphasizing the importance of social and cultural factors within a lifespan, from infancy to later adulthood. Erikson’s theory is broken down into eight consecutive age-defined stages. During each stage, a person experiences a psychosocial crisis that contributes to their personality development.

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Dementia is a disorder which causes the brain cells to deteriorate therefor causes a decline in several symptoms and affects a person’s mentality, capacity and how they go about their everyday life. NVQ 1.2 2) Describe the functions of the brain that are affected by dementia. There are many brain functions affected by dementia depending on which form of dementia the individual has. The temporal lobe’s functions affected are Memory loss for example forgetting things you have just been told or something you have just said so repeating yourself several times, balance, posture and vision can also be affected due to decline in health of the temporal lobe. Frontal lobe affects behaviour for example becoming withdrawn.

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Bowen family systems theory is used for understanding both family emotional and relationship processes (Knauth, 2003). Kolbert, Crothers, and Field (2013) suggest that although there are few publications on Bowen family systems theory, it provides counsellors with a framework for clients, specifically with helping adolescents understand how their functioning and identity have been influenced by their family. Bowen’s differentiation of the self has been argued to be equivalent to identity, and an individual’s balance both togetherness and individuality within their family, family members are both borrowing and lending aspects of themselves between each other (Kolbert, Crothers, & Field, 2013). Bowen, (1978, p. 188) suggested that individuals

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There is a growing complexity and diversity in families. Family systems theory provides a foundation for analysis of such complex and diversified families, making it easy to understand for effective therapy (Zastrow &

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This provides analytical approach to families with problems of low and bad structure in the family relations. Also, Structural Family Therapy is a therapy session that requests the therapist to be involved and active as well in the therapy sessions (www.psychotherapy.net ,video). Therefore, during the video of the family of three which is made up of Adrian, Judy, and Pam. Adrian and Judy are a married couple and the parents of Pam. Adrian and Judy has been through numerous therapists to comprehend their daughter’s Pam anger problem.

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The structural component included internal, external, and context. The internal aspect focused on the family composition, order of birth, and boundaries; the external aspect included the extended family (Leahey & Wright, 2016). Context included the broader aspect of patient care, which included their race, ethnicity, social class, religion, and environment (Leahey & Wright, 2016). Development within the CFAM included stages of development and attachments of family members to each other. The functional part of the CFAM included activities of daily living, as well as expressive components which were comprised of communication, problem solving, and roles (Leahey & Wright, 2016).

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Family systems therapy is basically evaluating the family system functioning as a unit and there are a few types of family therapy that uses this approach such as “structural family therapy, intergenerational family therapy and strategic family therapy” (Family Solutions Institute MFT Study Guide). The approach I think most useful would be structural family therapy which examines the family relationships, styles and common attitude during a therapy session. This allows the therapist to get a better understanding of what is going on in the family and the best way to solve

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In mapping this communication, the eight principles measured by Brown may become apparent not only to the therapist, but for the first time, the family may be able to see just how their functions are impeding the balance of their family and condoning strong exhibitions of universal traits within particular family members. The Bowen family therapy approach is invested in the intergenerational processes that are prevalent between generations (Bohlinger, 2010). By increasing differentiation between family members and between the generations, if possible, giving each triangle meaning rather than repetitive opportunities at increasing anxiety (Bohlinger, 2010). Focusing on this historical perspective, the origin of the family and environmental factors that surround the progress of this family, the genogram focuses itself on growth and self-actualization as the ultimate goal for the intervention (Nichols,

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The genogram and the ecomap positively impacted my new perspective on the family. They provided an organized display of the family patterns and vulnerabilities. The genogram contributed to a more detailed representation of the family structure and the relationships within the family. The ecomap contrasted this by providing a resource to observe the external factors that cause stress or support for the family. The ecomap can be compared to the social determinants of health and the domino effect that one social determinant of health can have on the others (Kozier, et al.).

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