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The Family Life Cycle
- 1. THE FAMILY LIFE CYCLEAileen B. Pascual, MD, DPAFPJuly 17, 2010
- 2. The Family Life CycleConceptual tool for understanding family developmentTransitions from one stage to another are rarely clear cutStages tend to mergeSeveral different models3 general phases: coupling, expansion, contraction6 stages
- 3. The Family Life Cycle The Family System undergoes important psychosocial changesChanges are predictable and observable
- 4. First Order Changes 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 waySecond Order ChangesOnce the key principle of transition process have been acknowledged the family now moves on to the various relationships Shifts involved in entering and proceeding developmentally through the next stage of the cycle
- 6. The Unattached Young AdultMajor tasks to master:Selection of a way of life Selection of a partner in lifeEmotional Process of Transition:Accepting parent-offspring differentiation
- 7. The Unattached Young AdultSecond-Order Changes:Differentiation of self in relation to family of originDevelopment of intimate peer relationshipsEstablishment of self in respect to work and financial independence
- 8. The Unattached Young AdultProblems encounteredMedicalEmotionalSocial
- 10. Newly Married CoupleJoining of families through marriageEmotional Process of Transition:Commitment to the new system
- 11. Newly Married CoupleSecond-Order Changes:Formation of the marital systemRealignment of relationships with extended families and friends to include spouse
- 12. Newly Married CoupleProblems encountered:Medical EmotionalSocial
- 14. Family with Young ChildrenBegins with the birth of the couple’s first childEmotional Process of Transition:Accepting new members into the system
- 15. Family with Young ChildrenSecond-Order Changes:Accepting marital system to make space for childrenTaking on parenting rolesRealignment of relationship with extended family to include parenting and grandparenting roles.
- 16. Family with Young ChildrenProblems encountered:ChildrenParentsGrandparents
- 18. Family with AdolescentsCan be turbulent for both the adolescent and the familyEmotional Process of Transition:Increasing flexibility of boundaries to include children’s independence
- 19. Family With AdolescentsSecond-Order Changes:Shifting of parent-child relationships to permit adolescent to move in and out of the systemRefocus on midlife marital and career issuesBeginning shift toward caring for the older generation
- 20. Family With AdolescentsProblems encountered:AdolescentsParentsGrandparents
- 22. Launching FamilyBegins with the first child becoming a young adult and leaving homeEnds with the empty nest as the last child leaves his or her family of originEmotional Process of Transition:Accepting multitudes of entry and exits into the family system.
- 23. Launching FamilySecond-Order Changes:Renegotiation of marital system as a dyadDevelopment of adult to adult relationships between parents and their grown childrenRe-alignment of relationships to include in-laws and grandchildrenDealing with disabilities and deaths of parents, or grandparents
- 26. The Family In Later YearsDuring this final stage of the family life cycle, the elderly persons must accept the shifting of generational rolesChildren 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
- 27. The Family in Later YearsEmotional Process of Transition:Accepting of shifting of generational goals
- 28. The Family in Later YearsSecond Order Changes:Maintaining own or couple functioning and interests in face of physiologic decline: exploration of new familial and social optionsSupport for more central role of middle generation
- 29. The Family in Later YearsSecond Order Changes:Making room in the system for the wisdom of the elderly , supporting the older generation without over-functioning for themDealing with loss of spouse, siblings and other peers and preparation for death
- 30. Family in Later YearsProblems encountered:ChildrenParentsGrandparents
- 32. The Life Cycle Approach
- 33. Family Life Cycle ApproachWhere in the life cycle are the three generations of this family?Are the life cycle stages in phase or out of phase?What developmental challenges predominate for the family?How are the relevant developmental challenges related to the presenting complaint?
- 34. Family Life Cycle ApproachWhere in the life cycle are the three generations of the family?What is happening to the parents?What is happening to the grandparents?What is happening to the children?
- 35. Family Life Cycle ApproachAre the life cycle stages in phase or out of phase?Higher risk for physical and emotional symptoms
- 36. Family Life Cycle ApproachWhat developmental challenges predominate for the family ?
- 37. Family Life Cycle ApproachHow are the relevant developmental challenges related to the presenting complaint?