HOW TO ANALYSE A FAMILY: REUNITE OR DIVORCE?

Dr. Faiz Tahir Psychiatrist/ Lecturer Department of Psychiatry. International Islamic University . Campus https://faiztahir.wordpress.com/ http://www.randymoraitis.com/2015/07/15/5-tips-for-families-in-recovery/ “Family is a group of persons united by the ties of: • marriage • blood • adoption

Burgess and Locke (1960s) ……consisting of a single household, interacting and intercommunicating with each other in their social roles of: • husband and wife • mother and father • son and daughter • brother and sister creating a common culture.”

Burgess and Locke (1960s) https://www.liverpoolecho.co.uk/news/liverpool-news/how-much-screen-time-your-15452119 https://serb.ohio.gov/wps/portal/gov/serb/what-we-do/unfair-labor-practices/unfair-labor-practices

Family: Members, Relationships, Illnesses Dates: Significant Inheritance: Pattern

Name and age DOB, Marital status, others Members living in the same household

Family Life Cycle

The emotional and intellectual stages from childhood to retirement as member of a family.

Each stage presents challenges allowing new skills to be built/ acquired.

Family Life Cycle

Different people. Different challenges. Different outcomes.

Family Life Cycle

Different people. Different challenges. Different outcomes.

Challenges may be that of:- • Financial • Illnesses (severe) • Death (in family)

Family life cycle theory suggests that successful transitioning helps to prevent disease and emotional or stress-related disorders.

Family life cycle theory suggests that successful transitioning helps to prevent disease and emotional or stress-related disorders.

The normal cycle may be disrupted by: • stress of daily living • coping with a chronic medical condition • other life crises

Ways to improve family life:

Self-examination Education Counseling

Family APGAR

Developed by Dr. Gabriel Smilkstein

5 item questionnaire Assess family function

Measures individual satisfaction about family relationships

APGAR Adaptation Partnership Growth Affection Resolve https://slideplayer.com/slide/12129711/

Family Lifeline

Significant events among family members over a period of time in a chronological sequence.

Assists in exploring family issues.

SCREEM Social Cultural Religion Economic Education Medical

SCREEM

Assess the ability of family to participate in provision of health care and cope with crisis.

Resources

Limitations and Challenges to patient care

Health seeking behavior

FAMILY MAP

A SNAPSHOT of the patient within his/ her family and social environment at a particular point in time.

A GRAPHICAL representation showing all the system at play in an individual’s life. http://sk.sagepub.com/reference/the-sage-encyclopedia-of-abnormal-and-clinical-psychology/i16647.xml

REUNITE

OR

DIVORCE? https://www.thesprucecrafts.com/play-free-jigsaw-puzzles-1357993 REUNITE OR DIVORCE? Exploring the complexities of the couple relationship

http://financialservices.mazars.com/simplicity-is-a-complex-issue/ • “Push–pull” • Mixed Agenda • Ambivalent

https://laveldanaylor.wordpress.com/2012/08/07/couples-therapy-is-it-right-for-you-or-should-you-try-discernment-counseling/ The Couple Dynamic is to be Assessed and Explored before fully engaging in Relational therapy or Pursuing separation or divorce.

Hinson et al (2017)

A tool that has a good evidenced based validity and reliability

Which can assess the degree of a couple’s commitment to their relationship.

The Marital Attitudes Scale a 48-item self-report inventory normed with a clinical and nonclinical population at 2 clinical training sites.

The Marital Attitudes Scale: Assessing and Treating Ambivalent Clients

Waymon R. Hinson, Stephanie J. Hargrave, Jason Northrup & J. Michelle Robertson (2017) https://doi.org/10.1080/10502556.2017.1343543 The inventory adheres to a cognitive-behavioral theoretical orientation with 4 subscales and a total score that measure  cognitions  emotions  behaviors  schemas and total scores relative to  the ambivalence or  the absence of commitment in the couple relationship. The instrument uses the frame of

 Pre-ambivalent (committed to the relationship)

 Ambivalent (ambivalently committed to the relationship)

 Post-ambivalent (no longer committed to the couple relationship) https://www.psychalive.org/be-your-own-couples-therapist/

“There is one whose rash words are like sword thrusts,

but the tongue of the wise brings healing.”

Proverbs 12: 18

“And speak nicely to people.”

Surah Al-Baqarah: 83 http://www.randymoraitis.com/2015/07/15/5-tips-for-families-in-recovery/ http://inikisahhidupsabrie.blogspot.com/2014/01/uia-kuantan-jom-berkenalan.html http://www.iium.edu.my/centre/iium-medical-centre/ https://www.flickr.com/photos/hasnolhayat/14439139294 SELAMAT DATANG IIUM Kuantan HAtur NUhun PISan HOW TO ANALYSE A FAMILY: REUNITE OR DIVORCE?

Dr. Faiz Tahir Psychiatrist/ Lecturer Department of Psychiatry. Kulliyyah of Medicine International Islamic University Malaysia. Kuantan Campus https://faiztahir.wordpress.com/