1

FamilyInterventions

CHAPTER34

1

CharacteristicsofFamilyFunction

• Abilitytoprovideforsafetyofmembers

• Qualityofresourcesandsupportsystems

• Underlyingissues• Culturalconcerns• Developmentalneeds

• Patternsofbehaviorandinteraction

• Responsestostressors• Abilitytointeractwithsupportservices

• Parentingskill• Relationshipsandinteractions

• Overallflexibilityorresilience

2

3

TypesofFamiliesintheUnitedStates

• Nuclearfamily• Singleparentfamily• Unmarriedbiologicaloradoptivefamily• Blendedfamily• Cohabitatingfamily• Extendedfamily• “Other”family

4

FamilyFunctions• Management• Boundaries

•  Clear•  Diffuseorenmeshed•  Rigidordisengaged

5

FamilyFunctions(Cont.)

• Communication

• Emotional-supportive

• Socialization

6

OverviewofFamilyTherapy•  Insight-orientedfamilytherapy

•  Focusesondevelopingincreasedself,other,andfamilyawarenessamongfamilymembers

• Behavioralfamilytherapy•  Focusesonchangingbehaviorsoffamilymemberstoinfluenceoverallpatternsoffamilyinteractions

2

7

ConceptsCentraltoFamilyTherapy

• “Identifiedpatient”

• Familytriangles

• Scapegoating

• Doublebindmessages

8

ApplicationoftheNursingProcess

• Familyassessment

• Assessmenttools

• Constructingagenogram

• Otherassessmenttools

• Selfassessment

9

NursingProcess(Cont.)

• Diagnosis(Box34-3)• Impairedparenting

• Dysfunctionalfamilyprocesses

• Caregiverrolestrain

• Ineffectivedenial

• Defensivecoping

10

NursingProcess(Cont.)

• Implementation

• Counselingandcommunicationtechniques

• Nonjudgmentalmannerpromotesopenandflexible

communication

• Perspectiveofeachfamilymemberiselicitedandheard

11

OutcomesIdentification

• Reducedysfunctionalbehaviorofindividualfamilymembersandresolveorreduceconflicts

• Mobilizefamilyresources,encourageadaptivefamilyproblem-solvingbehaviors,improvefamily’scommunicationskills,heightenawarenessandsensitivitytootherfamilymembers’emotionalneeds

12

OutcomesIdentification(Cont.)

• Strengthenfamily’sabilitytocopewithmajorlifestressorsandtraumaticevents,includingchronicphysicalorpsychiatricillness

•  Improveintegrationoffamilysystemintosocietalsystem

3

13

NursingProcess(Cont.)

• Pharmacologicalinterventions• Casemanagement

14

Question1Thefamilyofachildwithattentiondeficithyperactivitydisorder(ADHD)andbehavioralproblemsisreferredforfamilytherapy.Selecttheappropriategoalforfamilytherapy.A.  Thepatientwilldevelopstressreductiontechniques.B.  Theparentswillprovidestructureandlimitsetting.C.  Thepatientwilladheretothemedicationregimen.D.  Thepatientwillbefreeofaggressivebehavior.

15

AudienceResponseQuestions1.  Focusingondevelopingincreasedself-awareness,other-

awareness,andfamilyawarenessamongfamilymembersisknowas:

A.  insight-orientedfamilytherapy.B.  behavioralfamilytherapy.C.  familysystemtheories.D.  triangulation.