3. “A group of persons united by ties of
marriage, blood or adoption; consisting of
a single household; interacting and
communicating with each other in their
respective social roles and maintaining a
common culture”
Burgess and Locke, 1960
4. “The family is a social group
characterized by common residence,
economic cooperation and
reproduction”
Murdock, 1965
6. “The State recognizes the Filipino
family as the foundation of the nation.
Accordingly, it shall strengthen its
solidarity and actively promote its
total development.”
Article 15, Section 1
1987 Philippine Constitution
8. NUCLEAR FAMILY
Parents, dependent children
Separate dwelling not
shared with members of the
family of origin/orientation of
either spouse
Economically independent
Source: http://en.wikipedia.org/wiki/File:Simpsons_FamilyPicture.png
9. Types of Nuclear Family
Father
Mother
Siblings
Spouse
Son
Daughter
ORIENTATION/
ORIGIN
PROCREATION
10. EXTENDED FAMILY
Unilaterally extended
Bilaterally extended
Includes 3 generations
Live together as a group
Kinship network provides
function to all members
11. SINGLE PARENT FAMILY
Children < 17 years of age,
living in a family unit with a
single parent, another relative
or non-relative
May result from:
Loss of spouse by death, divorce,
separation, desertion
Out of wedlock birth of a child
From adoption
Migration (OFWs)
13. COMMUNAL FAMILY
Grouping of individuals
which are formed for
specific ideological or
societal purposes
Considered as an
alternative lifestyle for
people who feel alienated
from the economically
privileged society
14. The Family is a…
BIOLOGIC UNIT
Reproduction, child rearing
PSYCHOLOGIC UNIT
Emotional support, protection
SOCIO-CULTURAL UNIT
Socialization, values
15. Basic Areas of Function
Economic
Financial resources, security
Educational
Skills, attitudes
20. The Filipino Family
Closely knit
Bilaterally extended
Authority based seniority/age
Externally patriarchal, internally
matriarchal
High value on education
Predominantly Catholic
Poverty incidence: 22.3% (2012)
27. Rules
Commonly agreed upon ways of
dealing with each other, dealing
with situations, and dealing with the
external environment
Overt Rules
Covert Rules
35. Family May
Application of Family Systems Concepts
Characteristics : members
Structure: boundaries, alliances, coalitions
Process: enmeshment, disengagement
Across time: intergenerational coalition
51. Family Assessment Tools
• Genogram
Structure
• Family Life Cycle
Development
• Family APGAR
• Family Lifeline
Function
• SCREEM
• Ecomap
Resources
52. The Family Life Cycle
The Family System undergoes important
psychosocial changes
Changes are predictable and observable
53. The Family Life Cycle
Conceptual tool for understanding family
development
Transitions from one stage to another
are rarely clear cut
Stages tend to merge
Several different models
3 general phases: coupling, expansion,
contraction
6 stages
54. The Family Life Cycle
First Order Changes
Involves increments of mastery and
adaptation
“need to do”
No change in the main structure of the
family
No change in individual’s identity and self-
image
TASKS that must be accomplished within
a stage of the FLC
55. The Family Life Cycle
Second Order Changes
Involves transformation of an individual’s
status and meaning
“need to be” something new
Change in the basic attributes of the
family system
Change in the role and identity of family
members
Occur between stages of the FLC
57. Anticipatory Care through the
Family Life Cycle (July 11, 2013)
10 to 15-minute creative
presentation about the family life
cycle stage assigned to your group
Highlights:
Biomedical Issues
Psychosocial Issues
58. Family Assessment Tools
• Genogram
Structure
• Family Life Cycle
Development
• Family APGAR
• Family Lifeline
Function
• SCREEM
• Ecomap
Resources
60. Family APGAR
Developed by Dr. Gabriel Smilkstein
5-item questionnaire to assess
family function
Measures individual satisfaction
about family relationships
61. Component Definition
Adaptation
Capability of the family to utilize and share inherent
resources
Partnership
Sharing of decision making
Measures the satisfaction attained in solving problems by
communicating
Growth
Emotional and physical growth
Measures satisfaction of the available freedom to change
Affection
How emotions are shared between members
Measures satisfaction with emotional interaction
Resolve
How time, space, money are shared,
Measures the satisfaction with the commitment made by
other members of the family
62. Almost
Always
Some of
the Time
Hardly
Ever
A
I am satisfied that I can turn my
family for help when something is
troubling me
P
I am satisfied with the way my family
talks on things with me and shares
problems with me
G
I am satisfied that my family accepts
and supports my wishes to take on
new activities or directions
A
I am satisfied with the way my family
expresses affection and responds to
emotion such as anger, sorrow and
love
R
I am satisfied with the way my family
and I share time together
63. Palagi
Paminsan
-Minsan
Halos
hindi
A
Ako’y nasisiyahan dahil nakakaasa ako
ng tulong sa aking pamilya sa oras ng
problema
P
Ako’y nasisiyahan sa paraang
nakikipagtalakayan sa akin ang aking
pamilya tungkol sa aking problema
G
Ako’s nasisiyahan at ang aking pamilya
ay tinatanggap at sinusuportahan ang
aking mga nais na gawin patungo sa
mga bagong landas para sa aking pag
unlad
A
Ako’s nasisiyahan sa paraang
ipinadadama ng aking pamilya ang
kanilang pagmamahal at nauunawaan
ang aking damdamin katulad ng galit,
lungkot at pag-ibig
R
Ako’y naisisiyahan na ang aking pamilya
at ako ay nagkakaroon ng panahon sa
isa’t isa.
64. Family APGAR
Scoring:
Almost always – 2
Some of the time – 1
Hardly ever – 0
Total :
8-10 – highly functional
4-7 – moderately dysfunctional
0-3 – severely dysfunctional
66. SCREEM
Assess ability of family to participate in
provision of health care and cope with
crisis
Sources of help
Barriers to patient care
67.
68. Family Lifeline
Significant events among family
members over a period of time in a
chronological sequence
Allows exploration of certain family
issues
69.
70. ECOMAP
A “snapshot” of the patient within his/her
family and social environment at a
particular point in time
A graphical representation that shows all
of the systems at play in an individual's
life.
73. Family Assessment Tools
• Genogram
Structure
• Family Life Cycle
Development
• Family APGAR
• Family Lifeline
Function
• SCREEM
• Ecomap
Resources
74. References
Counseling Skills for Caring Physicians Book 1: Individual
Interventions. Manila: Primary Health Care Foundation for the
Empowerment of Families and Communities, 2005.
McDaniel, S., Campbell, T., Hepworth, J., & Lorenz, A. Family
Oriented Primary Care, 2nd ed. New York: Springer. 2005
Proceedings of the Orientation Course in Family Medicine,
Philippine Academy of Family Physicians
Dr. Richa Opina Tan
Dr. Tricia Mercado
