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Transers’ notes: text boxes incorporated in the trans are life advice/tips from Sir. ◕‿◕ You can also access the 2017 trans for more info.

I. FAMILY OF ORIGIN

A. Historical Roots • Sigmund Freud

• The unconscious • Many unconscious influences drive our behavior.

• Parental influences especially until the age of 6 • Erik Erikson

• Societal development and influences • Psychosocial Stages of Development

• Murray Bowen • The influence of the family of origin • The person you are now is because of your family

• Kung ano ang puno, siya rin ang bunga.

B. Influences of Family of Origin • The past influences the present. • Most of these influences are unconscious. • Ex.: Exhibiting mannerisms similar to our parents

• The largest and most influential part of your past is your experience with your family of origin. • Ex.: Patterns of sibling order

• Multigenerational transmission patterns • We “inherit” good and not-so-good things from our family

of origin • Examples: • Cycle of abuse • Abusive father was once abused by own father, who

was also abused by his own father, and so on • Original Sin • Ang kasalanan ni Adam at Eve ay kasalanan din natin

• According to Freud: “Your choice of spouse has already been imprinted in your unconscious by the age of 6” • “Type kita” = programmed from parental figures • If you don’t like your parental figures or how their

relationship is/was, you tend to look for someone who’s opposite them.

• Thus, love is (usually) a phenomenon that bypasses intellect.

II. FAMILY LIFE CYCLE THEORY “Family medicine, more than any other field of specialty,

recognizes the pivotal role that the family plays in the healing process of the sick member.”

• Family plays a huge role in progression or regression of illness

• A good health practitioner will never overlook the importance of family dynamics in medical intervention

Family Life Cycle • Composite of the individual developmental changes of

family members • Involves a sequence of stressful changes that requires

compensating or reciprocal readjustment by the family if it is to maintain viability

• For every DEVELOPMENTAL STAGE, there is a CRISIS that must be transcended. • As in Freud’s and Erikson’s developmental theories • If something traumatic takes place in a particular stage,

then one gets stuck in that stage; there are corresponding consequences and influences.

• Suggests that successful transitioning may prevent disease and emotional or stress-related disorders • When there is psychosocial difficulty, there is concomitant

biomedical difficulty.

A. Emotional Process of Transition (EPT) • Refers to change confronted by the family or its members

as they go through the various stages • Can also refer to theme/major task of the particular family

life cycle stage • Transition periods are characterized by some degree of

disequilibrium. • These require adjustments and some forms of

homeostatic mechanism. • Two kinds: the 1st order change and 2nd order change

1. First Order Change • Change that entails change in the degree of skill or

knowledge • “Increments of mastery and adaptation” • It does NOT involve change in the structure of the

family and does NOT involve change in individual’s identity and self-image

• These include TASKS which must be done by the family working within the stage

• Ex.: Using a stethoscope or learning to ride a bike 2. Second Order Change

• Change in role; involving transformation of an individual’s status and meaning

• “The need to be” • More difficult • Change in the ROLE and IDENTITY of family members

(e.g. man who first becomes a husband, and then a father then progresses to another family life cycle stage)

• Major task/EPT (of a stage) • Ex.: Changes in roles in med school: med student →

clerk → intern

HD202: Human Physical and Psychosocial Development

Family Life Cycle Allan R. Dionisio

OUTLINE I. Family of Origin Theory

A. Historical Roots B. Influences of Family of Origin

II. Family Life Cycle Theory A. Emotional Process of Transition B. Family Life Cycle Stages

i. Stage 1: Unattached Young Adult ii. Stage 2: Joining of Families by Marriage iii. Stage 3: Family with Young Children iv. Stage 4: Family with Adolescents v. Stage 5: Launching Family and Moving On vi. Stage 6: Family in Later Life

C. Being Stuck

[DE CASTRO, DE GUZMAN, DE JURAS, DE LA PEÑA, DEL MUNDO, DELA CRUZ]

EXAM # 1April 21, 2015

Trans Number: 3

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B. Family Life Cycle Stages • Based on middle-class North American and Western

European families • Why bother teaching to Filipinos?

• Basically, the developmental tasks are the same. • But the timing the accomplishment of the tasks are

different across cultures, i.e., much later in Filipino culture

• However, there is inherent validity regardless of culture • In different cultures there are extensions and

abbreviations of the tasks

Some points to consider: • Experiences through cycle affect who we are and what we

become. • Each stage presents unique challenges which cause us to

develop skills to deal with the changes. • A successful transition to the next stage requires mastery of

its skills and milestones (first order change). • Those who lack mastery can still progress, but are more

likely to have difficulty with relationships and future transitions.

• Missed skills can still be obtained later on in life. • Regression can happen. • To determine the life cycle stage of a family, follow the

MOST ADVANCED STAGE.

Stage 1: The Unattached Young Adult EPT: Accepting parent-offspring separation

Second Order Changes: • Differentiation of self from family of origin • Establishment of self in work • Development of intimate peer relationships

Stage 2: The Joining of Families by Marriage (The Newly Married Couple) EPT: Commitment (or more specifically: transfer of loyalty) to new system

Second Order Changes: • Formation of marital system

• Realignment of relationships with families and friends to include spouse

• Marriage does not include only the two people making the vow.

• The bride and groom bring their own families and their influences into the marital system.

• The EPT refers to the transfer of loyalty from family of origin to the new marital system.

Stage 3: The Family with Young Children EPT: Accepting new members (i.e. children) into the system

Second Order Changes: • Adjusting marital system to make space for children • …while maintaining the relationship between husband

and wife. • Relationship between husband and wife > relationship

with children • Because children will ultimately suffer when there is a

rift between the parents.

• Taking on parental roles • Realignment of relationships with extended family to include

roles for parents and grandparents

Stage 4: The Family with Adolescents EPT: Increasing flexibility of family boundaries to include children’s independence

Second Order Changes: • Shifting of parent-child relationships to permit adolescent to

move in and out of system • Beginning of shift towards concerns for older generation

• In-laws/grandparents start to get sick. • Parents must provide for both children and own

parents. • Refocus on midlife marital and career issues

• Midlife Crisis • Time of vulnerability • The person comes face-to-face with his/her own

physical decline.

Stage 5: The Launching Family (Moving On) EPT: Accepting a multitude of exits and entries from the system

Second Order Changes: • Renegotiation of marital system as a dyad • “Empty nest”

• Development of adult-to-adult relationships between the grown children and their parents

• Realignment of relationships to include in-laws and grandchildren

• Dealing with disabilities or death of parents and/or grandparents

Include them in your children’s lives, but as much as possible, do not live with your in-laws! Get your own residence, whether it’s renting an apartment or condominium unit (basta ‘wag from your own parents) or buying a new house. Think of it as an investment towards your own privacy.

Three years of courtship is recommended before marriage. The first year is for the magic of romance, the second is for disillusionment, and the last year is for confirmation (whether you still love your partner despite prior disillusionment.)

Just because you said “I do” to each other during your wedding ceremony does not mean you are already committed to each other. Commitment is not just saying yes once, but saying it everyday.

This is the stage when most marital breakups occur due to the burden of child care, but it can be a very happy and rewarding time for those with the proper skills and tools :)

Recipe for a well-functioning family: strong yet flexible + good communication + problem solving skills + mutual care + support and trust

[(ANATOMATES GROUP 9 – DENISE DAVID) + BELLSPROUT DEL MUNDO]

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Stage 6: The Family in Later Life EPT: Accepting the shifting of generational roles

Second Order Changes: • Maintaining own functioning and interests in the face of

physiological decline

• Exploration of new familial and social role options • Support for a more central role for the middle generation • Making room in the system for the wisdom and experience

of the elderly without overfunctioning for them • Life review and integration • Dealing with the loss of spouse, siblings, peers • Preparation for own death

C. Being Stuck • Failure to accomplish the second order changes of a stage

can cause one to get “stuck” such that one cannot move on • Illnesses can cause a family to get “stuck” • Illnesses always cause a “centripetal” force

• They hold the family back and, depending on severity of illness, may force a family to be unable to overcome a developmental stage

• Families that are “stuck” have a harder time dealing with illness. • Sometimes you (the doctor) have to intervene

psychosocially to get better biomedical results. • Families that get “stuck” can sometimes manifest with

illness as the symptom of their being “stuck.” • If a family or any of its members get stuck, then he or she

can also get unstuck provided that he/she addresses the particular task for that stage.

END OF TRANSCRIPTION

Jean Reni: JOIN TUESDAY CLUB! Lawn tennis sessions every Tuesday 6 am.

Thea: To everyone interested in volunteering for FOP 2015, please approach Toby or Fred! Approach me or Ards if you wanna join the PubDoc committee. ◕‿◕ ◕‿◕ ◕‿◕

The Mu Sigma Phi Fraternity,

Together with the UP Diliman Special Education Council, Ateneo Special Education Society, Leonard Cheshire Disability Philippines

Foundation Inc., Jack n’ Jill’s Chippy, and X.O,

Proudly presents,

REVERB: Echoing Awareness through the Arts

A concert showcasing the performances of differently-abled artists. Witness the triumph of talent over adversity on May 8, 2015, from

7-10 pm at the Pilar Hidalgo Lim Auditorium of the Girls Scouts of the Philippines National Headquarters, Padre Faura St., Ermita, Manila. Watch as Young Voices Musikability, Vell Baria, Thara Santiago and Franco Cagayat from the Autism Society of the Philippines (ASP),

Nica Escasinas (ASP), Chaelda Del Carmen, Joy Disability Mission, Inc. and St. Francis School – VSA Arts Philippines. Inc demonstrate

their extraordinary talents in this one-night concert. Special performances from Mayonnaise and the Mu band will also be

featured.

This event heralds the Fraternity’s project entitled OBRAx: Extraordinary Art by Extraordinary people, aimed at promoting the

differently-abled artists excelling in the fields of visual and performing arts. Proceeds of this event will be donated to the Hearing Aid Fund of

the Ear Unit-Department of the Otorhinolaryngology, Philippine General Hospital, for their indigent hearing-impaired pediatric

patients.

Tickets for the event are priced at PHP 250. For more information, please contact Jov at (+63) 926-502-1646 or visit our page at

http://facebook.com/projectMUbility.

Special thanks to Our Lady of the Pillar Medical Center: LASIK Center, Hard Riders Bar and Grill, Timezone, and Dr. Felixberto D.

Ayahao. Our media sponsors: Philippine Daily Inquirer, Wazzup Pilipinas, Radyo Inquirer, and Radyo Uno. Our partner organizations: Biology Majors Alliance of the Philippines, UP Sandigan, and Young

Empowered Advocates towards Responsive Nursing.

Quality of life depends on how well-adjusted you were to changes in earlier stages. Normal ageing will affect one’s body, but does not automatically mean one will experience poor health!

[(ANATOMATES GROUP 9 – DENISE DAVID) + BELLSPROUT DEL MUNDO]