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Family Counseling

Behavioral Medicine

stage one of adult development late adolescence (17-20something)
task of adult development stage one find identity, to be oneself/share oneself, exploration of the virtue loyalty
stage two of adult development young adulthood (20 something)
task of adult development stage two resolve intimacy versus isolation, to lose and find oneself in another person, exploration of love
stage three of adult development middle adulthood (30's to late 60's)
task of adult development stage three resolve generavity (to promote positive values in the lives of the next generation) versus self absorption, to have empathy for others, to take care of others, exploration of care and caring
stage four of adult development old adult (70's and beyond)
task of adult development stage four resolve integrity vs despair, to be-through having been, to face not being, exploration of wisdom
robust predictors of poor aging pessimism and inflexibility
__ of all pcp visits involve a family member 1/3
__% of pcp visit time is spent discussing family issues 10
when to convene a family conference pregnancy, critical illness, new diagnosis of chronic illness, non-compliance, family caregiver conflict, bereavement
using information and or targeted questions to help patients and their families prepare for upcoming transitions and crises anticipatory guidance
four family life cycle stages parenthood of first child, parenthood of adolescents, retirement, aging
in 2000 __ of all babies were born out of wedlock 1/3
in 2000 nearly __ of never married women age 15-44 were mothers 1/4
about __% of marriages in US end in divorce 50
most marital arguments cannot be __ resolved
risk factors for divorce harsh startup, the four horsemen (criticism, contempt, defensiveness, stonewalling), flooding, body language, failed repair attempts, bad memories
the four final stages of divorce the marital problems are seen as severe, talking things over seems useless, parallel lives begin, loneliness sets in
7 principles of making marriage work enhance your love maps, nurture your fondness and admiration, turn toward each other instead of away, let your partner influence you, solve your solvable problems, overcome gridlock, create shared meaning
How long do you have to recover evidence from a sexual assault in NC? 120 hrs
Prevalence of sexual assault: 1 in 6 F (1 in 33 M); 20-25% college F; F 17.6 % (injury 31.5%)
What are the characteristics of a sexual perpetrator? 47% acquaintance; 31% stranger; 17% intimate
What are the laws in NC surrounding sexual activity, rape, and domestic violence? Defined as vaginal penetration
What kind of referrals are appropriate for couples who have domestic violence? Social work, Support groups and systems, including for Past trauma. CONTRAINDICIATED: couples counseling or family intervention
Common characteristics of victims of intimate partner violence: <35 yo; poor, unemployed; PG; ask/screen all F>18, all PG
Indicators of domestic violence affecting a patient: Noncompliance; vague complaints; partner hovering; hx & PE inconsistent; frequent visits; hesitant responses
The National Violence Against Women survey reports ____ of all women had sexual violence in their life 1/4
Prevalence of intimate partner violence during pregnancy: 7-20% of PG (>gest DM or preeclampsia); highest in unplanned PG
Intimate partner violence during pregnancy is associated with: Risk of LBW, premature, fetal injury, miscarriage
Family Conference: Family Hx style use family information to treat individual patient
Family Conference: Family orientation style view family as unit of care – more knowledgeable about family
Marriage: most important Honor/ respect more important than communication/ conflict resolution skills; “Emotionally Intelligent Marriage;” Friendship = secret weapon
What is the focus of self management skills? patient centered, attainable goals, problem solving, skill training; activated pt, shared decision making w/ provider, effective communication, self-efficacy to achieve desired behaviors and to manage sxs
Created by: Abarnard