Saudi Diploma in Family Medicine Center of Post Graduate Studies in Family Medicine

1. The Family Life Cycle Saudi Diploma in Family Medicine Center of Post Graduate Studies in Family Medicine Dr. Zekeriya Aktürk zekeriya.akturk@gmail.com www.aile.net / 25

2. Objectives • At the end of this session, the participants should be able to; • discuss the definition of “family” • compare marital patterns of KSA with other countries • discuss crtitical tasks during different family stages • identify and describe the various life stages • explore the changes that occur in families throughout the life cycle • explore the responsibilities associated with roles / 25

3. Definitions • a group of individuals living under one roof and usually under one head • a group of persons of common ancestry • the basic unit in society traditionally consisting of two parents rearing their children • اُسْرَة • عائلة / 25 http://www.merriam-webster.com/dictionary/family

4. Families affect health and illness • Families contribute to the production and/or maintenance of symptoms • To reach a more complete diagnosis and understanding, physician needs to explore the symptoms in terms of the family system • Examples: • Depression • Obesity and weight loss • Heart disease • Different stages of the family may have different implications on health / 25

5. Individual Life Cycle / 25

6. Stages of the Family Life Cycle / 25

7. Family Life Cycle 2 yrs • Married couples (without children) • Childbearing families(oldest child, birth to 30 months) • Families with preschool children(oldest child 30 months to 6 years) • Families with schoolchildren(oldest child 6 to 13 years) • Families with teenagers(oldest child 13 to 20 years) • Families launching young adults(first child gone to last child leaving home) • Middle-aged parents(empty nest to retirement) • Aging family members (retirement to death of both spouses (retirement to death of both spouses) 2,5 yrs 3,5 yrs 10-15 ± yrs 1 2 3 7 yrs 8 4 5 7 7 yrs 6 15 ± yrs 8 yrs / 25 Duval 1977

8. USA / 25

9. KSA: Female 24 years; Male 28 years. TFR: 5,74 / 25

10. Cumulative nuptiality KSA / 25

11. Percent having previously cohabited with current spouse by age and sex / 25

12. Consanguinity / 25 Saudi Arabia Family Health Survey, 1996

13. Polygyny - Bahrain / 25

14. Polygyny - KSA / 25

15. Divorce - Bahrain / 25

16. Divorce - KSA / 25

17. World Divorce Rates; % / 25

18. Children’s Reactions to Separation & Divorce / 25 Rakel RE. Textbook of Family Practice

19. / 25

20. / 25

21. Tasks during family stages • Often developmental tasks of family members are in conflict, and many of the tensions of family life are caused by these conflicts. • Adolescent: need to achieve independence • Parents: guiding his/her development • Both partners having careers may lead to conflict as well… / 25

22. Stage-critical family developmental tasks during the family life cycle / 25

23. / 25 Duval 1977

24. Predicting tough stages • May be same stage that person’s own parent had difficulty parenting them through • Parent didn’t have good model from their parents so hard to negotiate that stage with their child. • Examples: • if parent left home before h.s. graduation It may be difficult to help their teen through the “launching” stage. • If lost a parent at age 3, then will experience feelings of loss related to this when child is 3. • Female sexual abuse survivors molested at age 6 > issues will surface when daughter is 6 / 25

25. How might this be important in your practice? • Brief counseling encounters • Conceptualizing why patient is experiencing emotional upheaval at certain times in their development • Normalizing such emotional upset can be very healing—Dr. patient relationship tool / 25