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Family in Health and Disease by Dr. Pracheth R.

Explore the impact of family dynamics on health, disease, and well-being with Dr. Pracheth R., Assistant Professor of Community Medicine at YMC. Learn about family definitions, life cycles, functions, and more.

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Family in Health and Disease by Dr. Pracheth R.

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  1. FAMILY IN HEALTH AND DISEASE Dr. PRACHETH R, ASSISTANT PROFESSOR, COMMUNITY MEDICINE, YMC.

  2. The secret of national health lies in the homes of the people Florence Nightingale.

  3. Outline • Family definition • Life cycle • Family cycle and stress • Types • Functions • Family in health and disease

  4. Family • What is family ? • Household? • Biological, social, cultural, epidemiological • Origin, procreation

  5. Family cycle

  6. Family cycle and stress • Structure: • Own dynamics: formation, growth, maturation, dissolution • Crisis: transitional, non-transitional • Stress , health hazards: environmental changes-critical period.

  7. Childhood: • Delinquency, psychiatric disorders: insecurity, incompetence, marital discord • Adolescence: • Parenthood • Ageing

  8. Types • Nuclear family • Joint/extended • Married couples+children: men related-blood • Property common • Authority: senior male member • Union is strength

  9. Three generation: • Representatives: three generations • Young couples: unable-separate • Related by direct descent.

  10. Functions • Residence: matriclocal, patrilocal • Division of labour: Communal family • Reproduction, bringing up children • Socialization • Economic functions: inheritance of property • Social care: status, protect-defamation, regulate marital activities, religious activities.

  11. Family in health and disease • Child rearing: • Physical care of dependent young • Differs society to society, time-time, depends on resources, knowledge • Patterns of child care (feeding, nutrition, hygiene): passed on • Permissive in East, rigid: West. • Obstacles: overcrowding-sleeping together: better relations.

  12. Socialization: • Stream of new born barbarians • Develop qualities: functioning effectively • Teach young values –society, transmit information,culture, beliefs, code of conduct • Young: punishments, rewards

  13. Personality formation: • Area closest to psychology • Capacity –withstand stress, strain, interaction of people depends on family • Placenta: excludes influences modifying others contributes some of its own-foundation: health of child.

  14. Care of dependent adults • Sick and injured: • Some societies: harshness, excluded: benefits. • Family: front line care, more nursing > hospital • Women: pregnancy, childbirth • Attitude of society: pregnancy, childbearing-influence infant deaths,premature,stillbirths • Women: financial help, maternal leave, diet, nutrition, decreased responsibility.

  15. Aged, handicapped: • Problems: long term care • Without family support: no medical care succeeds • Joint family

  16. Stabilization of adult personality • Shock absorber : stress, strains –life • Stress uncontrolled: mental illness, alcohol, high BP, peptic ulcer • Family: stabilization , meet emotional needs

  17. Familial susceptibility to disease: • Members: share a pool of genes, common environment: decide susceptibility • Haemophilia, colour blindness, diabetes, mental illness, schizophrenia • Playground for communicable diseases: spread rapidly in families because common environment • Congenital malformation high : consanguineous marriages.

  18. Broken families • Parents separated/ death- one/both parents • John Bowlby: mental deprivation: most dangerous pathogenic factors-child development • Paternal/ dual-parental • Later: psychopathic behaviour, immature personality, growth retardation, speech, intellect • Prostitution, crime, vagrancy.

  19. Problem families • Lag behind rest of community • Standards of life below accepted minimum,parents unable to meet needs of children • Problems: backwardness, poverty, emotional instability, illness,marital disharmony, character defects • Problems in social pathology • Prostitution, crime, vagrancy • Useful service: rehabilitating families.

  20. Summary

  21. Summary • What is family? • Family life cycle • Types of families • Functions • Residence • Division of labour • Reproduction, bring up children • Socialization • Economic functions • Social care

  22. Family in health and disease: • Child rearing • Socialization • Personality formation • Care of dependent adults • Stabilize adult personality • Familial susceptibility to disease • Broken family • Problem family.

  23. THANK YOU 

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