Saudi Diploma in Family Medicine

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The Family Life Cycle
Saudi Diploma in Family Medicine Center of Post
Graduate Studies in Family Medicine
Dr. Zekeriya Aktürk zekeriya.akturk_at_gmail.com www.
aile.net
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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

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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
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http//www.merriam-webster.com/dictionary/family
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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

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Individual Life Cycle
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Stages of the Family Life Cycle
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Family Life Cycle
2 yrs

1. Married couples (without children)
2. Childbearing families (oldest child, birth to 30
   months)
3. Families with preschool children (oldest child
   30 months to 6 years)
4. Families with school children (oldest child 6 to
   13 years)
5. Families with teenagers (oldest child 13 to 20
   years)
6. Families launching young adults (first child
   gone to last child leaving home)
7. Middle-aged parents (empty nest to retirement)
8. 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
Duval 1977
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USA
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KSA
Female 24 years Male 28 years. TFR 5,74
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Cumulative nuptiality KSA
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Percent having previously cohabited with current
spouse by age and sex
 AGE   MALES  FEMALES
18-29 48 44
30-39 45 51
40-49 34 27
50-59 10  8
60-69 10  6
70 17  5
TOTAL 30 28

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Consanguinity
Saudi Arabia Family Health Survey, 1996
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Polygyny - Bahrain
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Polygyny - KSA
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Divorce - Bahrain
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Divorce - KSA
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World Divorce Rates
Albania 10.9 Armenia 6 Austria 43.4 Azerbaijan 10.3 Belgium 44 Bosnia and H. 5 Bulgaria 21.1 Canada 37 Croatia 15.5 Czech Rep 43.3 Denmark 44.5 Estonia 46.7 Finland 51.2 France 38.3 Georgia 6.6 Germany 39.4 Greece 15.7 Hungary 37.5 Iceland 39.5 Italy 10 Japan 1.9 Latvia 34.4 Lithuania 38.9 Luxembourg 47.4 Macedonia 5 Moldova 28.1 Netherlands 38.3 Norway 40.4 Poland 17.3 Portugal 26.2 Romania 19.1 Russia 43.3 Slovakia 26.9 Slovenia 20.7 Spain 15.2 Sweden 54.9 Switzerland 25.5 Turkey 6 Ukraine 40 United K. 42.6 United States 54.8 Yugoslavia 12
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Childrens Reactions to Separation Divorce
Rakel RE. Textbook of Family Practice
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(No Transcript)
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(No Transcript)
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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

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Stage-critical family developmental tasks during
the family life cycle
Stage Family developmental tasks
1 Married couple Establishing a mutually satisfying marriage Adjusting to pregnancy and the promise of parenthood Fitting into the kin network
2 Childbearing Having, adjusting to, and encouraging development of infants Establishing a satisfying home for both parents and infants
3 Preschool age Adapting to the needs of preschool children Coping with energy depletion and lack of privacy as parents
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Stage Family developmental tasks
4 School age Fitting into the families of school-age families Encouraging childrens educational achievement
5 Teenage Balancing freedom with responsibility as teenagers mature
6 Launching center Releasing young adults into work, military service, marriage etc..
7 Middle-aged parents Maintaining ties with older and younger generations
8 Aging family members Coping with bereavement and living alone Closing the family home Adjusting to retirement
Duval 1977
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Predicting tough stages

• May be same stage that persons own parent had
  difficulty parenting them through
• Parent didnt 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 gt
  issues will surface when daughter is 6

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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
  healingDr. patient relationship tool