Professional Documents
Culture Documents
MEK VILLAFUERTE-SOLANA, MD
SAN BEDA COLLEGE OF
MEDICINE
FCH 1
SEPT 8, 2009
Vertical Stressors
1.
Social, cultural,
political, economic
2.
Community, work,
friends
3.
Extended family
4.
Nuclear family
5.
Individual
Horizontal Stressors
1. DEVELOPMENTAL- Life cycle transitions
2. UNPREDICTABLE- Untimely death, chronic illness, accident
Newly Married
Couple
The joining of families
Key principle: Commitment to the
new subsystem
Formation of the marital system
Realignment of relationships with
extended families and friends to
include the spouse
Establishing home base
Money matters
Demands on new role
sexual relationship
Interaction with friends
and associates in the
community
Facing the possibility of
children and planning
for their coming
adjustment
Family planning
and fertility
management
Family planning
Pregnancy and
pre-natal care
Labor and delivery
Post partum care
The quality of a
marriage has a
particularly
strong influence
on over all
health.
emergence of adolescents
Stage when child starts to go to
school
Becoming parents
Key principle: Accepting marital
system to make space for
children
Parenting and
child rearing
Discipline
SOLANA-VILLAFUERTE FAMILY
I
Graciano
Remedios
82
David
Tess
58
55
65
II
Manding
Amy
Victoria
III 4
George
Nene
Lydia
C Caregiver
Grace
Reggie
Mien
Jhay
Hearty
Mandy
28
28
22
Michael
Lester
Heart disease
Diabetes
Asthma
HPN
Stroke
P Provider
Elizabeth
31
Julie
Imelda
Junilyn
28
Justin
Mek
39
33
Chai
3
Nanay
Puring
58
Thea
2 mos
Bhen
20
flexibility of boundaries to
include children
independence
Identity crisis
Re-focus on midlife, marital
and career issues
Beginning shift towards
concern for the older
generation
Adolescence
Injury prevention
Identity
STD
Autonomy
Teen age
pregnancy
Drug use and
abuse
sexuality
Midlife
Art of
negotiation
Launching Family
Begins when the first child leaves home
Longest stage, most problematic of all
phases
Key Principle: accepting a multitude of
entries and exits into the family system
Adjustment to new family members
Dealing with illness or death of
parents/grandparents
Career stagnation vs financial liberation
Extramarital affairs vs a restructured
marital relationship
Launching Family
Physiologic
decline
Diseases of
middle age
Letting go
Midlife crisis
SOLANA-VILLAFUERTE FAMILY
I
Graciano
Remedios
David
Tess
58
55
II
Manding
Amy
Victoria
III
George
Nene
Lydia
Reggie
Mien
Jhay
Hearty
Mandy
28
28
22
Lester
Chai
3
Junilyn
Stroke
Grace
Michael
Heart disease
Diabetes
Asthma
HPN
Elizabeth
31
Julie
Imelda
28
Justin
Mek
39
33
Nanay
Puring
58
Thea
2 mos
Bhen
20
SOLANA-VILLAFUERTE FAMILY
I
Remedios
Graciano
65
82
David
Tess
58
55
II
Manding
Amy
Victoria
III
George
Nene
Lydia
Reggie
Mien
Jhay
Hearty
Mandy
28
28
22
Lester
Chai
3
Junilyn
Stroke
Grace
Michael
Heart disease
Diabetes
Asthma
HPN
Elizabeth
31
Julie
Imelda
28
Justin
Mek
39
33
Thea
2 mos
Bhen
20
rate
References:
Isabelita Samanego, MD. Proceedings of the
Orientation Course in Family Medicine. PAFP,
Inc.
Carter, B. and McGoldrick, M. The Changing
Family Life Cycle, A Framework for Family
Therapy, 2nd ed. 1989. p3-28.