FAMILY MEDICINE

Semester
FAMILY LIFE CYCLE
DR. ANNABELLE TIU, MD | 09 09 2017

• do not involve a change in an individual identity as
OUTLINE self-image
A. WHY DO WE NEED TO STUDY THE FAMILY LIFE CYCLE?
B. FAMILY CYCLE SECOND ORDER CHANGE
a. 2 LEVELS OF ORDER OF MAGNITUDE OF • involve transformation of an individual status and
CHANGES meaning
b. STAGES OF FAMILY LIFE CYCLE
• a “need to be” something new
c.
• changes in the role and identity of family members
THE PERSON, HIS FAMILY AND MARO AND MICRO • changes in the very basic attributes of the family
ENVIRONMENT system

Family> Community> Nation> World/Universe
STAGES OF FAMILY LIFE CYCLE
A. WHY DO WE NEED TO STUDY THE FAMILY LIFE CYCLE? STAGE I: UNATTACHED YOUNG ADULT
• Understanding the health • the start of the family life cycle
• It provides a predictable, chronologic oriented • leaving home
sequence of event in family life, which the family • between families
physician and other health professional are familiar • acceptance of emotional and financial responsibility
• In involve a sequence of stressful changes that for oneself
requires compensating or reciprocal readjustment by • development of one’s own identity
the family to maintain viability • intimidate peer relationship are developed
• Event of family life cycle can be related to clinical • financial independence is learned
events and to health maintenance of the family • health issues that need to be addressed, proper
• Help prepare parent and other family members for nutrition, physical fitness and safe sex practice
the challenges and demand each stage brings

B. FAMILY LIFE CYCLE
• A series of stages families go through as the structure
of the family changes
• Not every family follows the life cycle in order or
description because each family is UNIQUE
• It delineates various developmental stages in the
status of families and describes the manner in which
a family is functioning
• In each stages a family projects various identities and
roles, the fulfillment of which would ensure
advancement to the next level
• The process which are undertaken involves transition,
extension, and overlaps
Key element: ADAPT
• As one family member moves through the different
stages over a period of time
STAGE II: NEWLY MARRIED COUPLE
• As one encounter challenges, learns and even master
new skills. • “Joining of families through marriage”
• the transition stage of the couple from their lives as
individual to life as couple
2 LEVELS OF ORDER OF MAGNITUDE OF CHANGES
• Forming its own marital system
FIRST ORDER CHANGES

• involves increment of mastery and adaptation
STAGES OF MARRIAGE:
• a “need to do” something new
HONEYMOON STAGE (0-2 YERS)
• do not involve change in the main structure of the
• Emotional issues: Commitment to the marriage
family
• Stage critical task:
o Differentiation from family origin

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FAMILY MEDICINE
FAMILY LIFE CYCLE
o Making room for spouse with family and o Parents on type of school for child
friends o Parents work child’s school schedule in with
their own work schedule
EARLY MARRIAGE STAGE (2-10 YEARS)
• Emotional issues: Maturing of relationship
• Stage critical task:
o Keeping romance in the marriage
o Balancing separateness and togetherness
o Renewing marriage commitment

MIDDLE MARRIAGE STAGE (10-26 YEARS)
• Emotional issues: Post care review
• Stage critical task:
o Adjusting to mid-life changes
o Renegotiating relationship
o Renewing marriage commitment

LONG TERM MARRIAGE STAGE (26+ YEARS)
• Emotional Task: Farewells and planning
• Stage critical task:
o Maintaining couple functioning STAGE IV: FAMILY WITH ADOLESCENT
o Closing or adapting family home • Requires increase in the flexibility of family’s
o Coping with death of spouse boundaries to include to the children’s independence
and the grandparent’s weakness.

STAGE III: FAMILY WITH YOUNG CHILDREN
• Defines a new family status • teen stage
• Couples rose as mother and father as well as husband o parents begin to let go of teenage child
and wife o parent welcome teen’s peer to their home
• Marital satisfaction is likely to be low at this stage o teen show new needs with parents
• The child start going to school STAGE V: LAUNCHING FAMILY
• Conflict with practices in the home and school • Start with the first child leaves home and ends when
regulations may occur the last child leaves home
• Realignment of family system to make space for • In the phil., this prolonged because unmarried
children, adopting and developing parenting roles children usually stay with parents
• Launched children star with their own family life cycle
• School –age

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FAMILY MEDICINE
FAMILY LIFE CYCLE
Family with adolescent Joy watching child develops,
beginning of new kind of
relationship in family,
increasing independence
Launching family Friendly with child, entry of
caretakers into new arenas
Family at later years Grand children back to
coupleness; fulfilment in life
decrease in task

STAGE VI: FAMILY IN LATER YEARS
• Begins with departure of last child continues through
retirement of one or both of the couple and ends
when both are dead
• Coping with physiological decline
• Accepting the shift in generational roles

REWARD at VARIOUS STAGES

Unattaches young adult Romance, freedom
Newly married couple Couple time, intimacy
Family with young children Generativity, joy in watching
child

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