THE FAMILY

LIFE CYCLE
 In dwelling, live close to the

“
ground. In thinking, keep to the
simple. In conflict, be fair and
generous. In governing, don't try
to control. In work, do what you
enjoy. In family life, be
completely present.
~ Lao Tzu
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1 Introduction
Introduction
▸ Each person lives among an exciting
cast of characters who inspire them,
support them, and also criticize and
fight with them
▸ To know a person is to know the people
in their lives

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Every patient
is a member
of a family
A physician must always keep in
mind that the way a patient reacts
to an illness will depend a lot on his
family.

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2 The Family Life
Cycle
The Family Life
Cycle
▸ Developed by family sociologists Hill
and Duvall (8 stages)
▸ A template to quickly assess a
patient and family’s developmental
concerns
▸ No single “normal” family life cycle
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The Family Life Cycle Diagram
By Hill and Duvall

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 Duvall’s
2 Developmental
Stages
Married Couples
▸ Establish couple identity and a
mutually satisfying marriage
▸ Realign relationships with extended
family to include spouse
▸ Make decisions about parenthood

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Childbearing Family
▸ Integrate infant into family
▸ Find mutually satisfying ways to deal
with child care responsibilities
▸ Expand relationships with extended
family by adding parenting and grand
parenting role

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Families with Preschool
Children
▸ Socialize the children
▸ Integrate new children while still
meeting needs of the other children
▸ Maintain healthy relationships within
the family and extended family

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Families with School-
aged Children
▸ Promote the school achievement and
foster the healthy peer relations of
children
▸ Maintain a satisfying marital
relationships
▸ Meet the physical health needs of
family members
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Families with Adolescence
▸ Balance freedom with responsibility
as teenagers mature and become
more autonomous
▸ Refocus on marital and career issues

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Families Launching Young
Adults
▸ Develop adult-adult relationships
with grown children
▸ Expand family circle to include new
members acquired by the marriage
of grown children

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Families Launching Young
Adults
▸ Assist aging and ill parents of
husband and wife
▸ Renew and renegotiate marital
relationship

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 Middle-aged Parents
▸ Strengthen marital relationship
▸ Provide health-promoting lifestyle
▸ Sustain satisfying relationships with
aging parents and children

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Families In Later Years
▸ Maintain satisfying living
arrangement
▸ Adjust to reduced income
▸ Maintain marital relationship

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 Families In Later Years
▸ Continue to make sense of one’s
existence
▸ Maintain intergenerational family ties
▸ Adjust to loss of spouse

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THANKS!
Any questions?

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Sources
Duvall, E. M. & Miller, B. (1985).
Marriage and family
development. New York: Harper
& Row.
https://www.slideshare.net/nun
anongrodcheuy/tools-for-
assessing-families-in-primary-
care-62973604

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Groupmates
▸ Joseph Ruidera
▸ Therese Marcellana
▸ Jaira Loberiano
▸ Donna Villa
▸ Samantha Mañago

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